Skip to main content
Top
Published in: BMC Pregnancy and Childbirth 1/2020

Open Access 01-12-2020 | Miscarriage | Research article

The impact of TSH levels on clinical outcomes 14 days after frozen-thawed embryo transfer

Authors: Yuchao Zhang, Wenbin Wu, Yanli Liu, Yichun Guan, Xingling Wang, Liting Jia

Published in: BMC Pregnancy and Childbirth | Issue 1/2020

Login to get access

Abstract

Background

The aim of this study was to investigate the impact of TSH levels on clinical outcomes 14 days after frozen-thawed embryo transfer.

Methods

Blood samples were collected on the first visit to our department and 14 days after embryo transfer. Women were divided into three groups based on D14 TSH levels, which were compared to basal TSH levels in groups with different clinical outcomes. TSH levels between pregnant and nonpregnant women were also compared.

Results

The clinical pregnancy rate in women with lower TSH levels 14 days after transfer was slightly but significantly lower (56%, P = 0.05) compared to those with higher TSH levels. Furthermore, TSH levels were significantly elevated 14 days after transfer compared to basal TSH levels in pregnant women and in women who successfully became pregnant (P < 0.001, respectively).

Conclusions

Elevated TSH levels 14 days after embryo transfer compared to basal TSH levels seem to play a protective role and predict favorable clinical outcomes under specific conditions.
Literature
1.
go back to reference Poppe K, Unuane D, Haeseleer D, Tournaye M, Schiettecatte H, Haentjens J, Velkeniers P. B: Thyroid function after controlled ovarian hyperstimulation in women with and without the hyperstimulation syndrome. Fertil Steril. 2011;96:241–5. Poppe K, Unuane D, Haeseleer D, Tournaye M, Schiettecatte H, Haentjens J, Velkeniers P. B: Thyroid function after controlled ovarian hyperstimulation in women with and without the hyperstimulation syndrome. Fertil Steril. 2011;96:241–5.
2.
go back to reference Du Y, Xin X, Cui N, Jiang L, Yang A, Hao G, Gao B. Effects of controlled ovarian stimulation on thyroid stimulating hormone in infertile women. Eur J Obstet Gyn R B. 2019;234:207–12.CrossRef Du Y, Xin X, Cui N, Jiang L, Yang A, Hao G, Gao B. Effects of controlled ovarian stimulation on thyroid stimulating hormone in infertile women. Eur J Obstet Gyn R B. 2019;234:207–12.CrossRef
3.
go back to reference Gracia CR, Morse CB, Chan G, Schilling S, Prewitt M, Sammel MD, Mandel SJ. Thyroid function during controlled ovarian hyperstimulation as part of in vitro fertilization. Fertil Steril. 2012;97:585–91.CrossRef Gracia CR, Morse CB, Chan G, Schilling S, Prewitt M, Sammel MD, Mandel SJ. Thyroid function during controlled ovarian hyperstimulation as part of in vitro fertilization. Fertil Steril. 2012;97:585–91.CrossRef
4.
go back to reference Chen S, Zhou X, Zhu H, Yang H, Gong F, Wang L, Zhang M, Jiang Y, Yan C, Li J, et al. Preconception TSH and pregnancy outcomes: a population-based cohort study in 184 611 women. Clin Endocrinol. 2017;86:816–24.CrossRef Chen S, Zhou X, Zhu H, Yang H, Gong F, Wang L, Zhang M, Jiang Y, Yan C, Li J, et al. Preconception TSH and pregnancy outcomes: a population-based cohort study in 184 611 women. Clin Endocrinol. 2017;86:816–24.CrossRef
5.
go back to reference Michalakis KG, Mesen TB, Brayboy LM, Yu B, Richter KS, Levy M, Widra E, Segars JH. Subclinical elevations of thyroid-stimulating hormone and assisted reproductive technology outcomes. Fertil Steril. 2011;95:2634–7.CrossRef Michalakis KG, Mesen TB, Brayboy LM, Yu B, Richter KS, Levy M, Widra E, Segars JH. Subclinical elevations of thyroid-stimulating hormone and assisted reproductive technology outcomes. Fertil Steril. 2011;95:2634–7.CrossRef
6.
go back to reference Zhao T, Chen BM, Zhao XM, Shan ZY. Meta-analysis of ART outcomes in women with different preconception TSH levels. Reprod Biol Endocrin 2018, 16. Zhao T, Chen BM, Zhao XM, Shan ZY. Meta-analysis of ART outcomes in women with different preconception TSH levels. Reprod Biol Endocrin 2018, 16.
7.
go back to reference Takehiro H, Osamu W, Yasushi H, Tetsuya H, Kaori K, Yutaka O, Tomoyuki F. The impact of elevated thyroid stimulating hormone on female subfertility. Reprod Med Biol. 2016;15:121–6.CrossRef Takehiro H, Osamu W, Yasushi H, Tetsuya H, Kaori K, Yutaka O, Tomoyuki F. The impact of elevated thyroid stimulating hormone on female subfertility. Reprod Med Biol. 2016;15:121–6.CrossRef
8.
go back to reference Busnelli A, Somigliana E, Benaglia L, Leonardi M, Ragni G, Fedele L. In Vitro Fertilization Outcomes in Treated Hypothyroidism. Thyroid. 2013;23:1319–25.CrossRef Busnelli A, Somigliana E, Benaglia L, Leonardi M, Ragni G, Fedele L. In Vitro Fertilization Outcomes in Treated Hypothyroidism. Thyroid. 2013;23:1319–25.CrossRef
9.
