Kisspeptin and embryo implantation after ICSI.
Jamil. Zehra Z; Fatima. Syeda Sadia SS; Arif. Sara S; Alam. Faiza F; Rehman. Rehana R
Key Findings
- Kisspeptin levels were significantly higher in women who became pregnant after ICSI (p<0.001)
- Kisspeptin level on HCG day correlated with positive pregnancy (r=0.388, p<0.001)
- The ROC AUC for kisspeptin predicting pregnancy was 0.784, indicating decent predictive power
Practical Outcomes
- Measuring kisspeptin on HCG day may help clinicians gauge IVF chances, but it offers no direct protocol or dosage advice for self‑experimenters. For most biohackers, the finding is of limited practical use unless they are specifically focused on fertility optimization.
Summary
The study found that women who got pregnant after ICSI had higher blood levels of the peptide kisspeptin on the day they were given HCG, and those levels could predict pregnancy success, but it doesn’t tell you how to change kisspeptin or use it to boost health outside IVF.
Abstract
A cross-sectional study was carried out at the Australian Concept Infertility Medical Centre from June 2014 to June 2015 to relate serum kisspeptin levels on human chorionic gonadotrophin (HCG) day with pregnancy outcome after intracytoplasmic sperm injection (ICSI). A total of 176 women aged 20 to 42 years, with regular menstrual cycles, normal thyroid function and prolactin levels selected for ICSI were included in the study. Patients with uterine fibroids, metabolic disorders, short agonist and antagonist protocol were excluded. Long protocol for down-regulation of ovaries was observed and kisspeptin levels were estimated on HCG day. Results were categorized into groups: Group A, non-pregnant with β-HCG <25 mIU/ml; and Group B, clinical pregnancy with β-HCG >25 mIU/ml and cardiac activity on transvaginal scan. Kisspeptin levels were significantly higher in Group B versus Group A (P < 0.001), independently associated with positive pregnancy (r = 0.388; P < 0.001), but just borderline with endometrial thickness (r = 0.294; P = 0.05). The area under the curve was highest for kisspeptin, 0.784 (95% CI, 0.681 to 0.886) for positive pregnancy, which indicated that kisspeptin measured on HCG day can be used as a marker for success of treatment in women after ICSI.
Study Information
pubmed
2016
2016-11-18T00:00:00.000Z
10.1016/j.rbmo.2016.11.004
22
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