The impact of spermatozoa preincubation time and spontaneous acrosome reaction in intracytoplasmic sperm injection: a controlled randomized study

Objective To determine the optimum time interval between semen processing and incubation before intracytoplasmic sperm injection (ICSI) and correlate it with the acrosomal reaction rate. Design Controlled randomized study. Setting The Egyptian IVF-ET Center. Patient(s) Couples with male factor infer...

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Veröffentlicht in:Fertility and sterility 2008-09, Vol.90 (3), p.584-591
Hauptverfasser: Mansour, Ragaa T., M.D., Ph.D, Serour, Mennatallah G., B.Sc, Abbas, Amal M., M.D, Kamal, Ahmed, M.D, Tawab, Nevine A., B.Sc, Aboulghar, Mohamed A., M.D, Serour, Gamal I., M.D., FRCOG
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container_issue 3
container_start_page 584
container_title Fertility and sterility
container_volume 90
creator Mansour, Ragaa T., M.D., Ph.D
Serour, Mennatallah G., B.Sc
Abbas, Amal M., M.D
Kamal, Ahmed, M.D
Tawab, Nevine A., B.Sc
Aboulghar, Mohamed A., M.D
Serour, Gamal I., M.D., FRCOG
description Objective To determine the optimum time interval between semen processing and incubation before intracytoplasmic sperm injection (ICSI) and correlate it with the acrosomal reaction rate. Design Controlled randomized study. Setting The Egyptian IVF-ET Center. Patient(s) Couples with male factor infertility undergoing ICSI using ejaculated semen. Intervention(s) The patients were prospectively randomized according to differences in sperm preincubation time before ICSI into 1-hour, 3-hour, and 5-hour groups. The status of the acrosome was studied using electron microscopy. Main Outcome Measure(s) The primary outcome measures were fertilization rate and acrosome reaction rate. Secondary outcome measures were the implantation and pregnancy rates. Result(s) The rate of acrosomally reacted spermatozoa was the highest (68.2%) after 5 hours of incubation and lowest (25.6%) after 1 hour of incubation. The difference was statistically significant. The fertilization rate was the highest (74%) using spermatozoa incubated for 3 hours as compared with 1 hour (70%) and 5 hours (67%), but the difference was not statistically significant. Conclusion(s) Acrosome reaction is time dependent; the optimum incubation time of spermatozoa before ICSI was 3 hours, which resulted in the highest fertilization rate.
doi_str_mv 10.1016/j.fertnstert.2006.11.176
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Design Controlled randomized study. Setting The Egyptian IVF-ET Center. Patient(s) Couples with male factor infertility undergoing ICSI using ejaculated semen. Intervention(s) The patients were prospectively randomized according to differences in sperm preincubation time before ICSI into 1-hour, 3-hour, and 5-hour groups. The status of the acrosome was studied using electron microscopy. Main Outcome Measure(s) The primary outcome measures were fertilization rate and acrosome reaction rate. Secondary outcome measures were the implantation and pregnancy rates. Result(s) The rate of acrosomally reacted spermatozoa was the highest (68.2%) after 5 hours of incubation and lowest (25.6%) after 1 hour of incubation. The difference was statistically significant. The fertilization rate was the highest (74%) using spermatozoa incubated for 3 hours as compared with 1 hour (70%) and 5 hours (67%), but the difference was not statistically significant. 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Design Controlled randomized study. Setting The Egyptian IVF-ET Center. Patient(s) Couples with male factor infertility undergoing ICSI using ejaculated semen. Intervention(s) The patients were prospectively randomized according to differences in sperm preincubation time before ICSI into 1-hour, 3-hour, and 5-hour groups. The status of the acrosome was studied using electron microscopy. Main Outcome Measure(s) The primary outcome measures were fertilization rate and acrosome reaction rate. Secondary outcome measures were the implantation and pregnancy rates. Result(s) The rate of acrosomally reacted spermatozoa was the highest (68.2%) after 5 hours of incubation and lowest (25.6%) after 1 hour of incubation. The difference was statistically significant. The fertilization rate was the highest (74%) using spermatozoa incubated for 3 hours as compared with 1 hour (70%) and 5 hours (67%), but the difference was not statistically significant. 