Chinese herbal medicine (Bu-Shen-Tian-Jing Formula) for outcomes of IVF in Chinese patients with polycystic ovary syndrome: A retrospective cohort study

Background: Polycystic ovary syndrome (PCOS) is one of the most common causes of anovulatory infertility. Chinese herbal medicine (CHM) has many advantages in treating PCOS. We conducted a retrospective cohort study to investigate the effects of CHM (Bu-Shen-Tian-Jing Formula, BSTJF) on the outcomes...

Full description

Saved in:
Bibliographic Details
Main Authors: Xiaoming Pan, Yinger Gu, Xian Zhang, Biwei Shi, Long Cui, Fangfang Wang, Fan Qu
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Integrative Medicine Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213422021000627
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849684290588114944
author Xiaoming Pan
Yinger Gu
Xian Zhang
Biwei Shi
Long Cui
Fangfang Wang
Fan Qu
author_facet Xiaoming Pan
Yinger Gu
Xian Zhang
Biwei Shi
Long Cui
Fangfang Wang
Fan Qu
author_sort Xiaoming Pan
collection DOAJ
description Background: Polycystic ovary syndrome (PCOS) is one of the most common causes of anovulatory infertility. Chinese herbal medicine (CHM) has many advantages in treating PCOS. We conducted a retrospective cohort study to investigate the effects of CHM (Bu-Shen-Tian-Jing Formula, BSTJF) on the outcomes of IVF in Chinese patients with PCOS and the potential underlying mechanism. Methods: A total of 111 patients with PCOS who undergone IVF between November 2009 and July 2018 were included. Fifty-four patients received a three-month BSTJF therapy before controlled ovarian hyperstimulation, while the other 57 patients didn't. The data of the PCOS patients was collected. Anti-Müllerian hormone (AMH), growth differentiation factor-8 (GDF-8) levels in the follicular fluid were evaluated. Results: BSTJF helped patients with PCOS to get more retrieved oocytes (P<0.05) and fertilized oocytes (P<0.05). The clinical cumulative pregnancy rate, live birth rate, and term delivery rate were significantly higher in the same stimulated cycle of the PCOS patients with BSTJF treatment (P<0.05). No significant differences existed between the two groups in the rate of fertilization, hospitalization rate of ovarian hyper stimulation syndrome and obstetrical or neonatal complications. BSTJF significantly decreased the AMH levels in the follicular fluids (P<0.05). Conclusion: BSTJF significantly may improve the outcomes of IVF in Chinese patients with PCOS through decreasing AMH levels in follicular fluids. However, the evidence is limited due to the small sample size and the several potential bias.
format Article
id doaj-art-ba485f4173694f0db6da000087b42bda
institution DOAJ
issn 2213-4220
language English
publishDate 2022-03-01
publisher Elsevier
record_format Article
series Integrative Medicine Research
spelling doaj-art-ba485f4173694f0db6da000087b42bda2025-08-20T03:23:30ZengElsevierIntegrative Medicine Research2213-42202022-03-0111110077510.1016/j.imr.2021.100775Chinese herbal medicine (Bu-Shen-Tian-Jing Formula) for outcomes of IVF in Chinese patients with polycystic ovary syndrome: A retrospective cohort studyXiaoming Pan0Yinger Gu1Xian Zhang2Biwei Shi3Long Cui4Fangfang Wang5Fan Qu6Women's Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaWomen's Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaWomen's Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaWomen's Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaWomen's Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaWomen's Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaWomen's Hospital, Zhejiang University School of Medicine, Hangzhou, China; Corresponding author at: Women's Hospital, School of Medicine, Zhejiang University, 1 Xueshi Road, Hangzhou 310006, China.Background: Polycystic ovary syndrome (PCOS) is one of the most common causes of anovulatory infertility. Chinese herbal medicine (CHM) has many advantages in treating PCOS. We conducted a retrospective cohort study to investigate the effects of CHM (Bu-Shen-Tian-Jing Formula, BSTJF) on the