Document Detail


Pretreatment of sperm with human follicular fluid for borderline male infertility.
MedLine Citation:
PMID:  2707464     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To test the usefulness of human follicular fluid (FF) in treating male infertility, we incubated washed sperm specimens from 31 couples undergoing intrauterine insemination (IUI), for male and/or unexplained infertility, with either FF or Ham's F-10 medium (Gibco, Grand Island, NY), in alternating cycles in a randomized manner. Semen specimens from 28 men were incubated with either medium or FF. Incubations with FF have increased sperm penetration assay (SPA) scores from 24.8 +/- 17.3 to 34.3 +/- 13.6 (P less than 0.01). Incubation with heat-inactivized FF also has increased SPA scores, although to a lesser extent than noninactivized FF. Seventeen pregnancies occurred in the 31 couples treated by IUI (54.8%), 16 of them in FF-treated cycles (51.6%) and one in "control" IUI cycles (3.2%, P less than 0.01). All pregnancies occurred within four treatment cycles. Thus, IUI after sperm wash and preincubation with FF may be suggested for four to six cycles to couples with male factor and/or unexplained infertility who are reluctant to resort to artificial insemination by donor or adoption, before attempting the more costly and complex in vitro fertilization-embryo transfer procedure.
Authors:
Z Blumenfeld; F Nahhas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  51     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  1989 May 
Date Detail:
Created Date:  1989-06-07     Completed Date:  1989-06-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  863-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Rambam Medical Center, Haifa, Israel.
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MeSH Terms
Descriptor/Qualifier:
Body Fluids / analysis,  physiology*
Female
Humans
Infertility, Male / physiopathology,  therapy*
Insemination, Artificial
Male
Ovarian Follicle / analysis*
Pregnancy
Pregnancy Outcome
Sperm-Ovum Interactions
Spermatozoa / physiology*

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


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