Evidence map›Paper›PMID 40970486›Full record

ArticleBiomolecules & biomedicine2025

Vitamin D deficiency and uterine leiomyoma in unexplained infertility.

Yüksel Onaran, Esra Goktas, Beyza Altın Öztürk, Serkan Kahyaoglu, Hatice Akkaya

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Article in Biomolecules & biomedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yüksel OnaranDepartment of Obstetrics and Gynecology, Bilkent City Hospital, University of Health Sciences, Ankara, Türkiye.
Esra GoktasDepartment of Obstetrics and Gynecology, Aksaray University Training and Research Hospital, Aksaray, Türkiye.
Beyza Altın ÖztürkDepartment of Obstetrics and Gynecology, Bilkent City Hospital, Ankara, Türkiye.
Serkan KahyaogluDepartment of Obstetrics and Gynecology, Bilkent City Hospital, University of Health Sciences, Ankara, Türkiye.
Hatice AkkayaDepartment of Obstetrics and Gynecology, Bilkent City Hospital, University of Health Sciences, Ankara, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uterine leiomyomas are the most common benign tumors of the female genital tract, and alongside hormonal and genetic factors, emerging evidence implicates vitamin D deficiency in their pathogenesis. We investigated the association between serum 25-hydroxyvitamin D [25(OH)D] and the presence of uterine leiomyomas in women with unexplained infertility. In this retrospective case-control study, 148 women aged 18-45 years presenting to the Infertility Clinic of Ankara Bilkent City Hospital between July 2019 and February 2024 were included: 74 had imaging-confirmed leiomyomas (non-submucosal; FIGO types 4-6) and 74 infertile controls had no leiomyomas. Serum 25(OH)D was measured and demographic/clinical data were analyzed with appropriate parametric and non-parametric tests; correlations used Spearman's rho, and an ANCOVA adjusted for body mass index (BMI) and season assessed group differences. Groups were comparable in age and BMI (e.g., age 35.08 ± 5.79 vs 33.30 ± 5.57 years; p = 0.062). Mean serum 25(OH)D was significantly lower in women with leiomyomas than in controls (41.4 ± 23.7 vs 62.0 ± 34.2 nmol/L; p < 0.001), and this difference remained significant after adjustment for BMI and season (ANCOVA F = 10.7, p = 0.001). Vitamin D levels did not differ by leiomyoma number (single vs multiple: 44.1 ± 21.6 vs 38.5 ± 25.83 nmol/L; p = 0.32) or location (intramural vs subserosal: 40.7 ± 24.9 vs 43.1 ± 21.1 nmol/L; p = 0.69), and were not correlated with leiomyoma size (Spearman r = -0.04; p = 0.70). Among women with unexplained infertility, uterine leiomyomas are thus associated with significantly lower serum 25(OH)D levels, independent of BMI and season, whereas vitamin D status is unrelated to leiomyoma number, size, or location. These findings support a potential role of vitamin D deficiency in leiomyoma pathogenesis and underscore the need for larger, multicenter prospective studies to clarify causality and clinical implications.

Indexed as

Infertility, FemaleLeiomyomaUterine NeoplasmsVitamin D DeficiencyAdolescentAdultBody Mass IndexCase-Control StudiesFemaleHumansMiddle AgedRetrospective StudiesVitamin DYoung Adult25-hydroxyvitamin DVitamin D

Identifiers

PMID40970486
PMCPMC12533825

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