outcomes of IVF in Chinese patients with PCOS and the potential underlying mechanism. Methods: A total of 111 patients with PCOS who undergone IVF between November 2009 and July 2018 were included. Fifty-four patients received a three-month BSTJF therapy before controlled ovarian hyperstimulation, while the other 57 patients didn't. The data of the PCOS patients was collected. Anti-Müllerian hormone (AMH), growth differentiation factor-8 (GDF-8) levels in the follicular fluid were evaluated. Results: BSTJF helped patients with PCOS to get more retrieved oocytes (P<0.05) and fertilized oocytes (P<0.05). The clinical cumulative pregnancy rate, live birth rate, and term delivery rate were significantly higher in the same stimulated cycle of the PCOS patients with BSTJF treatment (P<0.05). No significant differences existed between the two groups in the rate of fertilization, hospitalization rate of ovarian hyper stimulation syndrome and obstetrical or neonatal complications. BSTJF significantly decreased the AMH levels in the follicular fluids (P<0.05). Conclusion: BSTJF significantly may improve the outcomes of IVF in Chinese patients with PCOS through decreasing AMH levels in follicular fluids. However, the evidence is limited due to the small sample size and the several potential bias.http://www.sciencedirect.com/science/article/pii/S2213422021000627Anti-Müllerian hormoneChinese herbal medicinegrowth differentiation factor-8in vitro fertilizationpolycystic ovary syndrome
spellingShingle Xiaoming Pan
Yinger Gu
Xian Zhang
Biwei Shi
Long Cui
Fangfang Wang
Fan Qu
Chinese herbal medicine (Bu-Shen-Tian-Jing Formula) for outcomes of IVF in Chinese patients with polycystic ovary syndrome: A retrospective cohort study
Integrative Medicine Research
Anti-Müllerian hormone
Chinese herbal medicine
growth differentiation factor-8
in vitro fertilization
polycystic ovary syndrome
title Chinese herbal medicine (Bu-Shen-Tian-Jing Formula) for outcomes of IVF in Chinese patients with polycystic ovary syndrome: A retrospective cohort study
title_full Chinese herbal medicine (Bu-Shen-Tian-Jing Formula) for outcomes of IVF in Chinese patients with polycystic ovary syndrome: A retrospective cohort study
title_fullStr Chinese herbal medicine (Bu-Shen-Tian-Jing Formula) for outcomes of IVF in Chinese patients with polycystic ovary syndrome: A retrospective cohort study
title_full_unstemmed Chinese herbal medicine (Bu-Shen-Tian-Jing Formula) for outcomes of IVF in Chinese patients with polycystic ovary syndrome: A retrospective cohort study
title_short Chinese herbal medicine (Bu-Shen-Tian-Jing Formula) for outcomes of IVF in Chinese patients with polycystic ovary syndrome: A retrospective cohort study
title_sort chinese herbal medicine bu shen tian jing formula for outcomes of ivf in chinese patients with polycystic ovary syndrome a retrospective cohort study
topic Anti-Müllerian hormone
Chinese herbal medicine
growth differentiation factor-8
in vitro fertilization
polycystic ovary syndrome
url http://www.sciencedirect.com/science/article/pii/S2213422021000627
work_keys_str_mv AT xiaomingpan chineseherbalmedicinebushentianjingformulaforoutcomesofivfinchinesepatientswithpolycysticovarysyndromearetrospectivecohortstudy
AT yingergu chineseherbalmedicinebushentianjingformulaforoutcomesofivfinchinesepatientswithpolycysticovarysyndromearetrospectivecohortstudy
AT xianzhang chineseherbalmedicinebushentianjingformulaforoutcomesofivfinchinesepatientswithpolycysticovarysyndromearetrospectivecohortstudy
AT biweishi chineseherbalmedicinebushentianjingformulaforoutcomesofivfinchinesepatientswithpolycysticovarysyndromearetrospectivecohortstudy
AT longcui chineseherbalmedicinebushentianjingformulaforoutcomesofivfinchinesepatientswithpolycysticovarysyndromearetrospectivecohortstudy
AT fangfangwang chineseherbalmedicinebushentianjingformulaforoutcomesofivfinchinesepatientswithpolycysticovarysyndromearetrospectivecohortstudy
AT fanqu chineseherbalmedicinebushentianjingformulaforoutcomesofivfinchinesepatientswithpolycysticovarysyndromearetrospectivecohortstudy