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The role of vitamin D in the functioning of the human reproductive system

https://doi.org/10.21886/2219-8075-2026-17-3-15-20

Abstract

This article provides a scientific literature review devoted to an issue: the role of vitamin D in the functioning of the human reproductive system. The data analysis was based on original foreign and domestic studies, systematic reviews, and meta-analyses (“CyberLeninka”, “Web of Science”, “Сochrane Library”, “PubMed”) mostly from 2020 to 2025 by the following keywords: “D-status”, “vitamin D”, “IVF”, “fertility”, “reproductive system”. In the process of analyzing the literature, most authors point to the relationship between a decrease in fertility rates, the development of obstetric and gynecological diseases and the level of vitamin D (25(OH)D). However, there is also controversial research data indicating the absence of this relationship due to the heterogeneity of data on initial vitamin D levels, dosages, climatic and national characteristics. This review systematizes current data on the key role of vitamin D in male and female reproductive health. The mechanisms of its influence on the female reproductive system are described, such as folliculogenesis, endometrial receptivity, immune mechanisms of embryo implantation and male spermatogenesis, steroidogenesis.

About the Authors

A. G. Bochkarnikova
Center for Family Health and Reproduction “Krasnaya Gorka”
Russian Federation

Asmiс G. Bochkarnikova, obstetrician-gynecologist, reproductologist of the ART department

Kemerovo


Competing Interests:

Authors declares no conflict of interest



A. G. Trishkin
Center for Family Health and Reproduction “Krasnaya Gorka”
Russian Federation

Alexey G. Trishkin, Dr. Sci. (Med.), Deputy Chief Physician of obstetrics and gynecology, assisted reproductive technology

Kemerovo


Competing Interests:

Authors declares no conflict of interest



D. D. Lysenko
Center for Family Health and Reproduction “Krasnaya Gorka”
Russian Federation

Daniil D. Lysenko, obstetrician-gynecologist of the ART department

Kemerovo


Competing Interests:

Authors declares no conflict of interest



References

1. Rodríguez-Rivero M, Medina MÁ. Vitamin D as a Systemic Regulatory Axis: From Homeostasis to Multiorgan Disease. Biomedicines. 2025;13(11):2733. https://doi.org/10.3390/biomedicines13112733

2. Safari H, Hajian M, Tanhaeivash N, Razi M, Drevet JR, Nasr-Esfahani MH. Consequences of vitamin D deficiency or overdosage on follicular development and steroidogenesis in Normo and hypo calcemic mouse models. Sci Rep. 2025;15(1):14278. https://doi.org/10.1038/s41598-025-99437-3

3. Yao M, Oduro PK, Akintibu AM, Yan H. Modulation of the vitamin D receptor by traditional Chinese medicines and bioactive compounds: potential therapeutic applications in VDR-dependent diseases. Front Pharmacol. 2024;15:1298181. https://doi.org/10.3389/fphar.2024.1298181

4. Amrein K, Scherkl M, Hoffmann M, Neuwersch-Sommeregger S, Köstenberger M, et al. Vitamin D deficiency 2.0: an update on the current status worldwide. Eur J Clin Nutr. 2020;74(11):1498-1513. https://doi.org/10.1038/s41430-020-0558-y

5. Moradkhani A, Azami M, Assadi S, Ghaderi M, Azarnezhad A, Moradi Y. Association of vitamin D receptor genetic polymorphisms with the risk of infertility: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2024;24(1):398. https://doi.org/10.1186/s12884-024-06590-0

6. Charoenngam N, Holick MF. Immunologic Effects of Vitamin D on Human Health and Disease. Nutrients. 2020;12(7):2097. https://doi.org/10.3390/nu12072097

7. Dragomir RE, Toader OD, Gheoca Mutu DE, Stănculescu RV. The Key Role of Vitamin D in Female Reproductive Health: A Narrative Review. Cureus. 2024;16(7):e65560. https://doi.org/10.7759/cureus.65560

8. Meng X, Zhang J, Wan Q, Huang J, Han T, et al. Influence of Vitamin D supplementation on reproductive outcomes of infertile patients: a systematic review and meta-analysis. Reprod Biol Endocrinol. 2023;21(1):17. https://doi.org/10.1186/s12958-023-01068-8

9. Tania C, Tobing ERPL, Tansol C, Prasetiyo PD, Wallad CK, Hariyanto TI. Vitamin D supplementation for improving sperm parameters in infertile men: A systematic review and meta-analysis of randomized clinical trials. Arab J Urol. 2023;21(4):204-212. https://doi.org/10.1080/2090598X.2023.2165232

10. Adamczewska D, Słowikowska-Hilczer J, Walczak-Jędrzejowska R. The Association between Vitamin D and the Components of Male Fertility: A Systematic Review. Biomedicines. 2022;11(1):90. https://doi.org/10.3390/biomedicines11010090

