Assessment of sperm hyperactivated motility and acrosome reaction can discriminate the use of spermatozoa for conventional in vitro fertilisation or intracytoplasmic sperm injection: Preliminary results. (28th January 2013)

• Record Type: Journal Article
• Authors: Wiser, A.; Sachar, S.; Ghetler, Y.; Shulman, A.; Breitbart, H.
• Is Part Of: Andrologia. Volume 46:Number 3(2014:Jun.)
• Page Start: 313
• Page End: 315
• Publication Date: 2013-01-28
• Subjects: Andrology -- Periodicals; Infertility, Male -- Periodicals; 616.69
• DOI: 10.1111/and.12068
• Languages: English
• ISSNs: 0303-4569

Abstract

<abstract abstract-type="main" id="and12068-abs-0001"> <title>Summary</title> <p>Basic semen analysis is insufficient for determining the fertility potential. The aim of this study was to determine if hyperactivated motility (HAM) and acrosome reaction (AR) can be useful tests for evaluating semen quality during male infertility evaluations and to help the clinician decide whether regular insemination or intracytoplasmic sperm injection (ICSI) is preferable during <italic>in vitro</italic> fertilisation. A prospective study was conducted. Patients with normal sperm according to World Health Organization guidelines who underwent IVF treatment and planned regular insemination were asked to participate. A portion of sperm sample was evaluated for HAM and AR on day of ovum pick up. In HAM assessment, 93.3% of patients with increased HAM had a high fertilisation rate compared with 64% in the group without increased HAM (<italic>P</italic> = 0.059). For the AR evaluation, 91.7% of samples with a low rate of spontaneous AR had a high fertilisation rate compared with 39.3% in the group with a high rate of spontaneous AR (<italic>P </italic>=<italic> </italic>0.004).</p> </abstract>