Effect of Coenzyme Q10 and transcutaneous electrical acupoint stimulation in assisted reproductive technology: a retrospective controlled study

Abstract Purpose To investigate the effects of coenzyme Q10 (CoQ10) and transcutaneous electrical acupoint stimulation (TEAS) pretreatment on pregnancy in patients with poor ovarian response (POR). Methods A total of 330 POR patients who were pretreated with CoQ10 or CoQ10 combined with TEAS before...

Full description

Bibliographic Details
Main Authors: Shanqin Qi, Qi Liang, Lixia Yang, Xueyuan Zhou, Kun Chen, Ji Wen
Format: Article
Language:English
Published: BMC 2022-12-01
Series:Reproductive Biology and Endocrinology
Subjects:
Online Access:https://doi.org/10.1186/s12958-022-01043-9
_version_ 1811203684043849728
author Shanqin Qi
Qi Liang
Lixia Yang
Xueyuan Zhou
Kun Chen
Ji Wen
author_facet Shanqin Qi
Qi Liang
Lixia Yang
Xueyuan Zhou
Kun Chen
Ji Wen
author_sort Shanqin Qi
collection DOAJ
description Abstract Purpose To investigate the effects of coenzyme Q10 (CoQ10) and transcutaneous electrical acupoint stimulation (TEAS) pretreatment on pregnancy in patients with poor ovarian response (POR). Methods A total of 330 POR patients who were pretreated with CoQ10 or CoQ10 combined with TEAS before their in vitro fertilization/intracytoplasmic sperm injection and embryo transfer (IVF/ICSI-ET) cycles and who were not pretreated were selected and divided into CoQ10 group (group A, n = 110), CoQ10 + TEAS group (group B, n = 110) and control group (group C, n = 110). For patients with 2 or more transfer cycles, only the information of the first cycle was included. Ovarian function, response to gonadotropin (Gn) stimulation, and pregnancy outcomes of the three groups were compared in the IVF/ICSI-ET cycles. Results After pretreatment, basal FSH, total Gn dosage and duration were comparable among the three groups (all p-value > 0.05), basal E2 in group B decreased significantly compared with the control group (p = 0.022). Endometrial thickness on the human chorionic gonadotropin (hCG) day, antral follicle counts (AFC), the numbers of oocytes, metaphase II (MII) eggs and excellent embryos in the two pretreatment groups were significantly increased compared with group C (all p-value < 0.001), but the rates of MII oocytes, fertilization and excellent embryos had no apparent change. The endometrial thickness on the day of hCG, the numbers of MII eggs and excellent embryos in group B were higher than those in group A (p < 0.001; p = 0.020; p = 0.027; respectively). The embryo implantation rate (IR), clinical pregnancy rate (CPR) and live birth rate (LBR) in group B were significantly higher than those in group C (p = 0.022; p = 0.010; p = 0.019; respectively), but not significantly different from group A. Conclusion CoQ10 alone or in combination with TEAS are effective methods for IVF/ICSI-ET adjuvant therapy, which can significantly improve ovarian reactivity, increase the numbers of retrieved eggs and superior embryos, and improve endometrial receptivity. Adjuvant TEAS on the basis of CoQ10 can significantly enhance pregnancy rates, but CoQ10 alone failed to present such an obvious effect.
first_indexed 2024-04-12T02:59:46Z
format Article
id doaj.art-b1614a3d2d694547ba1a69f2a9f88665
institution Directory Open Access Journal
issn 1477-7827
language English
last_indexed 2024-04-12T02:59:46Z
publishDate 2022-12-01
publisher BMC
record_format Article
series Reproductive Biology and Endocrinology
spelling doaj.art-b1614a3d2d694547ba1a69f2a9f886652022-12-22T03:50:42ZengBMCReproductive Biology and Endocrinology1477-78272022-12-012011810.1186/s12958-022-01043-9Effect of Coenzyme Q10 and transcutaneous electrical acupoint stimulation in assisted reproductive technology: a retrospective controlled studyShanqin Qi0Qi Liang1Lixia Yang2Xueyuan Zhou3Kun Chen4Ji Wen5Shandong University of Traditional Chinese MedicineReproductive Medical Center, the Second Hospital affiliated to Shandong University of Traditional Chinese MedicineReproductive Medical Center, the Second Hospital affiliated to Shandong University of Traditional Chinese MedicineReproductive Medical Center, the Second Hospital affiliated to Shandong University of Traditional Chinese MedicineReproductive Medical Center, the Second Hospital affiliated to Shandong University of Traditional Chinese MedicineReproductive Medical Center, the Second Hospital affiliated to Shandong University of Traditional Chinese MedicineAbstract Purpose To investigate the effects of coenzyme Q10 (CoQ10) and