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Writer's pictureDr. H. Singh, ND

A Poorly Diagnosed Condition that can Sabotage IVF Outcomes and Affect Risk for Miscarriages



For many Patients, the path to conception can feel like an uphill journey. When conventional medical approaches fall short of answers, deeper assessment into genetic and metabolic factors can often provide new clarity and solutions. One such critical factor is the MTHFR gene mutation, a little-known but impactful player in fertility challenges.


What Is the MTHFR Gene and Why Does It Matter?


The MTHFR (methylenetetrahydrofolate reductase) gene codes for an enzyme responsible for converting folate (vitamin B9) into its bioactive form, methylfolate. This form is essential for critical body processes, including DNA synthesis and repair, detoxification, and reducing homocysteine—a toxic amino acid linked to numerous health issues when elevated.

Mutations in the MTHFR gene can reduce the activity of this enzyme by 30-70%, depending on the type of mutation. This diminished activity can lead to disruptions in vital biochemical pathways, impacting reproductive health in significant ways.


MTHFR and Reproductive Health


Newer research has linked MTHFR gene mutations to several fertility-related conditions, including:


  • Premature ovarian insufficiency

  • Recurrent pregnancy loss

  • Recurrent implantation failure


Additionally, a recent study highlighted the association between MTHFR mutations and reduced follicle maturation during IVF, as well as fewer high-quality embryos.

The metabolic demands of IVF can intensify the effects of MTHFR mutations. Unlike natural conception, IVF stimulates rapid follicle growth, placing additional strain on ovarian cells. This means that women with MTHFR mutations may face unique challenges during IVF that require specialized care.


How MTHFR Mutations Impact Fertility


MTHFR mutations influence fertility through multiple mechanisms, including:


  • Homocysteine Regulation: Elevated homocysteine levels can impair blood flow to reproductive organs, disrupt embryo implantation, and increase pregnancy risks.

  • Glutathione Antioxidant Support: MTHFR impacts glutathione production, a critical antioxidant that protects eggs and embryos from oxidative stress.

  • Protein Synthesis and Iron Regulation: Disruptions in these processes can hinder ovarian function and egg quality.


Why Personalized Fertility Care Is Essential


Your body is unique, and your fertility journey deserves a personalized approach. If you have or suspect an MTHFR mutation, addressing it through targeted interventions, including the right type of folate supplementation, can make a significant difference. For example, research suggests that consuming certain forms of folate over others may improve outcomes in IVF and natural conception.


By tailoring treatment plans to your specific genetic and metabolic profile, we can optimize your fertility potential and support your path to a healthy pregnancy.


Take the First Step Today


If you’ve been struggling to conceive or have experienced challenges with IVF, it’s time to explore the bigger picture. A personalized treatment plan can help address the root causes of your fertility challenges.


Dr. Singh, ND is dedicated to offering compassionate, evidence-based care for those navigating infertility. Our expert team is here to guide you, providing the personalized support you need to feel empowered and hopeful in your journey to parenthood. Let’s work together to uncover the answers and create a path forward.


Disclaimer: This blog is for informational purposes only and should not be taken as medical advice. Always consult with your Naturopathic Doctor before starting any new supplement, especially during fertility treatments like IVF.

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