TABLE 2.
Summary of the influence of antibodies on fertility.
Antibodies | Female infertility | Art outcome | Treatment |
APL | Significantly associated with low levels of AMH (Vega et al., 2016). | Considered as a contraindication for IVF, increases the risk of thrombosis (Khizroeva et al., 2018). | Anticoagulant therapy from the first days of the hormonal protocol. |
ANA | Increased prevalence of ovarian failure and infertility (Wilson et al., 1975; Taylor et al., 1989; Reimand et al., 2001). | Associated with higher abnormal fertilization and early miscarriage rates, a detrimental effect on IVF/ICSI outcome (Zhu et al., 2013). | Prednisone plus low-dose aspirin (P + A) adjuvant treatment. |
Antitissue | Higher prevalence of anti-smooth muscle antibodies (Wilson et al., 1975; Reimand et al., 2001) | ||
Thyroid anti-immunity | Increases the prevalence of infertility, ovarian failure, and in particular, is related to endometriosis and PCOS. | Significantly increased risk of miscarriage (Poppe and Velkeniers, 2002). | Whether thyroid hormones should be given during pregnancy is still controversial (Poppe et al., 2006). |
Anti-ovarian | Higher prevalence of ovarian failure and infertility (Ayesha et al., 2016). | Might be correlated to the prognosis of IVF | |
Others | Higher prevalence of ASCA (Shoenfeld et al., 2006) and of CD-associated autoantibodies (Vanciková et al., 2002; Kumar et al., 2011; Machado et al., 2013; Tersigni et al., 2014). |