A comparison of post-thaw results between embryos arising from intracytoplasmic sperm injection using surgically retrieved or ejaculated spermatozoa

Objective To study the effect of freeze–thaw on embryos derived from intracytoplasmic sperm injection (ICSI) using surgically retrieved and ejaculated spermatozoa. Design Retrospective study. Setting Private IVF center. Patient(s) Three hundred eighty-three patients undergoing frozen–thawed ET cycle...

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Veröffentlicht in:Fertility and sterility 2009-03, Vol.91 (3), p.727-732
Hauptverfasser: de Cássia Savio Figueira, Rita, M.Sc, Madaschi, Camila, B.Sc, Nichi, Marcílio, M.Sc, Rodrigues, Débora, B.Sc, Pasqualotto, Fábio Firmbach, M.D., Ph.D, Iaconelli, Assumpto, M.D, Borges, Edson, M.D., Ph.D
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container_end_page 732
container_issue 3
container_start_page 727
container_title Fertility and sterility
container_volume 91
creator de Cássia Savio Figueira, Rita, M.Sc
Madaschi, Camila, B.Sc
Nichi, Marcílio, M.Sc
Rodrigues, Débora, B.Sc
Pasqualotto, Fábio Firmbach, M.D., Ph.D
Iaconelli, Assumpto, M.D
Borges, Edson, M.D., Ph.D
description Objective To study the effect of freeze–thaw on embryos derived from intracytoplasmic sperm injection (ICSI) using surgically retrieved and ejaculated spermatozoa. Design Retrospective study. Setting Private IVF center. Patient(s) Three hundred eighty-three patients undergoing frozen–thawed ET cycles. Intervention(s) Testicular sperm aspiration (TESA) or percutaneous epididymal sperm aspiration (PESA) were the sperm surgical retrieval methods used for ICSI. Embryos resulting from ICSI using surgically retrieved and ejaculated spermatozoa were frozen, thawed, and transferred. Main Outcome Measure(s) Post-thaw survival, implantation, and pregnancy rates. Result(s) No differences were found between the ejaculated sperm and TESA/PESA groups in terms of post-thaw survival rate (68.4% vs. 66.1%, respectively), pregnancy rate (20.1% vs. 16.1%), and implantation rate (10.6% vs. 12.7%). Similar results were found for those variables when comparing TESA and PESA groups. Conclusion(s) Cleavage embryos arising from ICSI cycles using testicular and epididymal spermatozoa can be frozen with survival, pregnancy, and implantation rates comparable to those obtained with ejaculated spermatozoa.
doi_str_mv 10.1016/j.fertnstert.2007.12.063
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Design Retrospective study. Setting Private IVF center. Patient(s) Three hundred eighty-three patients undergoing frozen–thawed ET cycles. Intervention(s) Testicular sperm aspiration (TESA) or percutaneous epididymal sperm aspiration (PESA) were the sperm surgical retrieval methods used for ICSI. Embryos resulting from ICSI using surgically retrieved and ejaculated spermatozoa were frozen, thawed, and transferred. Main Outcome Measure(s) Post-thaw survival, implantation, and pregnancy rates. Result(s) No differences were found between the ejaculated sperm and TESA/PESA groups in terms of post-thaw survival rate (68.4% vs. 66.1%, respectively), pregnancy rate (20.1% vs. 16.1%), and implantation rate (10.6% vs. 12.7%). Similar results were found for those variables when comparing TESA and PESA groups. Conclusion(s) Cleavage embryos arising from ICSI cycles using testicular and epididymal spermatozoa can be frozen with survival, pregnancy, and implantation rates comparable to those obtained with ejaculated spermatozoa.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/j.fertnstert.2007.12.063</identifier><identifier>PMID: 18281039</identifier><identifier>CODEN: FESTAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; azoospermia ; Azoospermia - physiopathology ; Azoospermia - therapy ; Biological and medical sciences ; Birth control ; Cryopreservation ; Ejaculation ; Embryo Implantation ; Embryo, Mammalian ; epididymal spermatozoa ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; ICSI ; Internal Medicine ; Male ; Medical sciences ; Obstetrics and Gynecology ; Pregnancy ; Pregnancy Rate ; Retrospective Studies ; Sperm Injections, Intracytoplasmic ; Sperm Retrieval ; Sterility. 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Design Retrospective study. Setting Private IVF center. Patient(s) Three hundred eighty-three patients undergoing frozen–thawed ET cycles. Intervention(s) Testicular sperm aspiration (TESA) or percutaneous epididymal sperm aspiration (PESA) were the sperm surgical retrieval methods used for ICSI. Embryos resulting from ICSI using surgically retrieved and ejaculated spermatozoa were frozen, thawed, and transferred. Main Outcome Measure(s) Post-thaw survival, implantation, and pregnancy rates. Result(s) No differences were found between the ejaculated sperm and TESA/PESA groups in terms of post-thaw survival rate (68.4% vs. 66.1%, respectively), pregnancy rate (20.1% vs. 16.1%), and implantation rate (10.6% vs. 12.7%). Similar results were found for those variables when comparing TESA and PESA groups. Conclusion(s) Cleavage embryos arising from ICSI cycles using testicular and epididymal spermatozoa can be frozen with survival, pregnancy, and implantation rates comparable to those obtained with ejaculated spermatozoa.