Document Detail


Intracytoplasmic sperm injection increases embryo fragmentation without affecting clinical outcome.
MedLine Citation:
PMID:  10955244     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To examine the effect of intracytoplasmic sperm injection (ICSI) on embryo fragmentation and implantation rates in those embryos chosen for transfer compared to conventional in vitro fertilization (IVF).
METHODS: We compared 253 infertility patients (71 ICSI and 182 IVF) with respect to age, semen analysis, number of embryos transferred, embryo fragmentation, implantation rate, and pregnancy rate. Embryo fragmentation was determined by one observer at the same laboratory over the entire study period.
RESULTS: A statistically significant difference was observed in mean embryo grade between IVF (2.2 +/- 0.84) and ICSI (2.5 +/- 0.77), P = 0.01. Additionally, the IVF patients had significantly more nonfragmented (grade I) embryos compared to the ICSI group, P < 0.01.
CONCLUSIONS: These data suggest that ICSI, irrespective of semen parameters, may increase embryo fragmentation and produce fewer nonfragmented grade I embryos while maintaining implantation and pregnancy rates similar to conventional IVF.
Authors:
J L Frattarelli; M P Leondires; B T Miller; J H Segars
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Journal of assisted reproduction and genetics     Volume:  17     ISSN:  1058-0468     ISO Abbreviation:  J. Assist. Reprod. Genet.     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-11-22     Completed Date:  2001-01-11     Revised Date:  2013-02-19    
Medline Journal Info:
Nlm Unique ID:  9206495     Medline TA:  J Assist Reprod Genet     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  207-12     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Walter Reed Army Medical Center, Washington, DC 20307-5001, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Embryo Implantation
Embryo Transfer
Embryo, Mammalian*
Female
Fertilization in Vitro / adverse effects,  methods
Humans
Male
Oocytes
Pregnancy
Pregnancy Rate*
Semen
Sperm Injections, Intracytoplasmic / adverse effects*
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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