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Melatonin improves the oocyte and the embryo in IVF patients with sleep disturbances, but does not improve the sleeping problems

  • ASSISTED REPRODUCTION TECHNOLOGIES
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Abstract

Purpose

We aimed to analyse the in vitro fertilization-embryo transfer (IVF-ET) outcomes of the patients with sleep disturbances who were administered melatonin.

Methods

A total of 60 patients with sleep disturbances were divided into two groups. The study group (group A, n = 30) had underwent the IVF-ET with melatonin administration and the control group (group B, n = 30) without melatonin. Sleeping status after melatonin administration and the IVF outcomes were compared between the two groups.

Results

Sleeping status change was not significant (p > 0.05). The mean number of the retrieved oocytes, the mean MII oocyte counts, the G1 embryo ratio were significantly higher in the melatonin administered group (group A) than that the non-administered group (group B); p = 0.0001; p = 0.0001; p < 0.05 respectively.

Conclusion

IVF patients with sleep disorders may benefit from melatonin administration in improving the oocyte and the embryo quality, but the sleeping problem itself may not be fixed.

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References

  1. Pal L, Bevilacqua K, Zeitlian G, Shu J, Santoro N. Implications of diminished ovarian reserve (DOR) extend well beyond reproductive concerns. Menopause. 2008;15(6):1086–94.

    Article  PubMed  Google Scholar 

  2. Thierring P, Beaurepaire J, Jones M, Sounders D, Tennant C. Mood state as a predictor of treatment outcome after in vitro fertilization/embryo transfer technology (IVF/ET). J Psychosom Res. 1993;37:481–91.

    Article  Google Scholar 

  3. Cousineu TM, Domar A. Psychological impact of infertility. Best Pract Res Clin Obstet Gynecol. 2007;21:293–308.

    Article  Google Scholar 

  4. Demyttenaere K, Bonte L, Gheldof M, Vervaeke M, Meuleman C, Vanderschuerem D, et al. Coping style and depression level influence outcome in in vitro fertilization. Fertil Steril. 1998;69:1026–33.

    Article  PubMed  CAS  Google Scholar 

  5. Kee BS, Jung BJ, Lee SH. A study on psychological strain in IVF patients. J Assist Reprod Genet. 2000;17:445–8.

    Article  PubMed  CAS  Google Scholar 

  6. Csemiczky G, Landgren BM, Collins A. The influence of stress and state anxiety on the outcome of IVF treatment: psychological and endocrinological assessment of Swedish women entering IVF treatment. Acta Obstet Gynecol Scand. 2000;79:113–8.

    Article  PubMed  CAS  Google Scholar 

  7. Klonoff-Cohen H, Chu E, Natarajan L, Sieber W. A prospective study of stress among women undergoing in vitro fertilization or gamate intrafallopian transfer. Fertil Steril. 2001;76:675–87.

    Article  PubMed  CAS  Google Scholar 

  8. Ohayon MM. Insomnia: a ticking clock for depression? J Psychiatr Res. 2007;41(11):893.

    Article  PubMed  Google Scholar 

  9. Isaac F, Greenwood KM. The relationship between insomnia and depressive symptoms: genuine or artifact? Neuropsychiatr Dis Treat. 2011;7:57.

    Article  PubMed  Google Scholar 

  10. Dodson ER, Zee PC. Therapeutics for circadian rhythm sleep disorders. Sleep Med Clin. 2010;5:701–15.

    Article  PubMed  Google Scholar 

  11. Tan DX, Manchester LC, Sainz RM, Mayo JC, Leon J, Hardeland R, et al. Interaction between melatonin and nicotinamide nucleotide: NADH preservation in cells and in cell-free systems by melatonin. J Pineal Res. 2005;39:185–94.

    Article  PubMed  CAS  Google Scholar 

  12. Reiter RJ, Tan DX, Maldenado MD. Melatonin as an antioxidant: physiology versus pharmacology. J Pineal Res. 2005;39:215–6.

    Article  PubMed  CAS  Google Scholar 

  13. Ferreira ZS, Markus RP. Melatonin inhibits nitric oxide production by microvascular endothelial cells in vivo and in vitro. Br J Pharmacol. 2007;151(2):195–205.

