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SAS Journal of Medicine | Volume-1 | Issue-04
The Relationship between Changes in Serum Cortisol levels and IVF Results in Infertile Women with Mild to Moderate Depression
Bahar Morshed Behbahani, Marzieh Akbarzadeh, Mohammad Ebrahim Parsanezhad, Najaf. Zare, Ahmad Ghanizadeh, Sedigheh keshavarz, Mina Jamshidi
Published: Nov. 30, 2015 |
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90
DOI: 10.36347/sasjm.2015.v01i04.005
Pages: Page: 144-148
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Abstract
The purpose of the study was to investigate the relationship between the cortisol hormone levels of depressed
infertile women with their IVF results throughout the treatment process to identify the consequences of IVF. In this
prospective study, 74 women who were being treated by IVF at the Mother and Child Infertility Center of Shiraz and
were affected by mild to moderate depression based on Beck inventory were randomly selected as the subjects. The
sampling and follow-up were performed from April 2014 to March 2015. Cortisol levels were measured in the patients'
serum at three stages: 1) before the treatment (T1), 2) on the day of egg retrieval (T2), and 3) and on the day of
transferring the embryo to the uterus (T3). Sampling was conducted from 9 a.m. to 10 a.m. To analyze the data, the
researchers used SPSS. In findings 32.43% of the subjects got pregnant after the treatment, and 54.16% miscarried before
the eighth week of their pregnancy. The researchers did not find a significant relationship between the subjects'
depression scores and pregnancy outcome. In patients with a low cortisol level on the day of egg retrieval, chances of
pregnancy were significantly higher (p=0.01). The relationship between the two variables of imperfect eggs and cortisol
level was significant (p=0.011); higher levels of cortisol at the beginning of treatment correlated with a greater number of
imperfect eggs in patients.