Evaluation of the melatonin and oxidative stress markers level in serum of fertile and infertile women

Infertility is defined as the inability to achieve the pregnancy within a year of unprotected intercourse. Infertility is a complex issue and different factors such as stress oxidative can be involved in this problem. So, any attempt to neutralize oxidative stress would be helpful in the treatment of infertility. Melatonin is a known scavenger of free radicals. The aim of our study was to evaluate the level of melatonin and its correlation with oxidative biomarkers in fertile and infertile women. The participants including fertile and infertile women were divided into two groups of 30 people. Blood sampling was performed and sera were collected. The level of Malondialdehyde [MDA], total antioxidant capacity [TAG] and melatonin were detected. Data were analyzed using T-test and their correlation was assessed using Spearman test. Serum melatonin from fertile women was higher than infertile women but the difference was not significant [p= 0.46]. MDA level in fertile women was significantly lower than infertile women [p<0.001] and the level of TAG in fertile women was significantly higher than infertile women [p<0.001]. Spearman test revealed a significant and direct correlation between melatonin and TAG in fertile and infertile women and a significant but reverse correlation between melatonin and MDA in infertile and fertile women. Differences in the level of oxidative stress biomarkers in fertile and infertile individuals have been reported. This study revealed a significant correlation between melatonin and oxidative stress biomarkers, concluding that melatonin level could be involved in infertility

Ultrastructural and morphometrical study of preimplantation endometrium in superovulated mice treated with progesterone or sildenafil

Endometrial development has an important role in blastocyst adhesion and implantation. During IVF cycles, endometrial development is enhanced by progesterone. The aim of this study was to compare ultrastructural and morphometrical characteristics of mice uterine endometrium in natural cycle with those in superovulated cycles received progesterone or Sildenafil. In This study, 60 female bulb/c mice were divided into 4 groups: a control and 3 experimental; gonadotropin, gonadotropin+ Sildenafil and gonadotropin+ progesterone. In experimental groups the mice superovulated mated. In the gonadotropin+ progesterone and gonadotropin+ Viagra groups, the mice respectively received 1mg progesterone and 3 mg Sildenafil citrate. Their uterine specimens were prepared for morphometrical and ultrastructural study. Height of the epithelial cells was measured, using motic software. Statistical analysis was performed using ANOVA. Microscopy revealed that in control group the cells had numerous apical microvilli and the height of the cells was 20.52 +/- 2.43 microm. In gonadotropin+ progesterone group, the granules were found in basal and apical portions and cellular height were 17.91 +/- 2.78 microm which were significantly shorter than in the control and gonadotropin groups [p<0.001]. In this group, the apical membrane also contained pinopodes. In gonadotropin +Sildenafil group, the granules were found in both apical and basal portions and the height of the cells were 17.60 +/- 2.49 microm which were significantly shorter than in the control and gonadotropin groups [p<0.001]. In this group, pinopodes appeared slightly extensive than the other groups. It is concluded that superovulatory drugs in mice stimulate endometrial maturation but injection of Sildenafil is nearly more positive

Study of ultrastructure and apoptosis in the endometrium of women with or without endometriosis

More than 40% of infertilities are due to endometriosis. Ultrustructural and histochemical study of endometrium will help to clarify the etiology of endometriosis. The aim of the present study was to investigate the ultrastructure and occurrence of apoptosis in endometrial cells of women with or without endometriosis. In the present case-control study, endometrial specimens from 12 women without endometriosis [as control] and 12 women with endometriosis [as case] were examined. Specimens for control group were obtained from the patients that were referred to gynecology hospital for hysterectomy due to various reasons. In case group the endometriosis was diagnosed according to laparoscopy and endometrial samples were taken using pippel biopsy. The specimens from both case and control groups were processed for Transmission Electron Microscopy [TEM], TUNEL reaction technique and morphometric studies. The results show that endometrial epithelium lost its continuity in women with endometriosis and endometrial cells have euchromatic nucleus in comparison to those from non-endometriosis. There were several apoptotic cells in the luminal and glandular endometrial epithelium and stroma from endometrium of control group. However, apoptotic cells were rarely seen in the endometrium from women with endometriosis. The difference in number of apoptotic cells between two groups statically was significant [p<0.001]. Regarding the ultrastructural characteristics of endometrial epithelial cells and comparison of apoptotic occurrence in control and case groups it is concluded that endometrial cells in endometriosis group have higher potential to survive and possibly implant.