Melatonin improves fertilization rate in assisted reproduction: Systematic review and meta-analysis

Background: Melatonin is a hormone produced by the pineal gland and it has antioxidant properties. Aim: This study aimed to evaluate the effects of melatonin on assisted reproductive technologies through a systematic review and a meta-analysis. Materials and methods: Search strategies were used in P...

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Detalhes bibliográficos
Autores: Veiga, Eduardo Carvalho de Arruda, Samama, Marise, Ikeda, Fabio, Cavalcanti, Giovanna Santos, Sartor, Amanda, Parames, Suelen Fernanda, Baracat, Edmund C., Ueno, Joji, Soares-Júnior, José Maria
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:Brasil
Recursos:Universidade de São Paulo (USP)
Repositorio:Clinics
Idioma:inglés
OAI Identifier:oai:revistas.usp.br:article/237983
Acesso em linha:https://revistas.usp.br/clinics/article/view/237983
Access Level:acceso abierto
Palavra-chave:Melatonin
Ovarian hyperstimulation syndrome
Assisted reproduction outcomes
In vitro fertilization
Human reproduction
Sytematic review
Descrição
Resumo:Background: Melatonin is a hormone produced by the pineal gland and it has antioxidant properties. Aim: This study aimed to evaluate the effects of melatonin on assisted reproductive technologies through a systematic review and a meta-analysis. Materials and methods: Search strategies were used in PubMed and in other databases covering the last 15 years. After screening for eligibility, 17 articles were selected for the systematic review. For the meta-analysis statistics, two groups were formed, the treatment group (with melatonin) and the control group (without melatonin) for various assisted reproduction outcomes. Results: The main results were that no statistical differences were found concerning the clinical pregnancy outcome (p = 0.64), but there was a statistical difference with respect to Mature Oocytes (MII) (p = 0.001), antral follicle count (p = 0.0002), and the fertilization rate (p ≤ 0.0001). Conclusions: Melatonin had beneficial effects such as the improvement in the fertilization rate, although the authors did not obtain significance in the clinical pregnancy rate.