Human Reproduction, Vol 12, 1980-1984, Copyright © 1997 by Oxford University Press
A De Vos, ZP Nagy, H Van de Velde, H Joris, G Bocken and A Van Steirteghem
Prior to intracytoplasmic sperm injection (ICSI), seminal fluid is
currently washed out from the ejaculated semen and further sperm selection
is carried out by a discontinuous Percoll gradient. Possible deleterious
effects from the sperm-separating substance Percoll on sperm function or
embryo cleavage after in-vitro fertilization (IVF) have, to our knowledge,
not yet been reported and the use of Percoll has been widely accepted in
IVF. In this study, we examined whether the omission of the Percoll step in
the sperm preparation has any influence on the outcome of the ICSI
procedure. Two methods of sperm preparation for ICSI were compared in a
controlled study on sibling oocytes: washing the semen sample once,
followed by a Percoll gradient centrifugation versus washing the sperm
sample twice without a Percoll gradient centrifugation. The mean
fertilization rates were similar for the two sperm preparation methods:
78.2 +/- 21.4 and 75.0 +/- 24.1% respectively of the intact oocytes
displaying two pronuclei. Cleavage rates did not differ statistically
between the two groups. Whereas in both groups similar percentages of
excellent, good and poor quality embryos were obtained, the percentage of
fair quality embryos was significantly higher in the group without Percoll
(16.3 +/- 20.1 versus 9.1 +/- 15.7%). However, no statistical differences
were observed in either the percentage of transferable embryos or in the
percentage of embryos actually transferred or frozen in the two groups. In
conclusion, spermatozoa from ejaculates that are washed out from the
seminal fluid without any further selection can be used for ICSI without
any adverse effect on fertilization and embryo cleavage.
ARTICLES
Percoll gradient centrifugation can be omitted in sperm preparation for intracytoplasmic sperm injection
Centre for Reproductive Medicine, University Hospital, Dutch-speaking Brussels Free University (Vrije Universiteit Brussel), Belgium.
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