The impact of surgical sperm retrieval on the in vitro fertilization outcomes of infertile patients with temporary ejaculation failure on their oocyte retrieval day  

Oleh:

Junsheng, Li ; Quan, Bai ; Ying, Lian

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 99 no. 02 (Feb. 2013), page 362-366.
Topik: Temporary ejaculation failure; testicular sperm aspiration; obstructive azoospermia; IVF outcomes

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2013.03 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective To evaluate the impact of testicular sperm aspiration on the clinical outcomes of IVF patients with temporary ejaculation failure (TEF) on the day of oocyte retrieval. Design A case-control study. Setting University-affiliated IVF center. Patient(s) One hundred eight infertile couples encountering TEF on the day of oocyte retrieval. Intervention(s) Testicular sperm aspiration and intracytoplasmic sperm injection (TESA-ICSI) were employed to help the TEF couples to complete their IVF treatments. A group of obstructive azoospermia (OA) patients was chosen as a control group to evaluate the efficiency and safety of this intervention. Main Outcome Measure(s) Fertilization rates, transferable embryo rates, and clinical pregnancy rates (PRs). Result(s) Through the TESA-ICSI, TEF couples achieved a 38.83% (40/103) clinical PR per IVF cycle. Compared with the OA group, the TEF group showed a comparable fertilization rate (66.43% vs. 65.25%), transferable embryo rate (60.76% vs. 60.85%), and PR (51.61% vs. 50.00%) in thawed ET cycles but a relatively low PR (25.49% vs. 44.64%) in fresh ET cycles. Conclusion(s) TESA-ICSI is a relatively efficient and safe way to help the patients encountering TEF.

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