Influence of a hyaluronan-binding system for sperm selection in intracytoplasmic sperm injection cycles on embryo morphokinetic parameters and in vitro fertilization cycle outcomes
Purpose Although the impact of the paternal contribution to embryo quality and blastocyst formation is a well-known phenomenon, the current literature provides insufficient evidence that hyaluronan-binding sperm selection methods improve assisted reproductive treatment outcomes. Thus, we compared th...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2023-05, Vol.307 (5), p.1633-1639 |
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| creator | Emirdar, Volkan Karatasli, Volkan Tamer, Burcu Pala, Ibrahim Gunturkun, Fatma Ozbaykus, Canberk Işık, Ahmet Zeki Gode, Funda |
| description | Purpose
Although the impact of the paternal contribution to embryo quality and blastocyst formation is a well-known phenomenon, the current literature provides insufficient evidence that hyaluronan-binding sperm selection methods improve assisted reproductive treatment outcomes. Thus, we compared the cycle outcomes of morphologically selected intracytoplasmic sperm injection (ICSI) with hyaluronan binding physiological intracytoplasmic sperm injection (PICSI) cycles.
Methods
A total of 2415 ICSI and 400 PICSI procedures of 1630 patients who underwent in vitro fertilization cycles using a time-lapse monitoring system between 2014 and 2018 were analyzed retrospectively. Fertilization rate, embryo quality, clinical pregnancy rate, biochemical pregnancy rate and miscarriage rate were evaluated, differences in morphokinetic parameters and cycle outcomes were compared.
Results
In total, 85.8 and 14.2% of the whole cohort were fertilized with standard ICSI and PICSI, respectively. The proportion of fertilized oocytes did not significantly differ between groups (74.53 ± 1.33 vs. 72.92 ± 2.64,
p
> 0.05). Similarly, the proportion of good-quality embryos according to the time-lapse parameters and the clinical pregnancy rate did not significantly differ between groups (71.93 ± 4.21 vs. 71.33 ± 2.64,
p
> 0.05 and 45.55 ± 2.91 vs. 44.96 ± 1.25,
p
> 0.05). No statistically significant differences were found between groups in clinical pregnancy rates (45.55 ± 2.91 vs. 44.96 ± 1.25,
p
> 0.05). Biochemical pregnancy rates (11.24 ± 2.12 vs. 10.85 ± 1.83,
p
> 0.05) and miscarriage rates (24.89 ± 3.74 vs. 27.91 ± 4.91,
p
> 0.05) were not significantly different between groups.
Conclusion
The effects of the PICSI procedure on fertilization rate, biochemical pregnancy rate, miscarriage rate, embryo quality, and clinical pregnancy outcomes were not superior. The effect of the PICSI procedure on embryo morphokinetics was not apparent when all parameters were considered. |
