Effect of normal sperm morphology rate (NSMR) on clinical outcomes for rescue-ICSI(R-ICSI) patients

Gynecol Endocrinol. 2017 Jun;33(6):458-461. doi: 10.1080/09513590.2017.1291609. Epub 2017 Mar 3.

Abstract

Purpose: To investigate whether the normal sperm morphology rate (NSMR) can affect the clinical outcomes of rescue-ICSI(R-ICSI) patients.

Methods: Based on different NSMR, the patients were divided into two groups as follows: NSMR < 4% and NSMR ≥ 4% group. Main outcomes compared were fertilization, cleavage, normal fertilization, high-quality embryo, transferrable embryo, no transferrable embryo cycles, implantation, clinical pregnancy and abortion rate. Some men's and women's basic parameters were compared between pregnancy and non-pregnancy group.

Results: The basic parameter such as female age, endometrial thickness, infertility duration, Gn administration, Gn days, basal serum FSH and basal serum E2 found no significant difference between NSMR < 4% and NSMR ≥ 4% group (p > 0.05). There was no significant difference in aspects of the number of retrieved oocytes, the number of transferred embryos, fertilization, cleavage, normal fertilization, high-quality embryo, transferrable embryo, no transferred embryo cycle, implantation, clinical pregnancy and abortion rate between two groups (p > 0.05). Between pregnancy and non-pregnancy group, we observed no significant difference in the female age, the number of retrieved oocytes, the number of high-quality embryo, the number of transferrable embryos, Gn administration, Gn does, endometrial thickness, infertility duration, basal serum FSH, basal serum E2, sperm concentration and progressively motile sperm (p > 0.05).

Conclusions: Teratospermia made no effect on clinical outcomes of rescue-ICSI(R-ICSI) patients.

Keywords: Normal sperm morphology; pregnancy; rescue-ICSI.

MeSH terms

  • Adult
  • Female
  • Humans
  • Male
  • Pregnancy
  • Sperm Injections, Intracytoplasmic / statistics & numerical data*
  • Spermatozoa / cytology*