13 September 2010

Success of IVF varies with season of the year

The success of an assisted reproduction procedure may depend on the season. This is the finding of new work presented at the World Congress of Fertility and Sterility, in Munich, Germany.

Scientists have long noted that there are seasonal variations in the number of natural human births. No firm explanation has been put forward for this, but speculation is that human reproduction is linked to temperature and season. Now new research indicates that even Assisted Reproduction may be more effective at certain times of year.

A team led by Dr Daniela Braga (Sao Paolo, Brazil) looked at the cytological and biochemical parameters of 1932 patients undergoing egg retrieval for intracytoplasmic sperm injection (ICSI)*, during different seasons of the year. All patients came from a single fertility center, the Assisted Fertilization Center in Sao Paulo – Brazil.

They looked at 435 patients in winter (representing 22.5% of the total sample), 444 in spring (23.0%), 469 in summer (24.2%), and 584 in autumn (30.3%).

They found that the percentage of developing eggs (MII oocytes), high-quality embryos, implantation, and pregnancy rates did not differ among the groups. Nevertheless the fertilization rate was significantly higher during the spring than during any other season (winter: 67.9; spring: 73.5%, summer: 68.7% and autumn: 69.0%). In fact they report a
1.45-fold increase in the fertilization rate during the spring**.

The team also measured the levels of different hormones, and found that 17-β estradiol*** levels were significantly higher in the spring.

Dr Braga said “This work shows that IVF cycles may have a better outcome during the Spring. Our results show a significant difference in spring fertilization rate, with the fertilization rate in the spring being almost one and a half-times that of other seasons. In practical terms this may mean that if you are having real difficulty in conceiving, it may be better to have an assisted reproduction cycle during this season.

It is possible that what we are seeing is the effect of changing light on neurons in the brain which produce gonadotrophin-releasing hormones (GnRH). These neurons regulate the secretion of gonadotrophin hormones****, which in turn control the secretion of estradiol from the ovaries. We found higher 17-β estradiol levels in the spring; in assisted reproduction, adequate estradiol levels are important for egg maturation and other reproductive processes including fertilization and embryo development.

Our next step is to check if there is any difference in the ICSI outcomes in different regions in Brazil. Brazil of course is a very large country, and we have different day lengths in different regions, so we may see differences from region to region depending on the latitude ”.

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