Is there a difference in ovarian reserve biomarkers and ovarian response between the right and left ovaries?

Histomorphometric comparison of left and right oviduct structure from alpaca (Vicugna pacos)

Alpacas are species of induced ovulation and with foetal development only in the left uterine horn (98%). The histoarchitecture of the oviductal regions determine a spatio-temporal interaction between the gametes/embryos and the oviduct. This study compares the morphometric changes of the left and right oviducts in alpaca during the follicular phase. Five oviducts (n = 05), from adult alpacas with dominant follicle in the right ovary were recovered, dissected, and processed by histological technique with H&E and PAS stain for measurement of morphometric parameters and cell characteristics, respectively. Also, a 3D image reconstruction was performed (by reconstruct software). Resin moulds (polyurethane PU4ii) were applied for visualization of oviductal lumen. The multivariable data of parameters were analysed with ANOVA and principal component analysis (PCA). The histomorphometric parameters of left and right oviducts did not show statistically significant differences (p ≥ 0.05), although PCA showed morphometric differences between regions of the oviduct. No differences were observed between the 3D reconstruction of the left and right oviducts, as well as in the luminal spaces examined in the resin moulds. In conclusion, the histomorphometry of the oviduct is not affected by its location on either the left or right side; therefore, it cannot explain why 98% of foetuses implant in the left uterus.

Urinary biomarkers of exposure to drinking water disinfection byproducts and ovarian reserve: A cross-sectional study in China

Experimental studies have demonstrated that disinfection byproducts (DBPs) can cause ovarian toxicity including inhibition of antral follicle growth and disruption of steroidogenesis, but there is a paucity of human evidence. We aimed to investigate whether urinary biomarkers of exposure to drinking water DBPs were associated with ovarian reserve. The present study included 956 women attending an infertility clinic in Wuhan, China from December 2018 to January 2020. Antral follicle count (AFC), ovarian volume (OV), anti-Mullerian hormone (AMH), and follicle-stimulating hormone (FSH) were measured as indicators of ovarian reserve. Urinary dichloroacetic acid (DCAA) and trichloroacetic acid (TCAA) were assessed as potential biomarkers of drinking water DBP exposures. Multivariate linear and Poisson regression models were applied to estimate the associations of urinary DCAA and TCAA concentrations with indicators of ovarian reserve. Elevated urinary DCAA and TCAA levels were monotonically associated with reduced total AFC (- 5.98%; 95% CI: - 10.30%, - 1.44% in DCAA and - 12.98%; 95% CI: - 17.00%, - 8.76% in TCAA comparing the extreme tertiles; both P for trends ≤ 0.01), and the former was only observed in right AFC but not in left AFC, whereas the latter was estimated for both right and left AFC. Moreover, elevated urinary TCAA levels were monotonically associated with decreased AMH (- 14.09%; 95% CI: - 24.79%, - 1.86% comparing the extreme tertiles; P for trend = 0.03). These negative associations were still observed for the exposure biomarkers modeled as continuous variables. Our findings suggest that exposure to drinking water DBPs may be associated with decreased ovarian reserve.