Evidence map›Paper›PMID 40369590›Full record

Observational studyReproductive biology and endocrinology : RB&E2025

Phosphate concentrations in follicular fluid during assisted reproductive treatment: relevance for ovarian function and fertility outcomes.

Signe Marie Wulff, Mads Joon Jorsal, Ireen Kooij, Hans Krog, Ursula Bentin-Ley, Martin Blomberg Jensen, Sam Kafai Yahyavi

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Reproductive biology and endocrinology : RB&E, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02437578 (Development of Clinical Tests to Predict the Success of Assisted Reproductive Techniques in a Fertility Clinic), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02437578 completednot on this map

Development of Clinical Tests to Predict the Success of Assisted Reproductive Techniques in a Fertility Clinic

TypeobservationalSponsorMartin Blomberg JensenRan2015 to 2019Enrolled542ConditionsInfertility
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Signe Marie WulffDepartment of Endocrinology and Internal Medicine, Division of Translational Endocrinology, Copenhagen University Hospital - Herlev, Gentofte, Denmark.
Mads Joon JorsalDepartment of Endocrinology and Internal Medicine, Division of Translational Endocrinology, Copenhagen University Hospital - Herlev, Gentofte, Denmark.
Ireen KooijDepartment of Endocrinology and Internal Medicine, Division of Translational Endocrinology, Copenhagen University Hospital - Herlev, Gentofte, Denmark.
Hans KrogTFP Danfert Fertility, Seedorffs Vaenge, Seedorffs Vaenge 2, 2000, Frederiksberg, Denmark.
Ursula Bentin-LeyTFP Danfert Fertility, Seedorffs Vaenge, Seedorffs Vaenge 2, 2000, Frederiksberg, Denmark.
Martin Blomberg JensenDepartment of Endocrinology and Internal Medicine, Division of Translational Endocrinology, Copenhagen University Hospital - Herlev, Gentofte, Denmark. martin.blomberg.jensen@regionh.dk.
Sam Kafai YahyaviDepartment of Endocrinology and Internal Medicine, Division of Translational Endocrinology, Copenhagen University Hospital - Herlev, Gentofte, Denmark. sam.kafai.yahyavi.01@regionh.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of follicular fluid phosphate for reproductive health and oocyte maturation is unclear. This study investigates the relationship between follicular fluid vs serum phosphate concentrations and the possible link with sex steroids during in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) at a Danish fertility clinic.

methodsA prospective cohort of infertile women who attended Danfert Fertility clinic (Copenhagen, Denmark) and received IVF or ICSI treatment between June 2015 and February 2017. Correlation analyses were performed with Spearman's Rank or Pearson's correlation, while categorical variables were analyzed with Chi-squared test.

resultsIn total, 110 participants were included in the study, and 33 of these achieved a live birth. Phosphate concentrations were higher in the follicular fluid compared to corresponding serum samples (1.16 mmol/L vs. 1.06 mmol/L, p = 0.002) and there was a positive correlation between serum and follicular fluid phosphate concentrations (r = 0.43, p = 0.007). A positive trend was also found for calcium concentrations, though not statistically significant (r = 0.31, p = 0.060). Correlation analysis also showed a positive correlation between concentrations of phosphate and calcium in follicular fluid (r = 0.41, p < 0.001). A positive correlation was observed between concentrations of phosphate and testosterone in follicular fluid (r = 0.34, p < 0.001). When stratified into tertiles, we found no significant differences between live birth rates in follicular fluid phosphate (p = 0.624), calcium (p = 0.207), or testosterone (p = 0.841).

conclusionsThis study found that follicular fluid phosphate concentrations are higher than serum phosphate concentrations, suggesting possible local regulation. However, no significant association was found between follicular phosphate and ART outcomes. Further research is needed to explore its potential role in reproductive physiology. CLINICAL TRIAL: Clinicaltrials.gov (NCT02437578; registration date 2015/04/16).

Indexed as

FertilityFollicular FluidInfertility, FemaleOvaryPhosphatesReproductive Techniques, AssistedAdultFemaleFertilization in VitroHumansLive BirthPregnancyPregnancy RateProspective StudiesSperm Injections, IntracytoplasmicTreatment OutcomePhosphatesFollicular fluidInfertilityLive birth ratesPhosphate

Identifiers

PMID40369590
PMCPMC12076920

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.