Reproductive potential in married couple: the role of micronutrients in the preconception period

Bayramova G.R., Baranov I.I., Degtyareva E.I., Ilyasova N.A.

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, Moscow, Russia

The relevance of the topic is due to declining birth rate in Russia, that is associated with social and demographic, medical and environmental factors.
The article considers the issues of the influence of micronutrients on the reproductive potential of a couple in the preconception period. Pregravid preparation including diagnosis, preventive and therapeutic measures, plays a key role in increasing fertility and reducing the risks of pregnancy complications. One of the most important issues is micronutrient deficiency, which is widespread among women and men of reproductive age. It is remarkable to note that 70–80% of women are deficient in three or more vitamins, including vitamin B, vitamin C, vitamin E, and micronutrients such as iodine, selenium and magnesium. Deficiency in these compounds negatively influences sperm quality, the process of implantation and fetal development. Taking vitamin and mineral supplements (VMS) improves fertility, has positive effect on the course of pregnancy and increases the chances of getting pregnant. Antioxidants that help to reduce oxidative stress and improve spermatogenesis are essential for men. Preparations containing L-arginine, folic acid, vitamins E and C show positive effects on sperm quality and conception probability. It should be noted that there is a need for multidisciplinary approach to pregnancy planning and importance in further research on the effects of vitamin and mineral supplements on reproductive health. These measures are aimed at increasing birth rate and improving the demographic situation in Russia.
Conclusion: Further research is needed on the effect of microelements and vitamins on improvement of reproductive function in married couples.

Authors' contributions: Bayramova G.R., Baranov I.I. – the concept and design of the study, text writing and editing; Degtyareva E.I., Ilyasova N.A. – literature search and literature sources processing, text writing.
Conflicts of interest: The authors declare that they have no conflict of interests.
Funding: The study was sponsored by pharmaceutical company “Aquion”. 
For citation: Bayramova G.R., Baranov I.I., Degtyareva E.I., Ilyasova N.A. Reproductive potential in married couple: the role of micronutrients in the preconception period.
Akusherstvo i Gynekologia/Obstetrics and Gynecology. 2025; (2): 122-128 (in Russian)
https://dx.doi.org/10.18565/aig.2024.330

Keywords

pregravid preparation
female infertility
male infertility
vitamin-mineral complexes

