Case report: live birth following ICSI with non-vital frozen-thawed testicular sperm and oocyte activation with calcium ionophore

Autor: Magnus Bach, Anton Neyer, Pierre Vanderzwalmen, Astrid Stecher, Nicolas H. Zech, Martin Zintz
Rok vydání: 2011
Předmět:
Zdroj: Journal of Assisted Reproduction and Genetics. 28:411-414
ISSN: 1573-7330
1058-0468
Popis: The implementation of intracytoplasmic sperm injection (ICSI) in 1992 gave women whose male partners were diagnosed with severe male factor infertility the chance of having a baby using their partner’s own ejaculated [1] or testicular spermatozoa [2]. Despite reported fertilization rates of approximately 70%, fertilization is dramatically reduced in some cases and does not even occur in 1–3% of ICSI cycles. Most cases of fertilization failure following ICSI can be traced back to a lack of oocyte activation [3], while injection of ejaculated immotile sperm results in either poor or no fertilization [4, 5]. The reason for this lack of oocyte activation may be a deficient cytosolic sperm-associated oocyte activating factor (SAOAF) resulting in a partial or complete inability of the sperm to activate the oocyte [4] or to an inability of the oocyte to decondense the sperm [6]. In 1997, oocyte activation with calcium ionophore was tested in a clinical trial that reported the delivery of a healthy baby [7]. In the same year, oocyte activation with calcium ionophore was performed using injected spermatids [8]. There have been several reports of successful oocyte activation by calcium ionophore treatment in patients with repeated failure of fertilisation using ICSI [9–11] or after ICSI using round-headed spermatozoa [10].
Databáze: OpenAIRE