Document Detail


Treatment of male infertility due to sperm surface antibodies: IUI or IVF?
MedLine Citation:
PMID:  9221994     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This prospectively designed study was aimed at comparing the results of two different treatment protocols in 29 infertile couples with proven male immunological infertility, i.e. a positive (>50%) mixed antiglobulin reaction (MAR) test (IgG and/or IgA). In the first protocol (group I, n = 14) couples were treated with ovarian stimulation/ intrauterine insemination (IUI), followed by in-vitro fertilization (IVF) if no pregnancy occurred after three IUI cycles. In the second protocol (group II, n = 15), patients were treated with IVF as a first choice procedure. The decision to follow protocol 1 or 2 was made by the couples after information about financial costs and expected success rates (according to the literature) for both treatment options. In group I, nine patients (64.3%) conceived after a maximum of three IUI cycles whereas seven patients (46.6%) of group II became pregnant during the first IVF cycle. The take-home baby rate per started IUI or IVF cycle was 27.3% (9/33) and 44.4% (16/36) respectively with a take-home baby rate of 64.3% after three IUI cycles and 93.3% after three IVF attempts. To conclude, both IUI and IVF yielded unexpectedly high pregnancy rates in this selected group of patients with long-standing infertility due to sperm surface (predominantly IgG) antibodies. Since cost benefit analysis comparing superovulation IUI with IVF may favour a course of four IUI cycles, we advocate superovulation IUI as the first line therapy in male immunological infertility.
Authors:
W Ombelet; H Vandeput; M Janssen; A Cox; C Vossen; H Pollet; O Steeno; E Bosmans
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  12     ISSN:  0268-1161     ISO Abbreviation:  Hum. Reprod.     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-09-24     Completed Date:  1997-09-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1165-70     Citation Subset:  IM    
Affiliation:
Genk Institute for Fertility Technology, St Jansziekenhuis, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Adult
Autoantibodies / metabolism*
Clinical Protocols
Coombs' Test
Female
Fertilization in Vitro*
Humans
Infertility, Male / diagnosis,  immunology*,  therapy*
Insemination, Artificial, Homologous*
Male
Ovulation Induction
Pregnancy
Prospective Studies
Spermatozoa / immunology*
Chemical
Reg. No./Substance:
0/Autoantibodies

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


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