References

  1. Total Fertility Rate 2024. Available at: https://worldpopulationreview.com/country-rankings/total-fertility-rate
  2. Министерство здравоохранения Российской Федерации. Методические рекомендации по диспансеризации мужчин и женщин репродуктивного возраста с целью оценки репродуктивного здоровья. М.; 2024. [Ministry of Health of the Russian Federation. Guidelines for clinical examination of men and women of reproductive age in order to assess reproductive health. Moscow; 2024. (in Russian)].
  3. Сухих Г.Т., Улумбекова Г.Э., ред. Национальная стратегия повышения рождаемости и охраны репродуктивного здоровья граждан РФ до 2030 г. Весна рождаемости в Российской Федерации. М.: ГЭОТАР-Медиа; 2022. 92 с. [Sukhikh G.T., Ulumbekova G.E., ed. National strategy for increasing the birth rate and protecting the reproductive health of citizens of the Russian Federation until 2030. Spring birth rate in the Russian Federation. Moscow: GEOTAR-Media; 2022. 92 p. (in Russian)].
  4. Архангельский В.Н., Калачикова О.Н. Возраст матери при рождении первого ребенка: динамика, региональные различия, детерминация. Экономические и социальные перемены: факты, тенденции, прогноз. 2020; 13(5): 200-17. [Arkhangel’skiy V.N., Kalachikova O.N. Maternal age at first birth: dynamics, regional differences, determination. Economic and Social Changes: Facts, Trends, Forecast. 2020; 13(5): 200-17. (in Russian)]. https://dx.doi.org/10.15838/esc.2020.5.71.12.
  5. Федеральная служба государственной статистики. Выборочное наблюдение репродуктивных планов населения. Доступно по: https://rosstat.gov.ru/free_doc/new_site/RPN22/index.html [Federal State Statistics Service. Selective surveillance of population reproductive plans. Available at: https://rosstat.gov.ru/free_doc/new_site/RPN22/index.html (in Russian)].
  6. Ших Е.В., Махова А.А., Ших Н.В., Никитин Е.Ю. Социальный джетлаг: возможности микронутриентной поддержки. Вопросы питания. 2022; 91(3): 85-95. [Shich E.V., Makhova A.A., Shikh N.V., Nikitin E.Yu. Social jetlag: possibilities of micronutrient support. Problems of Nutrition. 2022; 91(3): 85-95. (in Russian)]. https://dx.doi.org/10.33029/0042-8833-2022-91-3-85-95.
  7. Komada Y., Ikeda Y., Sato M., Kami A., Masuda C., Shibata S. Social jetlag and menstrual symptoms among female university students. Chronobiol. Int. 2019; 36(2): 258-64. https://dx.doi.org/10.1080/07420528.2018.1533561.
  8. Dorney E., Black K. Preconception care. Aust. J. Gen. Pract. 2024; 53(11):805-12. https://dx.doi.org/10.31128/AJGP-08-23-6927
  9. Междисциплинарная ассоциация специалистов репродуктивной медицины (МАРС). Прегравидарная подготовка. Клинический протокол. Версия 3.1. М.: StatusPraesens; 2024. [Interdisciplinary Association of Reproductive Medicine Specialists (IARS). Pregravid training. Clinical protocol. Version 3.1. Мoscow: StatusPraesens; 2024. (in Russian)].
  10. Benedetto C., Borella F., Divakar H., O'Riordan S.L., Mazzoli M., Hanson M. et al. FIGO Preconception Checklist: Preconception care for mother and baby. Int. J. Gynaecol. Obstet. 2024; 165(1): 1-8. https://dx.doi.org/10.1002/ijgo.15446.
  11. Anakwe A., Ortiz K., Kotelchuck M., BeLue R. Preconception health indicators among adult US men: Race/ethnicity variations and temporal trends. Andrology. 2025; 13(1): 7-21. https://dx.doi.org/10.1111/andr.13573.
  12. Hivert M.F., Backman H., Benhalima K., Catalano P., Desoye G., Immanuel J. et al. Pathophysiology from preconception, during pregnancy, and beyond. Lancet. 2024; 404(10448): 158-74. https://dx.doi.org/10.1016/S0140-6736(24)00827-4.
  13. Maslin K., Hart K.H., Shawe J. Tackling the dual burden of malnutrition in pregnancy - pregnancy after weight loss surgery. Proc. Nutr. Soc. 2024 Jan 19: 1-9. https://dx.doi.org/10.1017/S0029665124000077.
  14. Tully C.A., Alesi S., McPherson N.O., Sharkey D.J., Teong X.T., Tay C.T. et al. Assessing the influence of preconception diet on male fertility: a systematic scoping review. Hum. Reprod. Update. 2024; 30(3): 243-61. https://dx.doi.org/10.1093/humupd/dmad035.
  15. Балан В.Е., Тихомирова Е.В., Овчинникова В.В. Микронутриентная поддержка женщин во время беременности. РМЖ. Мать и дитя. 2019; 2(4): 280-5. [Balan V.E., Tikhomirova E.V., Ovchinnikova V.V. Micronutrient supply during pregnancy. Russian Journal of Woman and Child Health. 2019; 2(4):280-5. https://dx.doi.org/10.32364/2618-8430-2019-2-4-280-285.
  16. Talebi S., Kianifar H.R., Mehdizadeh A. Nutritional requirements in pregnancy and lactation. Clin. Nutr. ESPEN. 2024; 64: 400-10. https://dx.doi.org/10.1016/j.clnesp.2024.10.155.
  17. Кузнецова И.В., Гаврилова Е.А. Особенности микронутриентной подготовки к беременности у женщин с синдромом поликистозных яичников. Акушерство и гинекология. 2020; 6: 116-22. [Kuznetsova I.V., Gavrilova E.A. Features of micronutrient preparation for pregnancy in women with polycystic ovary syndrome. Obstetrics and Gynecology. 2020; (6): 116-22 (in Russian)]. https://dx.doi.org/10.18565/aig.2020.6.116-122.
  18. Сухих Г.Т., Попова А.Ю., Овчинников Р.И., Ушакова И.В. Влияние комплекса «Сперотон» на функциональные характеристики сперматозоидов у мужчин с идиопатической патозооспермией. Проблемы репродукции. 2016; 22(4): 106-10. [Sukhikh G.T., Popova A.Iu., Ovchinnikov R.I., Ushakova I.V. The influence of Speroton on functional characteristics of sperm in men with idiopathic patozoospermia. Russian Journal of Human Reproduction. 2016; 22(4): 106 10. (in Russian)]. https://dx.doi.org/10.17116/repro2016224106-110.
  19. Громова О.А., Песетова Е.В. Торшин И.Ю., Тетруашвили Н.К. Опыт применения витаминно-минерального комплекса «Прегномама» у женщин с физиологическим течением беременности. Акушерство и гинекология. 2021; 6: 122-30. [Gromova O.A., Pesegova E.V., Torshin I.Yu., Tetruashvili N.K. Experience with the vitamin-mineral complex “Pregnomama” in women with physiological pregnancy. Obstetrics and Gynecology. 2021; (6): 122-30 (in Russian)]. https://dx.doi.org/10.18565/aig.2021.6.122-130.
  20. Apostolopoulou A., Tranidou A., Chroni V., Tsakiridis I., Tsekitsidi E., Kalaitzopoulou I. et al. Preconceptional micronutrient adequacy among women in Greece: a prospective epidemiological study. J. Matern. Fetal Neonatal. Med. 2024; 37(1): 2343613. https://dx.doi.org/10.1080/14767058.2024.2343613.