transcutaneous electrical acupoint stimulation (TEAS) pretreatment on pregnancy in patients with poor ovarian response (POR). Methods A total of 330 POR patients who were pretreated with CoQ10 or CoQ10 combined with TEAS before their in vitro fertilization/intracytoplasmic sperm injection and embryo transfer (IVF/ICSI-ET) cycles and who were not pretreated were selected and divided into CoQ10 group (group A, n = 110), CoQ10 + TEAS group (group B, n = 110) and control group (group C, n = 110). For patients with 2 or more transfer cycles, only the information of the first cycle was included. Ovarian function, response to gonadotropin (Gn) stimulation, and pregnancy outcomes of the three groups were compared in the IVF/ICSI-ET cycles. Results After pretreatment, basal FSH, total Gn dosage and duration were comparable among the three groups (all p-value > 0.05), basal E2 in group B decreased significantly compared with the control group (p = 0.022). Endometrial thickness on the human chorionic gonadotropin (hCG) day, antral follicle counts (AFC), the numbers of oocytes, metaphase II (MII) eggs and excellent embryos in the two pretreatment groups were significantly increased compared with group C (all p-value < 0.001), but the rates of MII oocytes, fertilization and excellent embryos had no apparent change. The endometrial thickness on the day of hCG, the numbers of MII eggs and excellent embryos in group B were higher than those in group A (p < 0.001; p = 0.020; p = 0.027; respectively). The embryo implantation rate (IR), clinical pregnancy rate (CPR) and live birth rate (LBR) in group B were significantly higher than those in group C (p = 0.022; p = 0.010; p = 0.019; respectively), but not significantly different from group A. Conclusion CoQ10 alone or in combination with TEAS are effective methods for IVF/ICSI-ET adjuvant therapy, which can significantly improve ovarian reactivity, increase the numbers of retrieved eggs and superior embryos, and improve endometrial receptivity. Adjuvant TEAS on the basis of CoQ10 can significantly enhance pregnancy rates, but CoQ10 alone failed to present such an obvious effect.https://doi.org/10.1186/s12958-022-01043-9in vitro fertilizationoocyte qualityoptimal embryopoor ovarian responsepregnancy outcome
spellingShingle Shanqin Qi
Qi Liang
Lixia Yang
Xueyuan Zhou
Kun Chen
Ji Wen
Effect of Coenzyme Q10 and transcutaneous electrical acupoint stimulation in assisted reproductive technology: a retrospective controlled study
Reproductive Biology and Endocrinology
in vitro fertilization
oocyte quality
optimal embryo
poor ovarian response
pregnancy outcome
title Effect of Coenzyme Q10 and transcutaneous electrical acupoint stimulation in assisted reproductive technology: a retrospective controlled study
title_full Effect of Coenzyme Q10 and transcutaneous electrical acupoint stimulation in assisted reproductive technology: a retrospective controlled study
title_fullStr Effect of Coenzyme Q10 and transcutaneous electrical acupoint stimulation in assisted reproductive technology: a retrospective controlled study
title_full_unstemmed Effect of Coenzyme Q10 and transcutaneous electrical acupoint stimulation in assisted reproductive technology: a retrospective controlled study
title_short Effect of Coenzyme Q10 and transcutaneous electrical acupoint stimulation in assisted reproductive technology: a retrospective controlled study
title_sort effect of coenzyme q10 and transcutaneous electrical acupoint stimulation in assisted reproductive technology a retrospective controlled study
topic in vitro fertilization
oocyte quality
optimal embryo
poor ovarian response
pregnancy outcome
url https://doi.org/10.1186/s12958-022-01043-9
work_keys_str_mv AT shanqinqi effectofcoenzymeq10andtranscutaneouselectricalacupointstimulationinassistedreproductivetechnologyaretrospectivecontrolledstudy
AT qiliang effectofcoenzymeq10andtranscutaneouselectricalacupointstimulationinassistedreproductivetechnologyaretrospectivecontrolledstudy
AT lixiayang effectofcoenzymeq10andtranscutaneouselectricalacupointstimulationinassistedreproductivetechnologyaretrospectivecontrolledstudy
AT xueyuanzhou effectofcoenzymeq10andtranscutaneouselectricalacupointstimulationinassistedreproductivetechnologyaretrospectivecontrolledstudy
AT kunchen effectofcoenzymeq10andtranscutaneouselectricalacupointstimulationinassistedreproductivetechnologyaretrospectivecontrolledstudy
AT jiwen effectofcoenzymeq10andtranscutaneouselectricalacupointstimulationinassistedreproductivetechnologyaretrospectivecontrolledstudy