11. Cui A, Zhang T, Xiao P, Fan Z, Wang H, Zhuang Y. Global and regional prevalence of vitamin D deficiency in population-based studies from 2000 to 2022: A pooled analysis of 7.9 million participants. Front Nutr. 2023;10:1070808. https://doi.org/10.3389/fnut.2023.1070808

12. Jiang Z, Pu R, Li N, Chen C, Li J, et al. High prevalence of vitamin D deficiency in Asia: A systematic review and meta-analysis. Crit Rev Food Sci Nutr. 2023;63(19):3602-3611. https://doi.org/10.1080/10408398.2021.1990850

13. Smirnova DV, Rehm CD, Fritz RD, Kutepova IS, Soshina MS, Berezhnaya YA. Vitamin D status of the Russian adult population from 2013 to 2018. Sci Rep. 2022;12(1):16604. https://doi.org/10.1038/s41598-022-21221-4

14. Platonova N.M., Rybakova A.A., Nikankina L.V., Malysheva N.M., Andreeva E.N., et al. Vitamin D and pregnancy: current state of the problem in the central regions of the Russian Federation. Problems of Endocrinology. 2020;66(6):81-87. (In Russ.) https://doi.org/10.14341/probl12693

15. Avdeeva V.A., Suplotova L.A., Pigarova E.A., Rozhinskaya L.Y., Troshina E.A. Vitamin D deficiency in Russia: the first results of a registered, non-interventional study of the frequency of vitamin D deficiency and insufficiency in various geographic regions of the country. Problems of Endocrinology. 2021;67(2):84-92. (In Russ.) https://doi.org/10.14341/probl12736

16. Chen H, Wang Q, Zhang Y, Shangguan L, Zhu Z, et al. Loss of vitamin D receptor induces premature ovarian insufficiency through compromising the 7-dehydrocholesterol-dependent anti-aging effects. Front Cell Dev Biol. 2025;13:1545167. https://doi.org/10.3389/fcell.2025.1545167

17. Mohan A, Haider R, Fakhor H, Hina F, Kumar V, et al. Vitamin D and polycystic ovary syndrome (PCOS): a review. Ann Med Surg (Lond). 2023;85(7):3506-3511. https://doi.org/10.1097/MS9.0000000000000879

18. Farhangnia P, Noormohammadi M, Delbandi AA. Vitamin D and reproductive disorders: a comprehensive review with a focus on endometriosis. Reprod Health. 2024;21(1):61. https://doi.org/10.1186/s12978-024-01797-y

19. Eller ABP, Ejzenberg D, Monteleone PAA, Soares JM Jr, Baracat EC. Vitamin D and in vitro fertilization: a systematic review. J Assist Reprod Genet. 2023;40(4):735-743. https://doi.org/10.1007/s10815-023-02767-2

20. Cito G, Cocci A, Micelli E, Gabutti A, Russo GI, et al. Vitamin D and Male Fertility: An Updated Review. World J Mens Health. 2020;38(2):164-177. https://doi.org/10.5534/wjmh.190057

21. Bratchikov O.I., Tyuzikov I.A., Grekov E.A., Smirnov A.V. Alternative non-hormonal methods of correction of male hypogonadism from the standpoint of evidence-based medicine (literature review). Andrology and Genital Surgery. 2024;25(4):15-26. (In Russ.) https://doi.org/10.62968/2070-9781-2024-25-4-15-26

22. Santos HO, Howell S, Nichols K, Teixeira FJ. Reviewing the Evidence on Vitamin D Supplementation in the Management of Testosterone Status and Its Effects on Male Reproductive System (Testis and Prostate): Mechanistically Dazzling but Clinically Disappointing. Clin Ther. 2020;42(6):e101-e114. https://doi.org/10.1016/j.clinthera.2020.03.016

23. Damas-Fuentes M, Boughanem H, Molina-Vega M, Tinahones FJ, Fernández-García JC, Macías-González M. 25-hydroxyvitamin D and testosterone levels association through body mass index: A cross-sectional study of young men with obesity. Front Endocrinol (Lausanne). 2022;13:960222. https://doi.org/10.3389/fendo.2022.960222

24. Jueraitetibaike K, Ding Z, Wang DD, Peng LP, Jing J, et al. The effect of vitamin D on sperm motility and the underlying mechanism. Asian J Androl. 2019;21(4):400-407. https://doi.org/10.4103/aja.aja_105_18

25. Calagna G, Catinella V, Polito S, Schiattarella A, De Franciscis P, D'Antonio F, Calì G, Perino A, Cucinella G. Vitamin D and Male Reproduction: Updated Evidence Based on Literature Review. Nutrients. 2022;14(16):3278. https://doi.org/10.3390/nu14163278