  21. Макарова С.Г., Коденцова В.М., Ладодо О.Б., Продеус А.П., Басаргина М.А., Буцкая Т.В., Ясаков Д.С. Микронутриентный статус беременной женщины: риски, связанные с дефицитом, и методы коррекции. Акушерство и гинекология. 2020; 5: 156-64. [Makarova S.G., Kodentsova V.M., Ladodo O.B., Prodeus A.P., Basargina M.A., Butskaya T.V., Yasakov D.S. The micronutrient status of a pregnant woman: deficiency-associated risks and correction methods. Obstetrics and Gynecology. 2020; (5): 156-64 (in Russian)]. https://dx.doi.org/10.18565/aig.2020.5.156-64.
  22. Kallinikas G., Tsoporis J.N., Haronis G., Zarkadas A., Bozios D., Konstantinopoulos V. et al. The role of oral antioxidants in the improvement of sperm parameters in infertile men. World J. Urol. 2024; 42(1):71. https://dx.doi.org/10.1007/s00345-023-04766-5.
  23. Нашивочникова Н.А., Крупин В.Н., Селиванова С.А. Антиоксидантная терапия бесплодного брака. Урология. 2015; 3: 71-4. [Nashivochnikova N.A., Krupin V.N., Selivanova S.A. Antioxidant therapy for infertile couples. Urologiia. 2015; (3): 71-4. (in Russian)].
  24. Попова А.Ю., Гамидов С.И., Овчинников Р.И., Гасанов Н.Г. Влияние комплексов Сперотон и Синергин на показатели окислительного стресса эякулята у пациентов, готовящихся к программам вспомогательных репродуктивных технологий. Эффективная фармакотерапия. 2019; 15(1): 10-4. [Popova A.Yu., Gamidov S.I., Ovchinnikov R.I., Gasanov N.G. Effect of Speroton and Sinergin complexes on indicators of oxidative stress of ejaculate in patients preparing for programs of assisted reproductive technologies. Effective pharmacotherapy. 2019; 15(1): 10-4. (in Russian)].
  25. Манухина Е.И., Испас А.А. Опыт применения витаминно-минерального комплекса в восстановлении менструального цикла у пациенток с функциональной гиперпролактинемией. Акушерство и гинекология. 2020; 2: 169-73. [Manukhina E.I., Ispas A.A. Experience in using a vitamin and mineral supplement to restore the menstrual cycle in patients with functional hyperprolactinemia. Obstetrics and Gynecology. 2020; (2): 169-73. (in Russian)]. https://dx.doi.org/10.18565/aig.2020.2.169-173.
  26. Дикке Г.Б. Дискуссионные вопросы лечения хронического эндометрита. Медицинский совет. 2023; (5): 82-9. [Dikke G.B. Discussion issues in the treatment of chronic endometritis. Medical Council. 2023; (5): 82-9. (in Russian)]. https://dx.doi.org/10.21518/ms2023-086.
  27. Серебренникова К.Г., Кузнецова Е.П., Ванке Е.С., Иванова Т.В., Милославский Ю.В. Прегравидарная подготовка у пациенток с тонким эндометрием в программах вспомогательных репродуктивных технологий. Акушерство и гинекология. 2017; 3: 139-46. [Serebrennikova K.G., Kuznetsova E.P., Vanke E.S., Ivanova T.V., Miloslavsky Yu.V. Pregravid preparation in patients with the thin endometrium in assisted reproductive technology programs. Obstetrics and Gynecology. 2017; (3): 139-46. (in Russian)]. https://dx.doi.org/10.18565/aig.2017.3.139-46.
  28. Кузьменко А.В., Кузьменко В.В., Гяургиев Т.А. Роль L-карнитина, фолиевой кислоты, а также антиоксидантов в комплексной терапии мужского бесплодия. Проблемы репродукции. 2018; 24(5): 108-12. [Kuz’menko A.V., Kuz’menko V.V., Gyaurgiev T.A. The role L-carnitine, folic acid and antioxidants in the treatment of male infertility. Russian Journal of Human Reproduction. 2018; 24(5): 108 12. (in Russian)]. https://dx.doi.org/10.17116/repro201824051108.
  29. Виноградов И.В., Габлия М.Ю., Лычагин А.С., Москвичев Д.В. Сравнительное исследование эффективности и безопасности применения витаминно-минерального комплекса с L-карнитином и комплекса ацетил-L-карнитина, L-карнитина фумарата, альфа-липоевой кислоты в лечении мужского бесплодия. Проблемы репродукции. 2020; 26(6): 97-103. [Vinogradov I.V., Gablia M.Y., Lychagin A.S., Moskvichev D.V. Comparative study of the efficacy and safety of the use of the vitamin-mineral complex L-carnitine and the complex of acetyl-L-carnitine, L-carnitine fumarate, alpha-lipoic acid in the treatment of male infertility. Russian Journal of Human Reproduction. 2020; 26(6): 97-103. (in Russian)]. https://dx.doi.org/10.17116/repro20202606197.
  30. Puglia L.T., Lowry J., Tamagno G. Vitex agnus castus effects on hyperprolactinaemia. Front. Endocrinol. (Lausanne). 2023; 14: 1269781. https://dx.doi.org/10.3389/fendo.2023.1269781.
  31. Корсак В.С., Смирнова А.А., Шурыгина О.В. Регистр ВРТ Общероссийской общественной организации «Российская Ассоциация Репродукции человека». Отчет за 2020 год. Проблемы репродукции. 2022; 28(6): 12-27. [Korsak V.S., Smirnova A.A., Shurygina O.V. ART Register of RAHR, 2020. Russian Journal of Human Reproduction. 2022; 28(6): 12-27. (in Russian)]. https://dx.doi.org/10.17116/repro20222806112.
  32. Menichini D., Feliciello L., Neri I., Facchinetti F. L-Arginine supplementation in pregnancy: a systematic review of maternal and fetal outcomes. J. Matern. Fetal Neonatal. Med. 2023; 36(1): 2217465. https://dx.doi.org/10.1080/14767058.2023.2217465.
  33. Погожева А.В., Коденцова В.М. О рекомендуемом потреблении и обеспеченности населения калием и магнием. РМЖ. 2020; 3: 8-12. [Pogozheva A.V., Kodentsova V.M. About recommended consumption and provision of population with potassium and magnesium. RMJ. 2020; (3): 8-12. (in Russian)].
  34. Ибрагимова Д.М., Доброхотова Ю.Э. Прегравидарная подготовка: современный взгляд. РМЖ. Мать и дитя. 2020; 3(1): 51-4. [Ibragimova D.M., Dobrokhotova Yu.E. Current views on the pre-pregnancy planning. Russian Journal of Woman and Child Health. 2020; 3(1): 51-4. (in Russian)]. https://dx.doi.org/10.32364/2618-8430-2020-3-1-51-54.
  35. Showell M.G., Mackenzie-Proctor R., Brown J., Yazdani A., Stankiewicz M.T., Hart R.J. Antioxidants for male subfertility. Cochrane Database Syst. Rev. 2014; 12: CD007411. https://dx.doi.org/10.1002/14651858.CD007411.pub3.
  36. Нашивочникова Н.А., Крупин В.Н., Крупин А.В., Леанович В.Е., Гетигежев И.О. Антиоксиданты в рамках преконцепционной подготовки мужчин в возрасте старше 45 лет. Урология. 2024; 3: 72-8. [Nashivochnikova N.A., Krupin V.N., Krupin A.V., Leanovich V.E., Getigezhev I.O. Antioxidants as part of preconception preparation in men over 45 years of age. Urologiia. 2024; (3): 72-8. (in Russian)]. https://dx.doi.org/10.18565/urology.2024.3.72-78.