| doi_str_mv | 10.1007/s00404-023-06992-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2785199123</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2802170789</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-6acd1c77c91836a112c10a58fdb66c29a7d14a399cfc0232665e649037e5223e3</originalsourceid><addsrcrecordid>eNp9kcuKFDEUhoMozkVfwIUE3LgpzaU6qSxl8DIw4EbXIZ06NZM2lzJJCdXPNQ9o2m4dcSEEciDf-c4hP0IvKHlDCZFvCyE96TvCeEeEUqzbP0LntOesI5LSx3_VZ-iilB0hlA2DeIrOuBgUE6Q_R_fXcfILRAs4Tdjgu9X4JadoYrd1cXTxFpe1VAh4ShmXGXLABTzY6lLE7nBqNnatafamBGdPjIu7E2NX66HgVkHY5jXhkPJ8l765CLXhs8kmQIVcsInjwfjD1ZzwBLk67_bmQYLTUm0KUJ6hJ5PxBZ6f7kv09cP7L1efupvPH6-v3t10ljNRO2HsSK2UVtGBC0Mps5SYzTCNWyEsU0aOtDdcKTvZ9olMiA2IXhEuYcMYB36JXh-9c07fFyhVB1cseG8ipKVoJocNVYoy3tBX_6C7tOTYttNsIIxKIgfVKHakbE6lZJj0nF0wedWU6EOm-pipbuvoX5nqfWt6eVIv2wDjn5bfITaAH4HSnuIt5IfZ_9H-BGv6sdo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2802170789</pqid></control><display><type>article</type><title>Influence of a hyaluronan-binding system for sperm selection in intracytoplasmic sperm injection cycles on embryo morphokinetic parameters and in vitro fertilization cycle outcomes</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Emirdar, Volkan ; Karatasli, Volkan ; Tamer, Burcu ; Pala, Ibrahim ; Gunturkun, Fatma ; Ozbaykus, Canberk ; Işık, Ahmet Zeki ; Gode, Funda</creator><creatorcontrib>Emirdar, Volkan ; Karatasli, Volkan ; Tamer, Burcu ; Pala, Ibrahim ; Gunturkun, Fatma ; Ozbaykus, Canberk ; Işık, Ahmet Zeki ; Gode, Funda</creatorcontrib><description>Purpose
Although the impact of the paternal contribution to embryo quality and blastocyst formation is a well-known phenomenon, the current literature provides insufficient evidence that hyaluronan-binding sperm selection methods improve assisted reproductive treatment outcomes. Thus, we compared the cycle outcomes of morphologically selected intracytoplasmic sperm injection (ICSI) with hyaluronan binding physiological intracytoplasmic sperm injection (PICSI) cycles.
Methods
A total of 2415 ICSI and 400 PICSI procedures of 1630 patients who underwent in vitro fertilization cycles using a time-lapse monitoring system between 2014 and 2018 were analyzed retrospectively. Fertilization rate, embryo quality, clinical pregnancy rate, biochemical pregnancy rate and miscarriage rate were evaluated, differences in morphokinetic parameters and cycle outcomes were compared.
Results
In total, 85.8 and 14.2% of the whole cohort were fertilized with standard ICSI and PICSI, respectively. The proportion of fertilized oocytes did not significantly differ between groups (74.53 ± 1.33 vs. 72.92 ± 2.64,
p
> 0.05). Similarly, the proportion of good-quality embryos according to the time-lapse parameters and the clinical pregnancy rate did not significantly differ between groups (71.93 ± 4.21 vs. 71.33 ± 2.64,
p
> 0.05 and 45.55 ± 2.91 vs. 44.96 ± 1.25,
p
> 0.05). No statistically significant differences were found between groups in clinical pregnancy rates (45.55 ± 2.91 vs. 44.96 ± 1.25,
p
> 0.05). Biochemical pregnancy rates (11.24 ± 2.12 vs. 10.85 ± 1.83,
p
> 0.05) and miscarriage rates (24.89 ± 3.74 vs. 27.91 ± 4.91,
p
> 0.05) were not significantly different between groups.
