THE STUDY OF FEMALE INFERTILITY WITH ANTI-TPO AND ANTI-TG AUTOIMMUNE DEFICIENCY IN THYROID GLAND
- VernacularTitle:ҮРГҮЙДЭЛТЭЙ ЭМЭГТЭЙЧҮҮДЭД БАМБАЙ БУЛЧИРХАЙН ҮЙЛ АЖИЛЛАГААНЫ АЛДАГДЛЫГ ANTI-TPO БОЛОН ANTI-TG АУТОЭСРЭГБИЕТЭЙ ХОЛБОН СУДАЛСАН НЬ
- Author:
Tuvshibayar N
1
;
Solongo M
2
;
Ariunaa E
3
;
Davaakhuu S
3
;
Khishigjargal U
3
;
Dulguun Kh
3
;
Munkhzol M
4
;
Odkhuu E
3
Author Information
1. MNUMS, Department of Pathology and Pathophysiology
2. Mangut Hospital
3. Uujinmed Hospital
4. School of Medicine, MNUMS
- Publication Type:Journal Article
- Keywords:
Infertility, subclinical hypothyroidism, thyroid autoimmunity, past obstetrics history
- From:Innovation
2018;12(1):35-39
- CountryMongolia
- Language:Mongolian
-
Abstract:
BACKGROUND: According to the World Health Organization (WHO), 10-15% of couples of reproductive age have infertility. According to researcher D. Sukhe (1999), hormonal infertility in the reproductive age of women was 33.6%, which was a large part of the cause of infertility. In recent years, the number of cases of endocrine disorders, including malignancy and sexually transmitted infections, has been increasing year by year. According to WHO reports, thyroid disorders have a prevalence of 49.3% for active reproductive age (30-50). According to the report of the Health Development Center in 2016, since the thyroid disorders are the second most common disease in endocrine gland disease, our study found that the infertility in reproductive age of women can be substantial due to the loss of thyroid gland.
METHODS: The study was carried out by the couple of 20-45 year-olds and modeled as an analytical study model. The questionnaire was used for the couple’s interviews and some of the measurement of body and serum use of TOSOH Corporation AIA-360, Tokyo, Japan. On the serum, anti-TPO and аnti-TG carbohydrates are identified by the Cobas e-411 analyzer under the manufacturer’s accompanying protocol.
RESULTS: 76.7% of women were diagnosed with infertility euthyroid, 0.7% hyperthyroidism, 22.6% hypothyroidism (3.8% with overt hypothyroidism and 18.8% subclinical hypothyroidism). Prevalence of TAI, in 6.7% isolated positive anti-Tg were found, and 14.3% had isolated positive TPO, In 3.7% of cases, both types of autoantibodies were present.
We analysed binary logistic regression for anti-TPO and anti-TG autoantibody in the positive and negative group in past obstetrics history, evidence of positive of anti-TPO and anti-Tg was increased risk of miscarriage 2.2 times (OR = 2.2, p <0.01).
CONCLUSIONS: Women with disorders in our study have high percentage of subclinical hypothyroidism and have higher rate of thyroid autobodies in serum which may be a problem for women with infertility and pregnancy complications due to the loss of thyroid gland. There is a need to develop a principle of recovery and treatment.