Received 23.12.2024

Accepted 10.01.2025

About the Authors

Guldana R. Bayramova, Dr. Med. Sci., Merited Doctor of the Russian Federation, Professor at the Department of Obstetrics and Gynecology of the Department of Professional Education, Head of the Research and Outpatient Department, V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia, 117997, Russia, Moscow,
Ac. Oparin str., 4, +7(926)660-48-77, bayramova@mail.ru, https://orcid.org/0000-0003-4826-661X
Igor I. Baranov, Dr. Med. Sci., Professor, Head of the Scientific and Organizational Department, V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia,
117997, Russia, Moscow, Ac. Oparin str., 4, +7(495)438-94-92, i_baranov@oparina4.ru, https://orcid.org/0000-0002-9813-2823
Elena I. Degtyareva, PhD, Obstetrician-Gynecologist at the Research and Outpatient Department, V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia,
117997, Russia, Moscow, Ac. Oparin str., 4, +7(916)525-84-84, eidegtyareva@gmail.com, https://orcid.org/0000-0002-9813-2823
Natalya A. Ilyasova, Researcher at the Department of International Cooperation, Obstetrician-Gynecologist at the Research and Outpatient Department,
V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia, natalia_ilyasova@mail.ru, 117997, Russia, Moscow, Ac. Oparin str., 4, natalia_ilyasova@mail.ru,
https://orcid.org/0000-0003-0665-3515

Similar Articles

By continuing to use our site, you consent to the processing of cookies that ensure the proper functioning of the site.