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

•Melatonin had beneficial effects on outcomes in assisted reproductive technologies, but it had no influence on pregnancy.•Melatonin had beneficial effects such as the improvement in the fertilization rate.•Melatonin has a beneficial effect on the formation of mature oocytes (MII). Melatonin is a ho...

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Veröffentlicht in:Clinics (São Paulo, Brazil) Brazil), 2024-01, Vol.79, p.100397, Article 100397
Hauptverfasser: Veiga, Eduardo Carvalho de Arruda, Samama, Marise, Ikeda, Fabio, Cavalcanti, Giovanna Santos, Sartor, Amanda, Parames, Suelen Fernanda, Baracat, Edmund C., Ueno, Joji, Junior, Jose Maria Soares
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container_title Clinics (São Paulo, Brazil)
container_volume 79
creator Veiga, Eduardo Carvalho de Arruda
Samama, Marise
Ikeda, Fabio
Cavalcanti, Giovanna Santos
Sartor, Amanda
Parames, Suelen Fernanda
Baracat, Edmund C.
Ueno, Joji
Junior, Jose Maria Soares
description •Melatonin had beneficial effects on outcomes in assisted reproductive technologies, but it had no influence on pregnancy.•Melatonin had beneficial effects such as the improvement in the fertilization rate.•Melatonin has a beneficial effect on the formation of mature oocytes (MII). Melatonin is a hormone produced by the pineal gland and it has antioxidant properties. This study aimed to evaluate the effects of melatonin on assisted reproductive technologies through a systematic review and a meta-analysis. 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. 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). Melatonin had beneficial effects such as the improvement in the fertilization rate, although the authors did not obtain significance in the clinical pregnancy rate.
doi_str_mv 10.1016/j.clinsp.2024.100397
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subjects Antioxidants - pharmacology
Assisted reproduction outcomes
Female
Fertilization - drug effects
Fertilization - physiology
Fertilization in Vitro - drug effects
Fertilization in Vitro - methods
Human reproduction
Humans
In vitro fertilization
MEDICINE, GENERAL & INTERNAL
Melatonin
Melatonin - pharmacology
Melatonin - therapeutic use
Ovarian hyperstimulation syndrome
Pregnancy
Pregnancy Outcome
Pregnancy Rate
Reproductive Techniques, Assisted
Review
Sytematic review
title Melatonin improves fertilization rate in assisted reproduction: Systematic review and meta-analysis
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