Empirical Evaluation of Thyroid Function and Ovarian Reserve
Authors
Makhmudova Fotima Ravshanovna, Nasirova Khurshidakhon Kudratullaevna

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This study empirically investigated the relationship between thyroid function and ovarian reserve in women of reproductive age, incorporating key hormonal markers and inflammatory indicators. A one-way Analysis of Variance (ANOVA) was conducted to compare three distinct groups: the control group (practically healthy women, n=20), women with decreased ovarian reserve (DOR) and hypothyroidism (n=40), and women with DOR and euthyroidism (n=40). Data on Thyroid-Stimulating Hormone (TSH), Anti-Müllerian Hormone (AMH), Follicle-Stimulating Hormone (FSH), C-reactive protein (CRP), Complement C3, and Ceruloplasmin were analyzed. Significant differences were observed across groups for TSH (F(2,97)=54.245,p<.001), AMH (F(2,97)=323.365,p<.001), CRP (F(2,97)=101.497,p<.001), Complement C3 (F(2,97)=34.264,p<.001), and Ceruloplasmin (F(2,97)=46.734,p<.001). Post-hoc analyses revealed significantly higher TSH and lower AMH in the group with DOR and hypothyroidism compared to both the control group and the group with DOR euthyroidism. CRP, Complement C3, and Ceruloplasmin were also markedly elevated in the DOR with hypothyroidism group, suggesting an inflammatory component. FSH and age did not show significant inter-group differences. These findings underscore the critical impact of thyroid dysfunction on ovarian reserve and highlight the potential role of inflammatory markers in compromised reproductive health.
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Authors
Makhmudova Fotima Ravshanovna, Nasirova Khurshidakhon Kudratullaevna

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References:
Al-Azab, M., Al-Jaroudi, W., & Al-Shehri, A. (2023). Complement system activation and its association with ovarian reserve in women with autoimmune thyroiditis. Journal of Reproductive Immunology, 159, 103983.
Busnelli, A., Paffoni, A., & Somigliana, E. (2021). Subclinical hypothyroidism and infertility: An updated narrative review. Endocrine Connections, 10(1), R1–R10.
Dewailly, D., Andersen, C. Y., & Balen, A. (2020). The physiology and clinical utility of anti-Müllerian hormone in women. Human Reproduction Update, 26(5), 724–747.
Guo, H., Zhang, J., & Li, M. (2021). The relationship between thyroid function and ovarian reserve in infertile women. Reproductive Biology and Endocrinology, 19(1), 162.
Kumar, N., & Sharma, A. (2021). Ovarian reserve tests: An update for the clinicians. Journal of Human Reproductive Sciences, 14(1), 1–10.
Ozkan, Z. S., Aydogan, M., & Yilmaz, O. (2020). Relationship between anti-Müllerian hormone and thyroid-stimulating hormone levels in euthyroid women. Gynecological Endocrinology, 36(10), 875–879.
Poppe, K., Kampus, P., & Visser, T. J. (2022). The molecular mechanisms underlying thyroid hormone action in the ovary. Thyroid, 32(1), 1–12.
Polyzos, N. P., Anastasiadis, D., & Anagnostou, E. (2023). TSH levels in euthyroid women undergoing fertility treatment: A systematic review and meta-analysis of reproductive outcomes and ovarian reserve. Fertility and Sterility, 119(3), 487–500.
Shao, J., Wang, S., & Li, J. (2023). Impact of subclinical hypothyroidism on follicular development and oocyte quality: A review of current evidence. Reproductive Biology and Endocrinology, 21(1), 45.
Sharma, M., Kumar, P., & Gupta, S. (2019). Role of thyroid screening in infertile women: A retrospective cohort study. Journal of Obstetrics and Gynaecology of India, 69(4), 314–319.
Tal, R., & Seifer, D. B. (2021). The clinical utility of ovarian reserve tests: A global perspective. Fertility and Sterility, 115(2), 263–275.
Unuane, D., Tournaye, H., & Velkeniers, B. (2020). Thyroid disorders and female infertility: A systematic review. European Journal of Endocrinology, 183(3), R1–R15.
Wang, F., Liu, C., & Zhang, H. (2022). The role of inflammation in female infertility with autoimmune thyroid disease. Journal of Autoimmunity, 127, 102797.
Zhou, S., Li, Y., & Chen, J. (2020). Association of serum C3 and CRP levels with ovarian reserve in infertile women: A cross-sectional study. BMC Women's Health, 20(1), 221.