go back to reference Kim C, Ahn J, Kang SP, Kim S, Chae H, Kang B. Effect of levothyroxine treatment on in vitro fertilization and pregnancy outcome in infertile women with subclinical hypothyroidism undergoing in vitro fertilization/intracytoplasmic sperm injection. Fertil Steril. 2011;95:1650–4.CrossRef Kim C, Ahn J, Kang SP, Kim S, Chae H, Kang B. Effect of levothyroxine treatment on in vitro fertilization and pregnancy outcome in infertile women with subclinical hypothyroidism undergoing in vitro fertilization/intracytoplasmic sperm injection. Fertil Steril. 2011;95:1650–4.CrossRef
10.
go back to reference Paul G. Management of thyroid dysfunction during pregnancy and postpartum: an Endocrine Society Clinical Practice Guideline. Clin Biochem Rev. 2008;29:83–5. Paul G. Management of thyroid dysfunction during pregnancy and postpartum: an Endocrine Society Clinical Practice Guideline. Clin Biochem Rev. 2008;29:83–5.
11.
go back to reference Alexander EK, Pearce EN, Brent GA, Brown RS, Chen H, Dosiou C, Grobman WA, Laurberg P, Lazarus JH, Mandel SJ, et al. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. Thyroid. 2017;27:315–89.CrossRef Alexander EK, Pearce EN, Brent GA, Brown RS, Chen H, Dosiou C, Grobman WA, Laurberg P, Lazarus JH, Mandel SJ, et al. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. Thyroid. 2017;27:315–89.CrossRef
12.
go back to reference Li C, Shan Z, Mao J, Wang W, Xie X, Zhou W, Li C, Xu B, Bi L, Meng T, et al. Assessment of Thyroid Function During First-Trimester Pregnancy: What Is the Rational Upper Limit of Serum TSH During the First Trimester in Chinese Pregnant Women? J Clin Endocr Metab. 2014;99:73–9.CrossRef Li C, Shan Z, Mao J, Wang W, Xie X, Zhou W, Li C, Xu B, Bi L, Meng T, et al. Assessment of Thyroid Function During First-Trimester Pregnancy: What Is the Rational Upper Limit of Serum TSH During the First Trimester in Chinese Pregnant Women? J Clin Endocr Metab. 2014;99:73–9.CrossRef
13.
go back to reference Medicine PCOT. Subclinical hypothyroidism in the infertile female population: a guideline. Fertil Steril. 2015;104:545–53.CrossRef Medicine PCOT. Subclinical hypothyroidism in the infertile female population: a guideline. Fertil Steril. 2015;104:545–53.CrossRef
14.
go back to reference Benaglia L, Busnelli A, Somigliana E, Leonardi M, Vannucchi G, De Leo S, Fugazzola L, Ragni G, Fedele L. Incidence of elevation of serum thyroid-stimulating hormone during controlled ovarian hyperstimulation for in vitro fertilization. Eur J Obstet Gyn R B. 2014;173:53–7.CrossRef Benaglia L, Busnelli A, Somigliana E, Leonardi M, Vannucchi G, De Leo S, Fugazzola L, Ragni G, Fedele L. Incidence of elevation of serum thyroid-stimulating hormone during controlled ovarian hyperstimulation for in vitro fertilization. Eur J Obstet Gyn R B. 2014;173:53–7.CrossRef
15.
go back to reference Reh A, Grifo J, Danoff A. What is a normal thyroid-stimulating hormone (TSH) level? Effects of stricter TSH thresholds on pregnancy outcomes after in vitro fertilization. Fertil Steril. 2010;94:2920–2.CrossRef Reh A, Grifo J, Danoff A. What is a normal thyroid-stimulating hormone (TSH) level? Effects of stricter TSH thresholds on pregnancy outcomes after in vitro fertilization. Fertil Steril. 2010;94:2920–2.CrossRef
16.
go back to reference Reinblatt S, Herrero B, Correa JA, Shalom-Paz E, Ata B, Wiser A, Morris D, Holzer H. Thyroid stimulating hormone levels rise after assisted reproductive technology. J Assist Reprod Gen. 2013;30:1347–52.CrossRef Reinblatt S, Herrero B, Correa JA, Shalom-Paz E, Ata B, Wiser A, Morris D, Holzer H. Thyroid stimulating hormone levels rise after assisted reproductive technology. J Assist Reprod Gen. 2013;30:1347–52.CrossRef
17.
go back to reference Xing J, Yuan E, Li J, Zhang Y, Meng X, Zhang X, Rong S, Lv Z, Tian Y, Jia L. Trimester- and Assay-Specific Thyroid Reference Intervals for Pregnant Women in China. Int J Endocrinol. 2016;2016:3754213.CrossRef Xing J, Yuan E, Li J, Zhang Y, Meng X, Zhang X, Rong S, Lv Z, Tian Y, Jia L. Trimester- and Assay-Specific Thyroid Reference Intervals for Pregnant Women in China. Int J Endocrinol. 2016;2016:3754213.CrossRef
18.
go back to reference Zollner U, Lanig K, Steck T, Dietl J. Assessment of endocrine status in patients undergoing in-vitro fertilization treatment. Is it necessary? Arch Gynecol Obstet. 2001;265:16–20.CrossRef Zollner U, Lanig K, Steck T, Dietl J. Assessment of endocrine status in patients undergoing in-vitro fertilization treatment. Is it necessary? Arch Gynecol Obstet. 2001;265:16–20.CrossRef
Metadata
Title
The impact of TSH levels on clinical outcomes 14 days after frozen-thawed embryo transfer
Authors
Yuchao Zhang
Wenbin Wu
Yanli Liu
Yichun Guan
Xingling Wang
Liting Jia
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2020
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-020-03383-z

Other articles of this Issue 1/2020

BMC Pregnancy and Childbirth 1/2020 Go to the issue