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Human Reproduction, Vol. 8, No. 7, pp. 1055-1060, 1993
© 1993 European Society of Human Reproduction and Embryology


other

Higher success rate by intracytoplasmic sperm injection than by subzonal insemination. Report of a second series of 300 consecutive treatment cycles

André C. Van Steirteghem1, Jiaen Liu, Hubert Joris, Zsolt Nagy, Cécile Janssenswillen, Herman Tournaye, Marie-Paule Derde2, Elvire Van Assche3 and Paul Devroey

Centre for Reproductive Medicine, Academisch Ziekenhuis VUB Laarbeeklaan 101, B-1090 Brussels, Belgium 2Biostatistics Department, Academisch Ziekenhuis VUB Laarbeeklaan 101, B-1090 Brussels, Belgium 3Centre for Medical Genetics, Academisch Ziekenhuis VUB Laarbeeklaan 101, B-1090 Brussels, Belgium

Correspondence: 1To whom correspondence should be addressed

Subzonal insemination (SUZI) and intracytoplasmic sperm injection (ICSI) were carried out in 300 treatment cycles in couples unable to be helped by coventional in-vitro fertilization treatment. More oocytes were damaged by ICSI (13.5%) than by SUZI (7.1%). The normal fertilization rate was substantially higher after ICSI (51.0%) than after SUZI (14.3%) and was related to the semen characteristics. The cleavage rate was similar for both procedures (77%). After 217 embryo transfers (72.3% of the treatment cycles) 66 pregnancies were established, i.e. pregnancy rates of 22.0% per started cycle and 30.4% per embryo transfer. So far, pregnancy loss has occurred in 27.3% of the pregnancies, nine healthy children have been born after eight deliveries and 41 clinical pregnancies are progressing uneventfully. Chorionic villus sampling or amniocentesis have been performed in 35 pregnancies and 39 normal fetal karyotypes have been obtained after cytogenetic analysis.

Key words: intracytoplasmic spermatozoon injection/male-factor infertility/oocyte/spermatozoon/subzonal insemination


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