Background: Oocytes are susceptible to alterations in the various fatty acid contents of follicular fluid (FF), which may influence maturation and embryogenesis. Different fatty acids exert various effects on intracytoplasmic sperm injection (ICSI), which needs further studies to uncover the involved mechanisms. Objectives: To assess FF fatty acids in women undergoing ICSI and to correlate them with ICSI parameters, namely the total count of aspirated oocytes, oocyte maturation rate, fertilization rate and percentage of good-quality embryos. Methods: Fifty women undergoing ICSI were enrolled in this cross-sectional study. FF samples were collected during oocyte retrieval and were analyzed for fatty acids using gas chromatography. Fatty acids were calculated as percentages of the total fatty acids. Results: The most common fatty acids found in the FF of women who underwent ICSI were palmitic acid, stearic acid, and oleic acid, with median (interquartile range) of 58.61%(21.66%), 26.27%(14.31%), and 20.13%(31.05%), respectively. Palmitic acid correlated inversely and significantly with oocyte maturation rate, fertilization rate, and percentage of good-quality embryos, with p=0.003, 0.037, and 0.028, respectively. Stearic acid correlated negatively and significantly with oocyte maturation rate (p=0.037) and fertilization rate (p=0.041). Furthermore, an inversely significant correlation was noticed between propionic acid and the percentage of good-quality embryos, as indicated by p=0.014. Conclusions: Palmitic, stearic, and propionic acids in the FF might influence ICSI parameters; thus, they might be used as markers of oocyte developmental competence. Nevertheless, further research is warranted.
