The predictive value of sperm chromatin structure assay (SCSA) parameters for the outcome of intrauterine insemination, IVF and ICSI
| Autor: | Bungum, M, Al Humaidan, Peter Samir Heskjær, Spano, M, Jepson, K, Bungum, L, Giwercman, A |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Reproductive Techniques Assisted medicine.medical_treatment media_common.quotation_subject Fertility DNA Fragmentation Fertilization in Vitro Biology Insemination Andrology Cohort Studies Predictive Value of Tests Pregnancy medicine Humans Sperm Injections Intracytoplasmic reproductive and urinary physiology media_common Insemination Artificial Homologous Gynecology urogenital system Artificial insemination Rehabilitation Obstetrics and Gynecology medicine.disease Flow Cytometry Sperm Spermatozoa Confidence interval Chromatin Pregnancy rate Treatment Outcome Reproductive Medicine Predictive value of tests embryonic structures Female |
| Zdroj: | Bungum, M, Al Humaidan, P S H, Spano, M, Jepson, K, Bungum, L, Giwercman, A & Al Humaidan, P S H 2004, ' The predictive value of sperm chromatin structure assay (SCSA) parameters for the outcome of intrauterine insemination, IVF and ICSI ', Human reproduction (Oxford, England), vol. 19, no. 6, pp. 1401-8 . https://doi.org/10.1093/humrep/deh280 |
| DOI: | 10.1093/humrep/deh280 |
| Popis: | INTRODUCTION: Sperm chromatin integrity assessment has been suggested as a fertility predictor. The aim of this study was to examine the relationship between the results of sperm chromatin structure assay (SCSA) and the outcome of IVF, ICSI and intrauterine insemination (IUI). METHODS: A total of 306 consecutive couples undergoing assisted reproduction were included. IUI was performed in 131, IVF in 109 and ICSI in 66. SCSA results were expressed as DNA fractionation index (DFI) and highly DNA stainable (HDS) cell fractions. Reproductive outcome parameters were biochemical pregnancy (BP), clinical pregnancy (CP) and delivery (D). RESULTS: For IUI, the chance of pregnancy/delivery was significantly higher in the group with DFI less than or equal to27% and HDS less than or equal to10% than in patients with DFI >27% or HDS >10%. The odds ratios (ORs) (95% confidence intervals) were 20 (2.3-117), 16 (1.9-137) and 14 (1.6-110) for BP, CP and D, respectively. No statistical difference between the outcomes of IVF versus ICSI was observed in the group with DFI less than or equal to27%. In the DFI >27% group, however, the results of ICSI were significantly better than those of IVF. Comparing ICSI with IVF, the OR (95% CI) for BP was 26 (1.9-350). CONCLUSIONS: SCSA is a useful method for prediction of the outcome of assisted reproduction. (Less) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|