EMBRIO: Jurnal Kebidanan . Volume 14. Number 2 ORIGINAL ARTICLE p-ISSN: 2089-8789 e-ISSN: 2714-7886 Effect of Ethanol Extract of Red Beetroot (Beta vulgaris L. ) on the Follicle Stimulating Hormone Levels among Wistar Rats (Rattus norvegicu. Exposed to Cigarette Smoke Intiyaswati1*. Sofyan H Nur2. Ethyca Sari1 1 STIKes William Booth of Surabaya. East Java. Indonesia 2 University of Kuningan. West Java. Indonesia ARTICLE INFORMATION Received: 29. September, 2022 Revised: 29. November 2022 Accepted: 29. November 2022 KEYWORDS Ethanol extract. Red beetroot. FSH level. Rattus Cigarette smoke Ekstrak etanol. Bit merah. Kadar FSH. Rattus Asap rokok CORRESPONDING AUTHOR Intiyaswati STIKes William Booth Surabaya. Indonesia intiyaswati21@gmail. DOI https://doi. org/10. 36456/embrio. A 2022 The Author. A B S T R A C T Ethanol extract of red beetroot (Beta vulgaris L. ) contains chemical compounds of ascorbic acid, carotenoite, phenolic acid, betalain, and Red beetroot supplements can prevent oxidative damage to the structure of DNA, lipids and proteins in vitro. This study aims to prove that the ethanol extract of red beetroot (Beta vulgaris L. ) has an effect on increasing FSH levels among female white rats (Rattus norvegicu. exposed to cigarette smoke. This was an experimental study with the post-test only control group design. The current study involved 25 female rats which were assigned into 5 groups: negative control, positive control, treatment I. II and i. The doses of red beetroot extract used were PI . mg/kgBW/da. PII . mg/kgBW/da. , and Pi . mg/kgBW/da. Data were analyzed using One Way ANOVA with p-value of FSH . = 0. The results of the study proved that administration of red beetroot ethanol extract at a dose of 500 mg/kgBW/day could increase the ovarian FSH levels among female rats exposed to cigarette smoke. Ekstrak etanol bit merah (Beta vulgaris L. ) memiliki kandungan senyawa kimia: asam askorbat, karetenoit, asam fenolik, betalain, serta favonoid. Suplemen bit merah dapat menghindari terjadinya kerusakan oksidatif pada lipid, struktur DNA, dan protein secara in vitro. Tujuan riset ini untuk membuktikan bahwa ekstrak etanol bit merah (Beta vulgaris L. ) memiliki pengaruh terhadap kenaikan kadar FSH pada tikus putih (Rattus norvegicu. betina yang dipapar dengan asap rokok. Desain penelitian eksperimen dengan rancangan post-test only control group design. Riset ini menggunakan 25 ekor tikus betina yang dipisah menjadi 5 kelompok: kelompok kontrol negatif, kontrol positif, perlakuan I. II serta i. Dosis ekstrak bit yang digunakan masing-masing ialah PI . mg/kgBB/har. PII . mg/kgBB/har. Pi . mg/kgBB/har. Analisa data menggunakan One-Way ANOVA dengan p-value FSH . = 0. Hasil riset membuktikan jika pemberian ekstrak etanol bit merah dengan dosis 500 mg/kgBB/hari dapat menambah kadar FSH pada ovarium tikus yang dipapar asap rokok. Introduction One of the bioactives that can be used as an antioxidant to counteract free radicals is betacyanin. Betacyanin is a water-soluble pigment, which gives vegetables, fruits and flowers their purple, blue and red colors. Betacyanin is also a type of polyphenol and is included in a group of flavonoids that contain antioxidants (Ramadhan, 2. A study conducted by Husna . reported that the higher the betacyanin content, the higher the antioxidant effect. Zhao . also revealed that the antioxidant effect on betacyanin from beetroots could increase the expression of antioxidant enzymes (Indu at al. Betacyanin contained in red beetroots is known to have anti-radical effects and high antioxidant activity (Mastuti, et al. , 2. Open acces: jurnal. id/embrio Intiyaswati. Sofyan H Nur. Ethyca Sari . Ethanol extract of red beetroot (Beta vulgaris L. ) contains chemical compounds including ascorbic acid, phenolic acids, carotenoids, betalains, and flavonoids, which also function as antioxidants, anti-cancer, antimicrobial, anti-anaemic, anti-malarial and anti-inflammatory, which have high levels of antioxidant and anti-inflammation both in in vivo and in vitro performed on several animal models. Red beetroot supplements can prevent oxidative damage to