    Article  PubMed  Google Scholar 

  14. Pappolla MA, Chyan YJ, Poeggeler B, Frangione B, Wilson G, Ghiso J, et al. An assessment of the antioxidant and the antimyloidogenic properties of melatonin: implications for Alzheimer’s disease. J Neural Transm. 2000;107:203–31.

    Article  PubMed  CAS  Google Scholar 

  15. Bonilla E, Valero N, Chacin-Bonilla L, Medina-Leendertz S. Melatonin and viral infections. J Pineal Res. 2004;36:73–9.

    Article  PubMed  CAS  Google Scholar 

  16. Hussain SA, Khadim HM, Khalaf BH, Ismail SH, Hussein KI, Sahib AS. Effects of melatonin and zinc on glycemic control in type 2 diabetic patients poorly controlled with metformin. Saudi Med J. 2006;27:1483–8.

    PubMed  Google Scholar 

  17. Ishizuka B, Kuribayashi Y, Murai K, Amemiya A, Itoh MT. The effect of melatonin on in vitro fertilization and embryo development in mice. J Pineal Res. 2000;28:48–51.

    Article  PubMed  CAS  Google Scholar 

  18. Unfer V, Raffone E, Rizzo P, Buffo S. Effect of a supplementation with myo-inositol plus melatonin on oocyte quality in women who failed to conceive in previous in vitro fertilization cycles for poor oocyte quality: a prospective, longitudinal, cohort study. Gynecol Endocrinol. 2011 Apr 5. [Epub ahead of print].

  19. Berlinguer F, Leoni GG, Succu S, Spezzigu A, Madeddu M, Satta V, et al. Exogenous melatonin positively influences follicular dynamics, oocyte developmental competence and blastocyst output in a goat model. J Pineal Res. 2009;46:383–91.

    Article  PubMed  CAS  Google Scholar 

  20. Vázquez MI, Forcada F, Casao A, Abecia JA, Sosa C, Palacín I. Undernutrition and exogenous melatonin can affect the in vitro developmental competence of ovine oocytes on a seasonal basis. Reprod Domest Anim. 2010;45:677–84.

    PubMed  Google Scholar 

  21. Tamura H, Nakamura Y, Korkmaz A, Manchester LC, Tan DX, Sugino N, et al. Melatonin and the ovary: physiological and pathophysiological implications. Fertil Steril. 2009;92(1):328–43.

    Article  PubMed  CAS  Google Scholar 

  22. Woo MMM, Tai CJ, Kang SK, Nathwani PM, Pang SF, Leung PCK. Direct action of melatonin in human granulosa-luteal cells. J Clin Endocrinol Metab. 2001;86:4789–97.

    Article  PubMed  CAS  Google Scholar 

  23. Hemadi M, Abolhassani F, Akbari M, Sobhani A, Pasbakhsh P, Ährlund-Richter L, et al. Melatonin promotes the annulus-oocyte complexes quality of vitrified-thawed murine ovaries; with increased mean number of follicles survival and ovary size following heterotropic transplantation. Eur J Pharm. 2009;618:84–90.

    Article  CAS  Google Scholar 

  24. Tamura H, Takasaki A, Miwa I, Taniguchi K, Maekawa R, Asada H, et al. Oxidative stress impairs oocyte quality and melatonin protects oocytes from free radical damage and improves fertilization rate. J Pineal Res. 2007;44:280–7.

    Article  Google Scholar 

  25. Forcada F, Abecia JA, Casao A, Cebrián-Pérez JA, Muiño-Blanco T, Palacín I. Effects of ageing and exogenous melatonin on pituitary responsiveness to GnRH in ewes during anestrus and the reproductive season. Theriogenology. 2007;67(4):855–62.

    Article  PubMed  CAS  Google Scholar 

  26. WHO. World Health Organization. WHO Laboratory Manual for the examination and processing of human semen. 5th ed. Geneva: World Health Organization; 2010.

    Google Scholar 

  27. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburg Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193–213.

