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Hum. Reprod. Advance Access originally published online on February 23, 2006
Human Reproduction 2006 21(7):1787-1790; doi:10.1093/humrep/del049
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© The Author 2006. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Does the presence of nuclear vacuoles in human sperm selected for ICSI affect pregnancy outcome?

Arie Berkovitz 1 , Fina Eltes 2 , Adrian Ellenbogen 3 , Sigal Peer 2 , Dov Feldberg 4 and Benjamin Bartoov 2 , 5

1 IVF Unit, Department of Obstetrics and Gynaecology, Sapir Medical Center, Meir Hospital, Kfar Saba 2 Male Fertility Laboratory, Faculty of Life Sciences, Bar-Ilan University, Ramat Gan 3 Department of Obstetrics and Gynaecology, IVF Unit, Hillel-Yaffe Medical Center, Hadera and 4 IVF Unit, Herzliya Medical Center, Herzliya-on-the-Sea, Israel

5 To whom correspondence should be addressed at: Male Fertility Laboratory, Faculty of Life Sciences, Bar-Ilan University, Ramat Gan 52900, Israel. E-mail: bartoob{at}mail.biu.ac.il

BACKGROUND: To verify whether or not microinjection of sperm with a normal nuclear shape but large vacuoles affects IVF–ICSI pregnancy outcome. METHODS: A comparative study testing IVF outcome parameters of IVF–ICSI, based on morphological selection of spermatozoa with normal nuclei against those based on microinjection of sperm with a normal nuclear shape but large vacuoles. An experimental group, including 28 IVF–ICSI cycles, where only embryos obtained from microinjection of spermatozoa with a normal nuclear shape but large vacuoles were transferred, was matched with a control group, including 28 IVF–ICSI cycles, where only embryos obtained from microinjection of spermatozoa with a strictly defined morphologically normal nuclear shape and content were transferred. The main outcome was IVF–ICSI pregnancy rate. RESULTS: The experimental group exhibited a significantly lower pregnancy rate per cycle and significantly higher abortion rate per pregnancy compared to the control group (18 versus 50%, and 80 versus 7%, respectively, P = 0.01). CONCLUSION: Microinjection of vacuolated sperm appears to reduce the pregnancy rate and appears to be associated with early abortion.

Key words: IVF–ICSI/IVF pregnancy outcome/vacuolated spermatozoa


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