Vitamin D and infertility

Curr Opin Obstet Gynecol. 2023 Aug 1;35(4):300-305. doi: 10.1097/GCO.0000000000000887. Epub 2023 May 19.

Abstract

Purpose of review: Vitamin D deficiency has been implicated as a contributing factor to a spectrum of reproductive health burden, including difficulty conceiving, pathogenesis of gynaecological disorders such as uterine fibroids and endometriosis, to metabolic and endocrine burden of polycystic ovarian syndrome (PCOS).

Recent findings: There have been recent publications showing that in infertile women who are supplemented with vitamin D, there are higher pregnancy rates; there are improved ovarian reserve parameters in women with diminished ovarian reserve; curtailed fibroid growth in those with uterine myomas; lessened dysmenorrhea in endometriosis patients; and improved menstrual regularity, lowered testosterone, AMH and insulin levels in women with PCOS. In infertile men, sperm parameters, especially motility, are positively correlated with vitamin D serum levels.

Summary: Vitamin D status appears to be relevant to reproductive physiology, and to physiological processes underlying common gynaecological disorders as well as for reproductive success.

Publication types

  • Review

MeSH terms

  • Anti-Mullerian Hormone
  • Endometriosis* / complications
  • Female
  • Humans
  • Infertility, Female* / etiology
  • Leiomyoma* / complications
  • Male
  • Polycystic Ovary Syndrome* / complications
  • Pregnancy
  • Semen
  • Vitamin D
  • Vitamin D Deficiency* / complications
  • Vitamins

Substances

  • Vitamin D
  • Vitamins
  • Anti-Mullerian Hormone