Objective: To determine whether impairment of the antioxidant systems of pe
ritoneal fluid might be a factor responsible for infertility. Study design:
Total antioxidant status was: measured in peritoneal fluid obtained from 1
8 infertile women suffering from minimal or mild endometriosis, 23 patients
with unexplained infertility, 12 women with tubal infertility and 13 ferti
le women. Results: Total antioxidant status was significantly lower in peri
toneal fluid from women with unexplained infertility (0.49+/-0.21 mmol/l) c
ompared to both fertile patients (0.67+/-0.24 mmol/l. P=0.02) and women wit
h tubal infertility (0.76+/-0.36 mmol/l, P=0.001). Peritoneal fluid total a
ntioxidant status did not differ significantly between patients with endome
triosis (0.61 +/- 0.2 mmol/l), tubal infertility and the fertile group (P>0
.05). Conclusions: Our results suggest that low antioxidant status in perit
oneal fluid may play a role in the pathogenesis of infertility. (C) 2001 El
sevier Science Ireland Ltd. All rights reserved.