Conclusion
The effects of the PICSI procedure on fertilization rate, biochemical pregnancy rate, miscarriage rate, embryo quality, and clinical pregnancy outcomes were not superior. The effect of the PICSI procedure on embryo morphokinetics was not apparent when all parameters were considered.</description><identifier>ISSN: 1432-0711</identifier><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-023-06992-z</identifier><identifier>PMID: 36892604</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abortion, Spontaneous ; Embryos ; Endocrinology ; Female ; Fertilization in Vitro - methods ; Gynecologic Endocrinology and Reproductive Medicine ; Gynecology ; Human Genetics ; Humans ; Hyaluronic Acid ; In vitro fertilization ; Male ; Medicine ; Medicine & Public Health ; Obstetrics/Perinatology/Midwifery ; Pregnancy ; Pregnancy Rate ; Retrospective Studies ; Semen ; Sperm ; Sperm Injections, Intracytoplasmic - methods ; Spermatozoa - metabolism</subject><ispartof>Archives of gynecology and obstetrics, 2023-05, Vol.307 (5), p.1633-1639</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-6acd1c77c91836a112c10a58fdb66c29a7d14a399cfc0232665e649037e5223e3</cites><orcidid>0000-0002-4717-2665 ; 0000-0002-0948-0413 ; 0000-0003-4973-2563 ; 0000-0002-4015-6494 ; 0000-0003-0020-4727 ; 0000-0002-9371-6942 ; 0000-0001-8530-2128 ; 0000-0001-8038-0629</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-023-06992-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-023-06992-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27928,27929,41492,42561,51323</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36892604$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Emirdar, Volkan</creatorcontrib><creatorcontrib>Karatasli, Volkan</creatorcontrib><creatorcontrib>Tamer, Burcu</creatorcontrib><creatorcontrib>Pala, Ibrahim</creatorcontrib><creatorcontrib>Gunturkun, Fatma</creatorcontrib><creatorcontrib>Ozbaykus, Canberk</creatorcontrib><creatorcontrib>Işık, Ahmet Zeki</creatorcontrib><creatorcontrib>Gode, Funda</creatorcontrib><title>Influence of a hyaluronan-binding system for sperm selection in intracytoplasmic sperm injection cycles on embryo morphokinetic parameters and in vitro fertilization cycle outcomes</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Purpose
Although the impact of the paternal contribution to embryo quality and blastocyst formation is a well-known phenomenon, the current literature provides insufficient evidence that hyaluronan-binding sperm selection methods improve assisted reproductive treatment outcomes. Thus, we compared the cycle outcomes of morphologically selected intracytoplasmic sperm injection (ICSI) with hyaluronan binding physiological intracytoplasmic sperm injection (PICSI) cycles.
Methods
A total of 2415 ICSI and 400 PICSI procedures of 1630 patients who underwent in vitro fertilization cycles using a time-lapse monitoring system between 2014 and 2018 were analyzed retrospectively. Fertilization rate, embryo quality, clinical pregnancy rate, biochemical pregnancy rate and miscarriage rate were evaluated, differences in morphokinetic parameters and cycle outcomes were compared.
Results
In total, 85.8 and 14.2% of the whole cohort were fertilized with standard ICSI and PICSI, respectively. The proportion of fertilized oocytes did not significantly differ between groups (74.53 ± 1.33 vs. 72.92 ± 2.64,
p
> 0.05). Similarly, the proportion of good-quality embryos according to the time-lapse parameters and the clinical pregnancy rate did not significantly differ between groups (71.93 ± 4.21 vs. 71.33 ± 2.64,
p
> 0.05 and 45.55 ± 2.91 vs. 44.96 ± 1.25,
p
> 0.05). No statistically significant differences were found between groups in clinical pregnancy rates (45.55 ± 2.91 vs. 44.96 ± 1.25,
p
> 0.05). Biochemical pregnancy rates (11.24 ± 2.12 vs. 10.85 ± 1.83,
p
> 0.05) and miscarriage rates (24.89 ± 3.74 vs. 27.91 ± 4.91,
p
> 0.05) were not significantly different between groups.