the structure of DNA, lipids and proteins in vitro (Clifford et al, 2. Such damange can result in inhibition of GnRH pulses which further cause disturbances in the synthesis and secretion of Luteinizing Hormone (LH) and Follicle Stimulating Hormone (FSH) (Armstrong, 2. Both of these hormones are necessary for the development of male and female gonads and are important for the processes of spermatogenesis and oogenesis. Disruption of the function of the hypothalamus may interfere with endocrine functions, including reproductive hormones, thereby affecting the process of folliculogenesis (Camihort, 2. In this case, infertility is a reproductive health problem that affects 8-10% of reproductive couples in the world. Based on Basic Health Research data . , smoking behavior of the population aged Ou15 years increased from 2007 to 2013, from 34. 2% . , 34. 7% . 3% . Data derived from the National Socioeconomic Survey (Susena. and the Household Health Survey (SKRT) also showed an increase in the prevalence of smokers aged Ou15 years by 27% . , 31. 5% . , and 34. 4% . Based on WHO records, known causes of infertility in women include fallopian tube factor by 36%, ovulation disorders by 33%, endometriosis by 6%, and other unknown factors by 40%. Thus, most infertility problems in women are caused by disorders of the reproductive organs or disturbances in the ovulation process (Kumalasari, 2. This study aims to prove whether the antioxidants found in beetroot can increase FSH levels in the ovarie of female white rats. Methods This was an experimental study with the post-test only control group design. This study was conducted in 3 sites, namely in the Biomedical. Anatomical Pathology and Pharmacology Laboratories. Faculty of Medicine. Brawijaya University. The Pharmacology Laboratory was a site for Rattus norvegicus maintenance and treatments of experimental animals namely administration of ethanol extract of red beetroot (Beta vulgaris L. ), exposure to cigarette smoke, surgery and sampling. Biomedical Laboratory of the Faculty of Medicine was a laboratory for measuring ovarian FSH levels in Rattus norvegicus using the Enzyme Linked Immunosorbent Assay (ELISA) of FSH ELISA Kit brand cusabio catalog number CSB-E06869r produced by the United States. This study involved the samples of 30 female white rats (Rattus norvegicus wistar strai. with a weight of 150 grams, respectively. The cigarettes used were unfiltered clove cigarettes. The tools used were a smoking pump, gastric tube and FSH antibodies. Twenty-five white rats were acclimatized for 7 days to adapt to the new environment, then the rats were examined and assigned into 5 groups, namely the negative control group . o treatmen. , positive control group . xposed to cigarette smoke of 2 cigarretes/day without red beetroot extrac. , treatment I . xposed to cigarette smoke of 2 cigarettes/day along with red beetroot ethanol extract at a dose of 125 mg/kgBW/da. , treatment II . xposed to cigarette smoke of 2 cigarettes/day EMBRIO: Jurnal Kebidanan . Volume 14. Number 2 Intiyaswati. Sofyan H Nur. Ethyca Sari . along with red beetroot ethanol extract at a dose of 250 mg/kgBW/da. , treatment i . xposed to cigarette smoke of 2 cigarettes/day along with red beetroot ethanol extract at a dose of 500 mg/kgBW/da. After being treated for 56 days, the rats were killed and blood serum was taken from the heart and ovarian organs. Data analyzed using the One-Way ANOVA test, and if the difference was significant, data were then proceed with the Least Significant Difference (LSD) test. Table 1. Experimental animal chart Observational Group Negative control Positive control P1 (Beetroot extract of 125 mg/KgBW/da. P2 (Beetroot extract of 250 mg/KgBW/da. P3 (Beetroot extract of 500 mg/KgBW/da. Results Table 2. Effects of exposure to cigarette smoke on FSH levels in rat ovaries Observational group Mean A SD negative control 23A8. 42a ng/mL positive control 07A2. 26b ng/mL P1 (Beetroot extract of 125 mg/KgBW/da. 80A7. 46c ng/mL P2 (Beetroot extract of 250 mg/KgBW/da. 85A4. 30c ng/mL P3 (Beetroot extract of 500 mg/KgBW/da. 82A9. 14d ng/mL P-value 000