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EDITORIAL

Association between uric acid to high-density lipoprotein cholesterol ratio and infertility risk: evidence from a cross-sectional study

Huijuan Ni A and Cuiping Cao https://orcid.org/0009-0005-6357-9050 A *
+ Author Affiliations
- Author Affiliations

A Department of Gynaecology, Shaoxing Central Hospital, Shaoxing, Zhejiang 312000, China.

* Correspondence to: 15988218113@163.com

Handling Editor: Huachun Zou

Sexual Health 22, SH24241 https://doi.org/10.1071/SH24241
Submitted: 13 December 2024  Accepted: 4 July 2025  Published: 28 July 2025

© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing

Abstract

This study explores the relationship between uric acid to high-density lipoprotein cholesterol ratio (UHR) and female infertility using data from 5814 participants in the National Health and Nutrition Examination Survey database. Multivariable logistic regression models were used to assess the association while adjusting for potential confounders. The findings revealed a significant positive correlation between UHR and infertility risk, suggesting that higher UHR levels may contribute to an increased likelihood of infertility. A dose-response relationship was observed, further supporting the robustness of the association. Additionally, subgroup analyses were conducted to examine potential heterogeneity across different populations, and the results remained consistent, reinforcing the reliability of our conclusions. While the study provides valuable insights into the potential role of UHR in female reproductive health, the cross-sectional design limits causal inference. Future longitudinal studies are needed to confirm these findings and explore the underlying mechanisms.

Keywords: cross-sectional study, dose-response relationship, infertility risk, logistic regression analysis, metabolic dysfunction, NHANES database, subgroup analysis, uric acid to high-density lipoprotein cholesterol ratio (UHR).

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