Abstinence for sperm sample collection and ART outcome: an unsubstantiated myth.

Autor: Schlegel PN; Professor of Urology & Reproductive Medicine, Weill Cornell Medicine, New York, New York, USA.
Jazyk: angličtina
Zdroj: Current opinion in obstetrics & gynecology [Curr Opin Obstet Gynecol] 2024 Jun 01; Vol. 36 (3), pp. 113-117. Date of Electronic Publication: 2024 Mar 26.
DOI: 10.1097/GCO.0000000000000946
Abstrakt: Purpose of Review: Semen analysis is a basic component of male evaluation. Reproductive centers typically instruct men to provide a semen specimen based on recommendations from WHO Standard for semen examination. Evidence that these recommendations optimize sperm reproductive capacity is lacking. Existing data to optimize sperm quality with shorter abstinence were reviewed.
Recent Findings: Several recent studies have reviewed the effects of shorter ejaculatory abstinence of semen quality and assisted reproductive technology (ART) outcomes. Shorter abstinence was defined as 1 h-1 day in one review, and <4 h in the other systematic meta-analysis and review.
Summary: Prior instructions for male patients have not been designed to optimize fertility potential for semen analyses. Optimal sperm quality is obtained by instructing men to have a short abstinence (certainly <1 day, and preferably <4 h) for semen specimens used for in vitro fertilization (assisted reproduction).
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze: MEDLINE