Relationship between the Sperm motility index assessed by the Sperm Quality Analyzer and the outcome of intracytoplasmic sperm injection

Intracytoplasmic sperm injection (ICSI) has been validated as a useful treatment in severe male-factor patients who could not achieve fertilization and live births by conventional in vitro fertilization treatment. To examine the impact of male factors on ICSI outcome, clinical laboratory data were r...

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Veröffentlicht in:Journal of assisted reproduction and genetics 1999-11, Vol.16 (10), p.540-545
Hauptverfasser: SHIBAHARA, H, HAMADA, Y, HASEGAWA, A, WAKIMOTO, E, TOJI, H, SHIGETA, M, KOYAMA, K
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container_end_page 545
container_issue 10
container_start_page 540
container_title Journal of assisted reproduction and genetics
container_volume 16
creator SHIBAHARA, H
HAMADA, Y
HASEGAWA, A
WAKIMOTO, E
TOJI, H
SHIGETA, M
KOYAMA, K
description Intracytoplasmic sperm injection (ICSI) has been validated as a useful treatment in severe male-factor patients who could not achieve fertilization and live births by conventional in vitro fertilization treatment. To examine the impact of male factors on ICSI outcome, clinical laboratory data were retrospectively analyzed. One hundred two cycles of ICSI treatment indicated by severe male-factor infertility were entered into this study. Sperm parameters including sperm motility, sperm concentration, and sperm motility index assessed by the Sperm Quality Analyzer were evaluated. Five hundred seventy-six metaphase II oocytes retrieved were manipulated. The normal fertilization (2 PN) rate per oocyte was 64.9 +/- 26.0% (mean +/- SD). Of the 99 transfers, 31 clinical pregnancies were obtained, yielding an average pregnancy rate of 31.3% per transfer. The mean sperm motility, sperm concentration, and sperm motility index were 20.3 +/- 16.1% (range, 0 to 50%), 18.2 +/- 25.1 x 10(6)/ml (range, < 1 to 150 x 10(6)/ml), and 31.2 +/- 45.0 (range, 0 to 220), respectively. Sperm concentration did not have a significant impact on fertilization rate by ICSI. In four cases, ICSI was performed using totally immotile sperm and the fertilization rate was 43.5%, which was significantly lower than that of some of the other sperm motility groups, and no pregnancy could be achieved. In 14 cases in which the sperm motility index assessed by the Sperm Quality Analyzer was 0, the fertilization rate (50.0%) was significantly lower than in most of the other sperm motility index groups. These findings suggest that in severe male-factor cases with totally immotile sperm or a sperm motility index of 0, the selection of good-quality sperm should be verified before injection.
doi_str_mv 10.1023/A:1020501305235
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To examine the impact of male factors on ICSI outcome, clinical laboratory data were retrospectively analyzed. One hundred two cycles of ICSI treatment indicated by severe male-factor infertility were entered into this study. Sperm parameters including sperm motility, sperm concentration, and sperm motility index assessed by the Sperm Quality Analyzer were evaluated. Five hundred seventy-six metaphase II oocytes retrieved were manipulated. The normal fertilization (2 PN) rate per oocyte was 64.9 +/- 26.0% (mean +/- SD). Of the 99 transfers, 31 clinical pregnancies were obtained, yielding an average pregnancy rate of 31.3% per transfer. The mean sperm motility, sperm concentration, and sperm motility index were 20.3 +/- 16.1% (range, 0 to 50%), 18.2 +/- 25.1 x 10(6)/ml (range, &lt; 1 to 150 x 10(6)/ml), and 31.2 +/- 45.0 (range, 0 to 220), respectively. Sperm concentration did not have a significant impact on fertilization rate by ICSI. 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Psychology</topic><topic>Humans</topic><topic>Infertility, Male - therapy</topic><topic>Insemination, Artificial, Homologous</topic><topic>Male</topic><topic>Molecular and cellular biology</topic><topic>Motility and taxis</topic><topic>Oocytes</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Sperm Count</topic><topic>Sperm Injections, Intracytoplasmic</topic><topic>Sperm Motility</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SHIBAHARA, H</creatorcontrib><creatorcontrib>HAMADA, Y</creatorcontrib><creatorcontrib>HASEGAWA, A</creatorcontrib><creatorcontrib>WAKIMOTO, E</creatorcontrib><creatorcontrib>TOJI, H</creatorcontrib><creatorcontrib>SHIGETA, M</creatorcontrib><creatorcontrib>KOYAMA, K</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>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of assisted reproduction and genetics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SHIBAHARA, H</au><au>HAMADA, Y</au><au>HASEGAWA, A</au><au>WAKIMOTO, E</au><au>TOJI, H</au><au>SHIGETA, M</au><au>KOYAMA, K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between the Sperm motility index assessed by the Sperm Quality Analyzer and the outcome of intracytoplasmic sperm injection</atitle><jtitle>Journal of assisted reproduction and genetics</jtitle><addtitle>J Assist Reprod Genet</addtitle><date>1999-11-01</date><risdate>1999</risdate><volume>16</volume><issue>10</issue><spage>540</spage><epage>545</epage><pages>540-545</pages><issn>1058-0468</issn><eissn>1573-7330</eissn><coden>JARGE4</coden><abstract>Intracytoplasmic sperm injection (ICSI) has been validated as a useful treatment in severe male-factor patients who could not achieve fertilization and live births by conventional in vitro fertilization treatment. 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source MEDLINE; SpringerNature Journals; PubMed Central
subjects Biological and medical sciences
Cell physiology
Female
Fundamental and applied biological sciences. Psychology
Humans
Infertility, Male - therapy
Insemination, Artificial, Homologous
Male
Molecular and cellular biology
Motility and taxis
Oocytes
Pregnancy
Pregnancy Outcome
Sperm Count
Sperm Injections, Intracytoplasmic
Sperm Motility
title Relationship between the Sperm motility index assessed by the Sperm Quality Analyzer and the outcome of intracytoplasmic sperm injection
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