Vitamin D and reproductive disorders: a comprehensive review with a focus on endometriosis

Reprod Health. 2024 May 2;21(1):61. doi: 10.1186/s12978-024-01797-y.

Abstract

Vitamin D is a fat-soluble steroid hormone that was initially known only for regulating calcium and phosphorus levels and maintaining bone health. However, it was later discovered that many organs express vitamin D metabolizing enzymes and have a ligand for vitamin D, which regulates the expression of an extensive assortment of genes. As a result, vitamin D is indispensable for the proper function of organs, and its deficiency is believed to be a critical factor in symptoms and disorders such as cardiovascular diseases, autoimmune diseases, and cancers. The significance of vitamin D in reproductive tissues was recognized later, and studies have revealed its crucial role in male and female fertility, as well as proper reproductive function during pregnancy. Vitamin D deficiency has been identified as a risk factor for infertility, gonadal cancers, pregnancy complications, polycystic ovary syndrome, and endometriosis. However, data investigating the association between vitamin D levels and reproductive disorders, including endometriosis, have encountered inconsistencies. Therefore, the present study aims to review existing research on the effect of vitamin D on proper reproductive function, and the role of deficiency in reproductive diseases and specifically focuses on endometriosis.

Keywords: Endometriosis; Reproductive disorders; Vitamin D; Vitamin D binding protein; Vitamin D deficiency.

Publication types

  • Review

MeSH terms

  • Endometriosis* / metabolism
  • Female
  • Humans
  • Infertility, Female / etiology
  • Pregnancy
  • Reproduction / physiology
  • Vitamin D Deficiency* / complications
  • Vitamin D* / blood
  • Vitamin D* / metabolism

Substances

  • Vitamin D