Lupus & antiphospholipid syndrome

Investigating the association between antiphospholipid syndrome and ovarian reserve: A systematic review and meta-analysis of the literature

LupusPublished Systematic review and meta-analysis of cross-sectional studies

Authors' conclusion

The results of this meta-analysis identified there is no relationship between primary and secondary APS with the reduction of ovarian reserves in women with APS.

Study context

Population
Women with antiphospholipid syndrome (APS), studies investigating the effect of APS on ovarian reserveFour cross-sectional studies
Comparison
APS vs controls, ovarian reserve
Outcome
Ovarian reserve (antimullerian hormone amounts)
Methodological detailsrandom effects model, None of the studies had a high risk of bias
  • Random effects model
  • None of the studies had a high risk of bias

Pooled result

As reported in the abstract

Antimullerian hormone amounts
Estimate (95% CI)P value
Primary APS
MD −0.27(−1.42 to 0.87)
P = 0.639
Secondary APS
SMD −0.38(−2.46 to 1.69)
P = 0.717

Further pooled results

Antral follicle count (AFC)

Lower AFC in women with primary APS (2 studies)

Serum gonadotropins and estradiol

Results contradictory

Original publication

Investigating the association between antiphospholipid syndrome and ovarian reserve: A systematic review and meta-analysis of the literature. Lupus. Published 1 April 2025. doi:10.1177/09612033251332051

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