Document Detail


Cumulus removal and addition of follicular fluid possibly improves pregnancy rates with in vitro fertilization for male factor.
MedLine Citation:
PMID:  7710299     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study evaluated the use of in vitro fertilization (IVF) for patients with subnormal semen parameters without the use of micromanipulation. All patients were characterized as having male factor as follows: normal morphology (NM) < or = 10% according to strict criteria [15] and motile density (MD) < or = 10 x 10(6)/mL. Strict morphology was divided into three groups: group I (n = 72), < or = 2% group II (n = 24), 3-5%; and group III (n = 29), 6-10%. Modification of standard IVF techniques included manual cumulus removal (CR) from oocytes, pooling up to ten oocytes together in 1 mL of media, and supplementing media with 20% human follicular fluid (FF). Rates of fertilization and pregnancy were compared. The overall fertilization rate (FR) was 57.7% and the pregnancy rate (PR) per retrieval cycle was 14.8%. There was no significant improvement in the fertilization or PRs when IVF was modified using CR and FF, although the FR was higher in group I for patients who received the modified procedures. In patients with < or = 5 x 10(6) sperm/mL, there were no pregnancies in five cycles and four transfers following the conventional method, but two sets of twins with the modified protocols in seven cycles. Clinical pregnancies were achieved with male factor without the need for micromanipulation. The most severe cases were automatically assigned to modified IVF techniques, e.g., CR with or without FF. Prospective randomized studies are needed to determine if modified procedures are superior to conventional therapy.
Authors:
C L Hourani; J H Check; A F Baker; L M Hoover; D C Summers; K M Benfer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of andrology     Volume:  34     ISSN:  0148-5016     ISO Abbreviation:  Arch. Androl.     Publication Date:    1995 Jan-Feb
Date Detail:
Created Date:  1995-05-05     Completed Date:  1995-05-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806755     Medline TA:  Arch Androl     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  47-52     Citation Subset:  IM    
Affiliation:
University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden.
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MeSH Terms
Descriptor/Qualifier:
Culture Media
Female
Fertilization in Vitro*
Follicular Fluid*
Humans
Infertility, Male*
Male
Ovarian Follicle / cytology*
Pregnancy
Retrospective Studies
Chemical
Reg. No./Substance:
0/Culture Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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