Random sperm DNA fragmentation index is not associated with clinical outcomes in day-3 frozen embryo transfer

Autor: Qing-Xin Wang, Xia Wang, Min-Yan Yu, Hua Sun, Di Wang, Shu-Ping Zhong, Feng Guo
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Asian Journal of Andrology, Vol 24, Iss 1, Pp 109-115 (2022)
Druh dokumentu: article
ISSN: 1008-682X
1745-7262
DOI: 10.4103/aja.aja_17_21
Popis: Damage to sperm DNA was proposed to play an important role in embryonic development. Previous studies focused on outcomes after fresh embryo transfer, whereas this study investigated the influence of sperm DNA fragmentation index (DFI) on laboratory and clinical outcomes after frozen embryo transfer (FET). This retrospective study examined 381 couples using cleavage-stage FET. Sperm used for intracytoplasmic sperm injection (ICSI) or in vitro fertilization (IVF) underwent density gradient centrifugation and swim up processing. Sperm DFI had a negative correlation with sperm motility (r = −0.640, P < 0.01), sperm concentration (r = −0.289, P < 0.01), and fertilization rate of IVF cycles (r = −0.247, P < 0.01). Sperm DFI examined before and after density gradient centrifugation/swim up processing was markedly decreased after processing (17.1% vs 2.4%, P < 0.01; 65 randomly picked couples). Sperm progressive motility was significantly reduced in high DFI group compared with low DFI group for both IVF and ICSI (IVF: 46.9% ± 12.4% vs 38.5% ± 12.6%, respectively; ICSI: 37.6% ± 14.1% vs 22.3% ± 17.8%, respectively; both P < 0.01). The fertilization rate was significantly lower in high (≥25%) DFI group compared with low (
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