Conclusion
The effects of the PICSI procedure on fertilization rate, biochemical pregnancy rate, miscarriage rate, embryo quality, and clinical pregnancy outcomes were not superior. The effect of the PICSI procedure on embryo morphokinetics was not apparent when all parameters were considered.</description><subject>Abortion, Spontaneous</subject><subject>Embryos</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Fertilization in Vitro - methods</subject><subject>Gynecologic Endocrinology and Reproductive Medicine</subject><subject>Gynecology</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Hyaluronic Acid</subject><subject>In vitro fertilization</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Pregnancy</subject><subject>Pregnancy Rate</subject><subject>Retrospective Studies</subject><subject>Semen</subject><subject>Sperm</subject><subject>Sperm Injections, Intracytoplasmic - methods</subject><subject>Spermatozoa - metabolism</subject><issn>1432-0711</issn><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kcuKFDEUhoMozkVfwIUE3LgpzaU6qSxl8DIw4EbXIZ06NZM2lzJJCdXPNQ9o2m4dcSEEciDf-c4hP0IvKHlDCZFvCyE96TvCeEeEUqzbP0LntOesI5LSx3_VZ-iilB0hlA2DeIrOuBgUE6Q_R_fXcfILRAs4Tdjgu9X4JadoYrd1cXTxFpe1VAh4ShmXGXLABTzY6lLE7nBqNnatafamBGdPjIu7E2NX66HgVkHY5jXhkPJ8l765CLXhs8kmQIVcsInjwfjD1ZzwBLk67_bmQYLTUm0KUJ6hJ5PxBZ6f7kv09cP7L1efupvPH6-v3t10ljNRO2HsSK2UVtGBC0Mps5SYzTCNWyEsU0aOtDdcKTvZ9olMiA2IXhEuYcMYB36JXh-9c07fFyhVB1cseG8ipKVoJocNVYoy3tBX_6C7tOTYttNsIIxKIgfVKHakbE6lZJj0nF0wedWU6EOm-pipbuvoX5nqfWt6eVIv2wDjn5bfITaAH4HSnuIt5IfZ_9H-BGv6sdo</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>Emirdar, Volkan</creator><creator>Karatasli, Volkan</creator><creator>Tamer, Burcu</creator><creator>Pala, Ibrahim</creator><creator>Gunturkun, Fatma</creator><creator>Ozbaykus, Canberk</creator><creator>Işık, Ahmet Zeki</creator><creator>Gode, Funda</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4717-2665</orcidid><orcidid>https://orcid.org/0000-0002-0948-0413</orcidid><orcidid>https://orcid.org/0000-0003-4973-2563</orcidid><orcidid>https://orcid.org/0000-0002-4015-6494</orcidid><orcidid>https://orcid.org/0000-0003-0020-4727</orcidid><orcidid>https://orcid.org/0000-0002-9371-6942</orcidid><orcidid>https://orcid.org/0000-0001-8530-2128</orcidid><orcidid>https://orcid.org/0000-0001-8038-0629</orcidid></search><sort><creationdate>20230501</creationdate><title>Influence of a hyaluronan-binding system for sperm selection in intracytoplasmic sperm injection cycles on embryo morphokinetic parameters and in vitro fertilization cycle outcomes</title><author>Emirdar, Volkan ; Karatasli, Volkan ; Tamer, Burcu ; Pala, Ibrahim ; Gunturkun, Fatma ; Ozbaykus, Canberk ; Işık, Ahmet Zeki ; Gode, Funda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-6acd1c77c91836a112c10a58fdb66c29a7d14a399cfc0232665e649037e5223e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abortion, Spontaneous</topic><topic>Embryos</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Fertilization in Vitro - methods</topic><topic>Gynecologic Endocrinology and Reproductive Medicine</topic><topic>Gynecology</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Hyaluronic Acid</topic><topic>In vitro fertilization</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Pregnancy</topic><topic>Pregnancy Rate</topic><topic>Retrospective Studies</topic><topic>Semen</topic><topic>Sperm</topic><topic>Sperm Injections, Intracytoplasmic - methods</topic><topic>Spermatozoa - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Emirdar, Volkan</creatorcontrib><creatorcontrib>Karatasli, Volkan</creatorcontrib><creatorcontrib>Tamer, Burcu</creatorcontrib><creatorcontrib>Pala, Ibrahim</creatorcontrib><creatorcontrib>Gunturkun, Fatma</creatorcontrib><creatorcontrib>Ozbaykus, Canberk</creatorcontrib><creatorcontrib>Işık, Ahmet Zeki</creatorcontrib><creatorcontrib>Gode, Funda</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Emirdar, Volkan</au><au>Karatasli, Volkan</au><au>Tamer, Burcu</au><au>Pala, Ibrahim</au><au>Gunturkun, Fatma</au><au>Ozbaykus, Canberk</au><au>Işık, Ahmet Zeki</au><au>Gode, Funda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of a hyaluronan-binding system for sperm selection in intracytoplasmic sperm injection cycles on embryo morphokinetic parameters and in vitro fertilization cycle outcomes</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2023-05-01</date><risdate>2023</risdate><volume>307</volume><issue>5</issue><spage>1633</spage><epage>1639</epage><pages>1633-1639</pages><issn>1432-0711</issn><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Purpose
Although the impact of the paternal contribution to embryo quality and blastocyst formation is a well-known phenomenon, the current literature provides insufficient evidence that hyaluronan-binding sperm selection methods improve assisted reproductive treatment outcomes. Thus, we compared the cycle outcomes of morphologically selected intracytoplasmic sperm injection (ICSI) with hyaluronan binding physiological intracytoplasmic sperm injection (PICSI) cycles.
