Serum β-hCG, AMH, TSH, and PRL Levels in Predicting the Outcome of Early Pregnancy 14 Days after Embryo Transfer: A Prospective Cohort Study

Background: Pregnancy outcomes in assisted reproductive technology (ART) are influenced by the ability of the embryos to create a pregnancy and maternal factors such as hormone levels to maintain and develop the pregnancy. This study investigated the role of β-human chorionic gonadotropin (β-hCG), a...

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Main Authors: Fatemeh Davari Tanha, Azam Rasti, Hamideh Pakniat, Shohreh Salimi Setudeh, Amir Hosseini, Mohammad Amin Rahimian Ghohroodi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Advanced Biomedical Research
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Online Access:https://journals.lww.com/10.4103/abr.abr_285_23
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author Fatemeh Davari Tanha
Azam Rasti
Hamideh Pakniat
Shohreh Salimi Setudeh
Amir Hosseini
Mohammad Amin Rahimian Ghohroodi
author_facet Fatemeh Davari Tanha
Azam Rasti
Hamideh Pakniat
Shohreh Salimi Setudeh
Amir Hosseini
Mohammad Amin Rahimian Ghohroodi
author_sort Fatemeh Davari Tanha
collection DOAJ
description Background: Pregnancy outcomes in assisted reproductive technology (ART) are influenced by the ability of the embryos to create a pregnancy and maternal factors such as hormone levels to maintain and develop the pregnancy. This study investigated the role of β-human chorionic gonadotropin (β-hCG), anti-mullerian hormone (AMH), thyroid-stimulating hormone (TSH), and prolactin (PRL) in predicting pregnancy outcomes and determined cutoff values in women undergoing ARTs. Materials and Methods: This prospective study included 153 women who underwent infertility treatment in the Department of Reproductive Medicine of the Yas Hospital, Tehran University of Medical Sciences (Tehran, Iran). Serum β-hCG level on day 14 after embryo transfer and serum AMH, TSH, and PRL were measured. Patients with β-hCG levels >25 mIU/ml were included in the study. Finally, any statistically significant relationships between these serum values and clinical pregnancy and live birth rate were investigated. To predict pregnancy outcomes with β-hCG levels, a receiver operating characteristic curve was used to estimate the β-hCG cutoff values. Results: Serum β-hCG levels were significantly higher in live-birth patients than in other patients. The β-hCG cutoff value for live births was 830 mIU/ml, with an AUC of 0.5920, sensitivity of 61.04%, and specificity of 56.58%. Serum AMH, TSH, and PRL levels did not show any significant results. Conclusions: Serum β-hCG levels on day 14 after embryo transfer can be used to predict the probability of live birth in patients undergoing infertility treatment.
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spelling doaj-art-d69fc6077aeb47ff90feb42e7b73dd422025-08-20T02:05:21ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752025-05-01141454510.4103/abr.abr_285_23Serum β-hCG, AMH, TSH, and PRL Levels in Predicting the Outcome of Early Pregnancy 14 Days after Embryo Transfer: A Prospective Cohort StudyFatemeh Davari TanhaAzam RastiHamideh PakniatShohreh Salimi SetudehAmir HosseiniMohammad Amin Rahimian GhohroodiBackground: Pregnancy outcomes in assisted reproductive technology (ART) are influenced by the ability of the embryos to create a pregnancy and maternal factors such as hormone levels to maintain and develop the pregnancy. This study investigated the role of β-human chorionic gonadotropin (β-hCG), anti-mullerian hormone (AMH), thyroid-stimulating hormone (TSH), and prolactin (PRL) in predicting pregnancy outcomes and determined cutoff values in women undergoing ARTs. Materials and Methods: This prospective study included 153 women who underwent infertility treatment in the Department of Reproductive Medicine of the Yas Hospital, Tehran University of Medical Sciences (Tehran, Iran). Serum β-hCG level on day 14 after embryo transfer and serum AMH, TSH, and PRL were measured. Patients with β-hCG levels >25 mIU/ml were included in the study. Finally, any statistically significant relationships between these serum values and clinical pregnancy and live birth rate were investigated. To predict pregnancy outcomes with β-hCG levels, a receiver operating characteristic curve was used to estimate the β-hCG cutoff values. Results: Serum β-hCG levels were significantly higher in live-birth patients than in other patients. The β-hCG cutoff value for live births was 830 mIU/ml, with an AUC of 0.5920, sensitivity of 61.04%, and specificity of 56.58%. Serum AMH, TSH, and PRL levels did not show any significant results. Conclusions: Serum β-hCG levels on day 14 after embryo transfer can be used to predict the probability of live birth in patients undergoing infertility treatment.https://journals.lww.com/10.4103/abr.abr_285_23embryo transferhuman chorionic-gonadotropinpregnancy outcomes
spellingShingle Fatemeh Davari Tanha
Azam Rasti
Hamideh Pakniat
Shohreh Salimi Setudeh
Amir Hosseini
Mohammad Amin Rahimian Ghohroodi
Serum β-hCG, AMH, TSH, and PRL Levels in Predicting the Outcome of Early Pregnancy 14 Days after Embryo Transfer: A Prospective Cohort Study
Advanced Biomedical Research
embryo transfer
human chorionic-gonadotropin
pregnancy outcomes
title Serum β-hCG, AMH, TSH, and PRL Levels in Predicting the Outcome of Early Pregnancy 14 Days after Embryo Transfer: A Prospective Cohort Study
title_full Serum β-hCG, AMH, TSH, and PRL Levels in Predicting the Outcome of Early Pregnancy 14 Days after Embryo Transfer: A Prospective Cohort Study
title_fullStr Serum β-hCG, AMH, TSH, and PRL Levels in Predicting the Outcome of Early Pregnancy 14 Days after Embryo Transfer: A Prospective Cohort Study
title_full_unstemmed Serum β-hCG, AMH, TSH, and PRL Levels in Predicting the Outcome of Early Pregnancy 14 Days after Embryo Transfer: A Prospective Cohort Study
title_short Serum β-hCG, AMH, TSH, and PRL Levels in Predicting the Outcome of Early Pregnancy 14 Days after Embryo Transfer: A Prospective Cohort Study
title_sort serum β hcg amh tsh and prl levels in predicting the outcome of early pregnancy 14 days after embryo transfer a prospective cohort study
topic embryo transfer
human chorionic-gonadotropin
pregnancy outcomes
url https://journals.lww.com/10.4103/abr.abr_285_23
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