26. Shilpasree AS, Kulkarni VB, Shetty P, Bargale A, Goni M, et al. Induction of Endometrial HOXA 10 Gene Expression by Vitamin D and its Possible Influence on Reproductive Outcome of PCOS Patients Undergoing Ovulation Induction Procedure. Indian J Endocrinol Metab. 2022;26(3):252-258. https://doi.org/10.4103/ijem.ijem_90_22

27. Baldini GM, Russo M, Proietti S, Forte G, Baldini D, Trojano G. Supplementation with vitamin D improves the embryo quality in in vitro fertilization (IVF) programs, independently of the patients' basal vitamin D status. Arch Gynecol Obstet. 2024;309(6):2881-2890. Erratum in: Arch Gynecol Obstet. 2024;309(6):2963. https://doi.org/10.1007/s00404-024-07473-7

28. Yoshida N, Takaki K, Tanaka A, Tanaka S. Vitamin D3 regulates HAND2 expression in endometrial stromal cell decidualization. International Journal of Functional Nutrition. 2024;5(1):7. https://doi.org/10.3892/ijfn.2024.41

29. Schröder-Heurich B, Springer CJP, von Versen-Höynck F. Vitamin D Effects on the Immune System from Periconception through Pregnancy. Nutrients. 2020;12(5):1432. https://doi.org/10.3390/nu12051432

30. Chien MC, Huang CY, Wang JH, Shih CL, Wu P. Effects of vitamin D in pregnancy on maternal and offspring health-related outcomes: An umbrella review of systematic review and meta-analyses. Nutr Diabetes. 2024;14(1):35. https://doi.org/10.1038/s41387-024-00296-0

31. Cyprian F, Lefkou E, Varoudi K, Girardi G. Immunomodulatory Effects of Vitamin D in Pregnancy and Beyond. Front Immunol. 2019;10:2739. https://doi.org/10.3389/fimmu.2019.02739

32. Ghanavatinejad A, Rashidi N, Mirahmadian M, Rezania S, Mosalaei M, et al. Vitamin D3 Controls TLR4- and TLR2-Mediated Inflammatory Responses of Endometrial Cells. Gynecol Obstet Invest. 2021;86(1-2):139-148. https://doi.org/10.1159/000513590

33. Ribeiro VR, Romao-Veiga M, Nunes PR, Matias ML, Peracoli JC, Peracoli MTS. Vitamin D modulates the transcription factors of T cell subsets to anti-inflammatory and regulatory profiles in preeclampsia. Int Immunopharmacol. 2021;101(Pt B):108366. https://doi.org/10.1016/j.intimp.2021.108366

34. Gallo S, McDermid JM, Al-Nimr RI, Hakeem R, Moreschi JM, et al. Vitamin D Supplementation during Pregnancy: An Evidence Analysis Center Systematic Review and Meta-Analysis. J Acad Nutr Diet. 2020;120(5):898-924.e4. https://doi.org/10.1016/j.jand.2019.07.002

35. Jiang S, Chen Z, Li L. Assessing vitamin D's impact on pregnancy success: a predictive model for assisted reproductive technology outcomes. Front Reprod Health. 2025;7:1510484. https://doi.org/10.3389/frph.2025.1510484

36. Wang K, Dong F, Ma S, Bu Z. The association between Vitamin D deficiency and clinical pregnancy rate in IVF patients with different age. Front Endocrinol (Lausanne). 2025;15:1485238. https://doi.org/10.3389/fendo.2024.1485238

37. Guo J, Liu S, Wang P, Ren H, Li Y. Characterization of VDR and CYP27B1 expression in the endometrium during the menstrual cycle before embryo transfer: implications for endometrial receptivity. Reprod Biol Endocrinol. 2020;18:24. https://doi.org/10.1186/s12958-020-00579-y

38. Ko JKY, Lam MT, Lam KKW, Chan TO, Li RHW, Ng EHY. Association of serum vitamin D level and live birth rate in women undergoing frozen embryo transfer-a retrospective cohort study. J Assist Reprod Genet. 2025;42(2):509-523. https://doi.org/10.1007/s10815-024-03326-z

39. Tian M, Zeng S, Cai S, Reichetzeder C, Zhang X, et al. 25(OH)VitD and human endocrine and functional fertility parameters in women undergoing IVF/ICSI. Front Endocrinol (Lausanne). 2022;13:986848. https://doi.org/10.3389/fendo.2022.986848


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Bochkarnikova A.G., Trishkin A.G., Lysenko D.D. The role of vitamin D in the functioning of the human reproductive system. Medical Herald of the South of Russia. 2026;17(3):15-20. (In Russ.) https://doi.org/10.21886/2219-8075-2026-17-3-15-20

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