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Andrology. Obstetrics</topic><topic>Humans</topic><topic>ICSI</topic><topic>Infertility, Male - epidemiology</topic><topic>Infertility, Male - therapy</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>Semen Preservation - methods</topic><topic>Semen Preservation - statistics &amp; numerical data</topic><topic>Sperm Injections, Intracytoplasmic - statistics &amp; numerical data</topic><topic>sperm preincubation time</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mansour, Ragaa T., M.D., Ph.D</creatorcontrib><creatorcontrib>Serour, Mennatallah G., B.Sc</creatorcontrib><creatorcontrib>Abbas, Amal M., M.D</creatorcontrib><creatorcontrib>Kamal, Ahmed, M.D</creatorcontrib><creatorcontrib>Tawab, Nevine A., B.Sc</creatorcontrib><creatorcontrib>Aboulghar, Mohamed A., M.D</creatorcontrib><creatorcontrib>Serour, Gamal I., M.D., FRCOG</creatorcontrib><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>Mansour, Ragaa T., M.D., Ph.D</au><au>Serour, Mennatallah G., B.Sc</au><au>Abbas, Amal M., M.D</au><au>Kamal, Ahmed, M.D</au><au>Tawab, Nevine A., B.Sc</au><au>Aboulghar, Mohamed A., M.D</au><au>Serour, Gamal I., M.D., FRCOG</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of spermatozoa preincubation time and spontaneous acrosome reaction in intracytoplasmic sperm injection: a controlled randomized study</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>2008-09-01</date><risdate>2008</risdate><volume>90</volume><issue>3</issue><spage>584</spage><epage>591</epage><pages>584-591</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><coden>FESTAS</coden><abstract>Objective To determine the optimum time interval between semen processing and incubation before intracytoplasmic sperm injection (ICSI) and correlate it with the acrosomal reaction rate. Design Controlled randomized study. Setting The Egyptian IVF-ET Center. Patient(s) Couples with male factor infertility undergoing ICSI using ejaculated semen. Intervention(s) The patients were prospectively randomized according to differences in sperm preincubation time before ICSI into 1-hour, 3-hour, and 5-hour groups. The status of the acrosome was studied using electron microscopy. Main Outcome Measure(s) The primary outcome measures were fertilization rate and acrosome reaction rate. Secondary outcome measures were the implantation and pregnancy rates. Result(s) The rate of acrosomally reacted spermatozoa was the highest (68.2%) after 5 hours of incubation and lowest (25.6%) after 1 hour of incubation. The difference was statistically significant. The fertilization rate was the highest (74%) using spermatozoa incubated for 3 hours as compared with 1 hour (70%) and 5 hours (67%), but the difference was not statistically significant. Conclusion(s) Acrosome reaction is time dependent; the optimum incubation time of spermatozoa before ICSI was 3 hours, which resulted in the highest fertilization rate.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18295761</pmid><doi>10.1016/j.fertnstert.2006.11.176</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals Complete; Free E-Journal (出版社公開部分のみ); Alma/SFX Local Collection
subjects Acrosome Reaction
Adult
Biological and medical sciences
Egypt - epidemiology
electron microscopy
Female
fertilization
Gynecology. Andrology. Obstetrics
Humans
ICSI
Infertility, Male - epidemiology
Infertility, Male - therapy
Internal Medicine
Male
Medical sciences
Obstetrics and Gynecology
Pregnancy
Pregnancy Rate
Semen Preservation - methods
Semen Preservation - statistics & numerical data
Sperm Injections, Intracytoplasmic - statistics & numerical data
sperm preincubation time
Time Factors
Treatment Outcome
title The impact of spermatozoa preincubation time and spontaneous acrosome reaction in intracytoplasmic sperm injection: a controlled randomized study
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