    Article  PubMed  CAS  Google Scholar 

  28. Agargün MY, Kara H, Anlar O. Pittsburg uyku kalitesi indeksinin geçerliliği ve güvenilirliği. Turk Psikiatri Dergisi. 1996;7:107–15.

    Google Scholar 

  29. Simpson D, Curran MP. Ramelteon: a review of its use in insomnia. Drugs. 2008;68(13):1901–19.

    Article  PubMed  CAS  Google Scholar 

  30. Farhi J, Ben-Haroush A. Distribution of causes of infertility in patients attending primary fertility clinics in Israel. Isr Med Assoc J. 2011;13(1):51–4.

    PubMed  Google Scholar 

  31. Gurgan T, Urman B, Yaralı H, Kisnisci H. The results of in vitro fertilization-embryo transfer in couples with unexplained infertility failing to conceive with superovulation and intrauterine insemination. Fertil Steril. 1995;64(1):93–7.

    PubMed  CAS  Google Scholar 

  32. Abecia JA, Forcada F, Zuniga O. The effect of melatonin on the secretion of progesterone in sheep and on the development of ovine embryos in vitro. Vet Res Commun. 2002;26:151–8.

    Article  PubMed  CAS  Google Scholar 

  33. Karakaş A, Kaya A, Gündüz B. The effect of pinealectomy, melatonin and leptin hormones on ovarian follicular development in female Syrian hamsters (Mesocricetus auratus). Acta Biol Hung. 2010;61(4):380–90.

    Article  PubMed  Google Scholar 

  34. Reiter RJ, Rollag MD, Panke ES, Banks AF. Melatonin: reproductive effects. J Neural Transm Suppl. 1978;13:209–23.

    PubMed  CAS  Google Scholar 

  35. Zuelka KA, Jones DP, Perreault SD. Glutathione oxidation is associated with altered microtubule function and disrupted fertilization in mature hamster oocytes. Biol Reprod. 1997;57:1413–9.

    Article  Google Scholar 

  36. Rizzo P, Raffone E, Benedetto V. Effect of the treatment with myo-inositol plus folic acid plus melatonin in comparison with a treatment with myo-inositol plus folic acid on oocyte quality and pregnancy outcome in IVF cycles. A prospective clinical trial. Eur Rev Med Pharmacol Sci. 2010;14:555–61.

    PubMed  CAS  Google Scholar 

  37. Adriaens I, Jacquet P, Cortvrindt R, Janssen K, Smitz J. Melatonin has dose-dependent effects on folliculogenesis, oocyte maturation capacity and steroidogenesis. Toxicology. 2006;228:333–43.

    Article  PubMed  CAS  Google Scholar 

  38. Paszkowski T, Clarke RN. Antioxidant capacity of preimplantation embryo culture medium declines following the incubation of poor quality embryos. Hum Reprod. 1996;11:2493–5.

    PubMed  CAS  Google Scholar 

  39. Harvey AJ, Kind KL, Thompson JG. REDOX regulation of early embryo development. Reproduction. 2002;123:479–86.

    Article  PubMed  CAS  Google Scholar 

  40. Veeck LL. Oocyte assessment and biological performance. Ann NY Acad Sci. 1988;541:259–74.

    Article  PubMed  CAS  Google Scholar 

Download references

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We confirm that the submitting authors have no conflicts of interest to declare.

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We declare that that this article has not been published elsewhere; it is not being considered for publication elsewhere; and it has been submitted with the full knowledge and approval of the institution or organization given as the affiliation of the authors.

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Correspondence to Ozlem Gun Eryilmaz.

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Capsule Melatonin may be helpful in fixing the quality problems of the ocyte in IVF patients who suffer from sleep disturbances.

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Eryilmaz, O.G., Devran, A., Sarikaya, E. et al. Melatonin improves the oocyte and the embryo in IVF patients with sleep disturbances, but does not improve the sleeping problems. J Assist Reprod Genet 28, 815–820 (2011). https://doi.org/10.1007/s10815-011-9604-y

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  • DOI: https://doi.org/10.1007/s10815-011-9604-y

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