</description><subject>Adult</subject><subject>azoospermia</subject><subject>Azoospermia - physiopathology</subject><subject>Azoospermia - therapy</subject><subject>Biological and medical sciences</subject><subject>Birth control</subject><subject>Cryopreservation</subject><subject>Ejaculation</subject><subject>Embryo Implantation</subject><subject>Embryo, Mammalian</subject><subject>epididymal spermatozoa</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>ICSI</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Obstetrics and Gynecology</subject><subject>Pregnancy</subject><subject>Pregnancy Rate</subject><subject>Retrospective Studies</subject><subject>Sperm Injections, Intracytoplasmic</subject><subject>Sperm Retrieval</subject><subject>Sterility. 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Andrology. Obstetrics</topic><topic>Humans</topic><topic>ICSI</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Obstetrics and Gynecology</topic><topic>Pregnancy</topic><topic>Pregnancy Rate</topic><topic>Retrospective Studies</topic><topic>Sperm Injections, Intracytoplasmic</topic><topic>Sperm Retrieval</topic><topic>Sterility. Assisted procreation</topic><topic>testicular spermatozoa</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Cássia Savio Figueira, Rita, M.Sc</creatorcontrib><creatorcontrib>Madaschi, Camila, B.Sc</creatorcontrib><creatorcontrib>Nichi, Marcílio, M.Sc</creatorcontrib><creatorcontrib>Rodrigues, Débora, B.Sc</creatorcontrib><creatorcontrib>Pasqualotto, Fábio Firmbach, M.D., Ph.D</creatorcontrib><creatorcontrib>Iaconelli, Assumpto, M.D</creatorcontrib><creatorcontrib>Borges, Edson, M.D., Ph.D</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Cássia Savio Figueira, Rita, M.Sc</au><au>Madaschi, Camila, B.Sc</au><au>Nichi, Marcílio, M.Sc</au><au>Rodrigues, Débora, B.Sc</au><au>Pasqualotto, Fábio Firmbach, M.D., Ph.D</au><au>Iaconelli, Assumpto, M.D</au><au>Borges, Edson, M.D., Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of post-thaw results between embryos arising from intracytoplasmic sperm injection using surgically retrieved or ejaculated spermatozoa</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>91</volume><issue>3</issue><spage>727</spage><epage>732</epage><pages>727-732</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><coden>FESTAS</coden><abstract>Objective To study the effect of freeze–thaw on embryos derived from intracytoplasmic sperm injection (ICSI) using surgically retrieved and ejaculated spermatozoa. Design Retrospective study. Setting Private IVF center. Patient(s) Three hundred eighty-three patients undergoing frozen–thawed ET cycles. Intervention(s) Testicular sperm aspiration (TESA) or percutaneous epididymal sperm aspiration (PESA) were the sperm surgical retrieval methods used for ICSI. Embryos resulting from ICSI using surgically retrieved and ejaculated spermatozoa were frozen, thawed, and transferred. Main Outcome Measure(s) Post-thaw survival, implantation, and pregnancy rates. Result(s) No differences were found between the ejaculated sperm and TESA/PESA groups in terms of post-thaw survival rate (68.4% vs. 66.1%, respectively), pregnancy rate (20.1% vs. 16.1%), and implantation rate (10.6% vs. 12.7%). Similar results were found for those variables when comparing TESA and PESA groups. Conclusion(s) Cleavage embryos arising from ICSI cycles using testicular and epididymal spermatozoa can be frozen with survival, pregnancy, and implantation rates comparable to those obtained with ejaculated spermatozoa.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18281039</pmid><doi>10.1016/j.fertnstert.2007.12.063</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
azoospermia
Azoospermia - physiopathology
Azoospermia - therapy
Biological and medical sciences
Birth control
Cryopreservation
Ejaculation
Embryo Implantation
Embryo, Mammalian
epididymal spermatozoa
Female
Gynecology. Andrology. Obstetrics
Humans
ICSI
Internal Medicine
Male
Medical sciences
Obstetrics and Gynecology
Pregnancy
Pregnancy Rate
Retrospective Studies
Sperm Injections, Intracytoplasmic
Sperm Retrieval
Sterility. Assisted procreation
testicular spermatozoa
Treatment Outcome
title A comparison of post-thaw results between embryos arising from intracytoplasmic sperm injection using surgically retrieved or ejaculated spermatozoa
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