Endometriosis does not impact aneuploidy rates of products of conception in IVF population

Abstract It has been debated whether endometriosis (EMS) adversely affects oocyte quality, potentially leading to a higher incidence of genetically unbalanced embryos or other egg factors that affect the developmental potential. In this study, we explored the effects of endometriosis on risk of chro...

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Main Authors: Huijuan Kong, Wenqian Fan, Tian Ye, Linqing Du
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-86656-x
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author Huijuan Kong
Wenqian Fan
Tian Ye
Linqing Du
author_facet Huijuan Kong
Wenqian Fan
Tian Ye
Linqing Du
author_sort Huijuan Kong
collection DOAJ
description Abstract It has been debated whether endometriosis (EMS) adversely affects oocyte quality, potentially leading to a higher incidence of genetically unbalanced embryos or other egg factors that affect the developmental potential. In this study, we explored the effects of endometriosis on risk of chromosomally aberrant in miscarried products of conception (POC) after assisted reproductive treatment (ART), including fresh and frozen cycles. Miscarried POCs were collected from EMS patients (N = 102) and non-EMS patients (N = 441). Single nucleotide polymorphism (SNP) array analysis was conducted on all collected samples. Propensity score matching (PSM, ratio of 1:4) based on maternal age was applied in data analysis. Logistic regression analysis was performed to identify risk factors for chromosomal aberration-induced miscarriage between the two cohorts. A total of 228 (41.99% of 543) conceptuses were identified as having chromosomal aberrations. The results showed that women with EMS had a significantly lower antral follicle count (AFC) (10 ± 5 vs. 14 ± 7, P < 0.01) compared to the control group. Additionally, the EMS group had a relatively lower anti-Mullerian hormone (AMH), higher basal follicle stimulating hormone (FSH) and fewer oocytes, (P > 0.05). There was no significant difference in the chromosomal aberration rate of POCs between EMS and non-EMS groups (35.29% vs. 43.54%; odds ratio (OR) = 1.03, 95% confidence intervals (CIs) 0.79–1.35). This is the first study to show that EMS maybe associated with decreased ovarian reserve, but not related to chromosomal abnormalities in POCs. These results suggest that chromosomal abnormalities may not be the only cause of miscarriage in EMS patients.
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spelling doaj-art-cf7ece6b552d44068b6c2634a00d9c682025-01-19T12:18:05ZengNature PortfolioScientific Reports2045-23222025-01-011511910.1038/s41598-025-86656-xEndometriosis does not impact aneuploidy rates of products of conception in IVF populationHuijuan Kong0Wenqian Fan1Tian Ye2Linqing Du3Centre for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou UniversityCentre for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou UniversityCentre for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou UniversityCentre for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou UniversityAbstract It has been debated whether endometriosis (EMS) adversely affects oocyte quality, potentially leading to a higher incidence of genetically unbalanced embryos or other egg factors that affect the developmental potential. In this study, we explored the effects of endometriosis on risk of chromosomally aberrant in miscarried products of conception (POC) after assisted reproductive treatment (ART), including fresh and frozen cycles. Miscarried POCs were collected from EMS patients (N = 102) and non-EMS patients (N = 441). Single nucleotide polymorphism (SNP) array analysis was conducted on all collected samples. Propensity score matching (PSM, ratio of 1:4) based on maternal age was applied in data analysis. Logistic regression analysis was performed to identify risk factors for chromosomal aberration-induced miscarriage between the two cohorts. A total of 228 (41.99% of 543) conceptuses were identified as having chromosomal aberrations. The results showed that women with EMS had a significantly lower antral follicle count (AFC) (10 ± 5 vs. 14 ± 7, P < 0.01) compared to the control group. Additionally, the EMS group had a relatively lower anti-Mullerian hormone (AMH), higher basal follicle stimulating hormone (FSH) and fewer oocytes, (P > 0.05). There was no significant difference in the chromosomal aberration rate of POCs between EMS and non-EMS groups (35.29% vs. 43.54%; odds ratio (OR) = 1.03, 95% confidence intervals (CIs) 0.79–1.35). This is the first study to show that EMS maybe associated with decreased ovarian reserve, but not related to chromosomal abnormalities in POCs. These results suggest that chromosomal abnormalities may not be the only cause of miscarriage in EMS patients.https://doi.org/10.1038/s41598-025-86656-xEndometriosisSingle nucleotide polymorphism arrayMiscarriageChromosomal abnormalityART
spellingShingle Huijuan Kong
Wenqian Fan
Tian Ye
Linqing Du
Endometriosis does not impact aneuploidy rates of products of conception in IVF population
Scientific Reports
Endometriosis
Single nucleotide polymorphism array
Miscarriage
Chromosomal abnormality
ART
title Endometriosis does not impact aneuploidy rates of products of conception in IVF population
title_full Endometriosis does not impact aneuploidy rates of products of conception in IVF population
title_fullStr Endometriosis does not impact aneuploidy rates of products of conception in IVF population
title_full_unstemmed Endometriosis does not impact aneuploidy rates of products of conception in IVF population
title_short Endometriosis does not impact aneuploidy rates of products of conception in IVF population
title_sort endometriosis does not impact aneuploidy rates of products of conception in ivf population
topic Endometriosis
Single nucleotide polymorphism array
Miscarriage
Chromosomal abnormality
ART
url https://doi.org/10.1038/s41598-025-86656-x
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AT linqingdu endometriosisdoesnotimpactaneuploidyratesofproductsofconceptioninivfpopulation