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Hum. Reprod. Advance Access published online on December 17, 2004
Human Reproduction, doi:10.1093/humrep/deh681
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Human Reproduction © European Society of Human Reproduction and Embryology 2004; all rights reserved
Received October 13, 2004
Revised November 1, 2004
Accepted November 22, 2004

Article

Does underlying infertility aetiology impact on first trimester miscarriage rate following ICSI? A preliminary report from 1244 singleton gestations

Mustafa Bahceci 1* and Ulun Ulug 2

1 Bahceci Women Health Care Center and German Hospital in Istanbul, Istanbul, Turkey; Yeditepe University School of Medicine, Istanbul, Turkey
2 Bahceci Women Health Care Center and German Hospital in Istanbul, Istanbul, Turkey

* To whom correspondence should be addressed.
Mustafa Bahceci, E-mail: mbahceci{at}superonline.com


  Abstract

BACKGROUND: We evaluated the impact of using ICSI for assisted fertilization on first trimester survival rates of singleton gestations among an unselected infertile population. METHODS: The 1244 singleton gestations achieved by ICSI were segregated according to underlying infertility aetiology, with 55.0% having male factor, 3.6% endometriosis, 4.3% polycystic ovarian disease, 9.1% tubal factor, 24.3% unexplained and 3.3% other. None of the patients had coexisting infertility factor. RESULTS: The survival rate of all ICSI singleton gestations during the first trimester was 72.2%. There were no differences in early pregnancy loss (EPL) rate by infertility factor. Among patients undergoing ICSI because of male factor, there were no differences in EPL using ejaculated or non-ejaculated sperm. Regardless of aetiology, women aged >40 years had significantly higher EPL (42.1%). CONCLUSION: Our preliminary results demonstrate that first trimester miscarriage rates of ICSI gestations are not affected by underlying infertility aetiology but are affected by maternal age.

Keywords: ICSI; infertility; miscarriage; pregnancy.
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