†These authors contributed equally.
Academic Editor: Michael H. Dahan
Background: To evaluate both the impact of hepatitis B virus (HBV)-DNA copies in women with
HBV infection on the ovarian reserve function and outcomes of in vitro
fertilization (IVF). Methods: We conducted a retrospective study on a
total of 9927 couples undergoing their first IVF cycle. After filtering, 1570
couples (546 HBV-seropositive women and 1024 HBV-seronegative women whose
partners were HBV-seronegative) failed to meet inclusion criteria. According to
the HBV-DNA titers in serum, the HBV-seropositive group was divided into three
groups: DNA-high copy group (n = 139), DNA-low copy group (n = 241), and
DNA-negative group (n = 166). All patients underwent controlled ovarian
hyperstimulation using the long downregulation protocol followed by IVF.
Results: Compared with the HBV-negative group, HBV-positive women with
high DNA copy exhibited lower antral follicle count (AFC) (11.9