Methods
A total of 2415 ICSI and 400 PICSI procedures of 1630 patients who underwent in vitro fertilization cycles using a time-lapse monitoring system between 2014 and 2018 were analyzed retrospectively. Fertilization rate, embryo quality, clinical pregnancy rate, biochemical pregnancy rate and miscarriage rate were evaluated, differences in morphokinetic parameters and cycle outcomes were compared.
Results
In total, 85.8 and 14.2% of the whole cohort were fertilized with standard ICSI and PICSI, respectively. The proportion of fertilized oocytes did not significantly differ between groups (74.53 ± 1.33 vs. 72.92 ± 2.64,
p
> 0.05). Similarly, the proportion of good-quality embryos according to the time-lapse parameters and the clinical pregnancy rate did not significantly differ between groups (71.93 ± 4.21 vs. 71.33 ± 2.64,
p
> 0.05 and 45.55 ± 2.91 vs. 44.96 ± 1.25,
p
> 0.05). No statistically significant differences were found between groups in clinical pregnancy rates (45.55 ± 2.91 vs. 44.96 ± 1.25,
p
> 0.05). Biochemical pregnancy rates (11.24 ± 2.12 vs. 10.85 ± 1.83,
p
> 0.05) and miscarriage rates (24.89 ± 3.74 vs. 27.91 ± 4.91,
p
> 0.05) were not significantly different between groups.
Conclusion
The effects of the PICSI procedure on fertilization rate, biochemical pregnancy rate, miscarriage rate, embryo quality, and clinical pregnancy outcomes were not superior. The effect of the PICSI procedure on embryo morphokinetics was not apparent when all parameters were considered.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36892604</pmid><doi>10.1007/s00404-023-06992-z</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-4717-2665</orcidid><orcidid>https://orcid.org/0000-0002-0948-0413</orcidid><orcidid>https://orcid.org/0000-0003-4973-2563</orcidid><orcidid>https://orcid.org/0000-0002-4015-6494</orcidid><orcidid>https://orcid.org/0000-0003-0020-4727</orcidid><orcidid>https://orcid.org/0000-0002-9371-6942</orcidid><orcidid>https://orcid.org/0000-0001-8530-2128</orcidid><orcidid>https://orcid.org/0000-0001-8038-0629</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-0711 |
| ispartof | Archives of gynecology and obstetrics, 2023-05, Vol.307 (5), p.1633-1639 |
| issn | 1432-0711 0932-0067 1432-0711 |
| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Abortion, Spontaneous Embryos Endocrinology Female Fertilization in Vitro - methods Gynecologic Endocrinology and Reproductive Medicine Gynecology Human Genetics Humans Hyaluronic Acid In vitro fertilization Male Medicine Medicine & Public Health Obstetrics/Perinatology/Midwifery Pregnancy Pregnancy Rate Retrospective Studies Semen Sperm Sperm Injections, Intracytoplasmic - methods Spermatozoa - metabolism |
| title | Influence of a hyaluronan-binding system for sperm selection in intracytoplasmic sperm injection cycles on embryo morphokinetic parameters and in vitro fertilization cycle outcomes |
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