Low grade inflammation, as evidenced by basal high sensitivity CRP, is not correlated to outcome measures in IVF

J Assist Reprod Genet. 2008 Aug;25(8):383-8. doi: 10.1007/s10815-008-9253-y. Epub 2008 Sep 23.

Abstract

Purpose: To assess the relationship between low-grade inflammation, measured as basal high sensitivity (hs)-CRP, and IVF outcome.

Methods: We recruited a total of 220 women undergoing infertility work up prior to IVF. Patients were selected for a BMI < 30 kg/m(2) with an upper age limit of 40 years. Serum hs-CRP levels were measured on day 3 of a spontaneous menstrual cycle preceding ovarian stimulation. A sensitive two-site ELISA was used for analysis. Dose of gonadotrophins required, follicles days 8 and 10, number of oocytes collected, number of oocytes fertilised and pregnancy outcome were recorded.

Results: Median hs-CRP was 1.08 mg/L (0.43-3.00 mg/L). The hs-CRP was significantly related to BMI (r = 0.386, P < .001) but not to age and smoking habit. There were no significant relationships between basal hs-CRP and any of the measured IVF outcomes.

Conclusions: These findings demonstrate that serum hs-CRP concentration is not a predictive marker of cycle or pregnancy outcome in women undergoing IVF treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Body Mass Index
  • C-Reactive Protein / biosynthesis*
  • Enzyme-Linked Immunosorbent Assay / methods
  • Female
  • Fertilization in Vitro / methods*
  • Humans
  • Infertility / complications*
  • Infertility / therapy
  • Inflammation / complications*
  • Inflammation / therapy
  • Ovulation Induction
  • Pregnancy
  • Pregnancy Outcome
  • Sensitivity and Specificity
  • Treatment Outcome

Substances

  • C-Reactive Protein