Volume 15, Issue 6 (November 2013) 15, 790–794; 10.1038/aja.2013.81
Diagnostic value of sperm DNA fragmentation and sperm high-magnification for predicting outcome of assisted reproduction treatment
Gemma López1, Rafael Lafuente1, Miguel A Checa1,2, Ramón Carreras2 and Mario Brassesco1
1Centro de Infertilidad y Reproducción Humana (CIRH), E-08017 Barcelona, Spain 2Department of Obstetrics and Gynecology, Hospital Universitari del Mar, Universitat Autónoma de Barcelona, E-08003 Barcelona, Spain
Correspondence: Dr G López, (glopez@cirh.es)
Received 23 November 2012; Revised 25 February 2013; Accepted 30 May 2013 Advance online publication 5 August 2013
Abstract |
Over the last years, major improvements in the field of male infertility diagnosis have been achieved. The aim of this study was to determine the diagnostic usefulness of sperm DNA integrity and sperm vacuolisation for predicting outcome in infertile couples undergoing in vitro fertilisation (IVF) and intracytoplasmic sperm injection (ICSI) treatments. A cohort study from 152 infertile couples undergoing sperm DNA fragmentation and high-magnification tests prior to an assisted reproduction treatment was designed. We found that the most predictive cutoff for pregnancy was 25.5% of DNA fragmentation with a negative predictive value of 72.7% (P=0.02). For the degree of vacuolisation, the best predictor of pregnancy was 73.5% of vacuolated sperm grades III+IV with a negative predictive value of 39.4% (P=0.09), which was not statistically significant. In conclusion, sperm DNA fragmentation greater than 25.5% could be associated with higher probability of failure IVF treatment. Regarding the results of the sperm analysis at high magnification, they do not allow us to predict whether or not patients will become pregnant.
Keywords: DNA fragmentation; high-magnification; IVF; vacuoles
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