The impact of early testicular sperm extraction or cryopreservation on the outcome of intracytoplasmic sperm injection - A randomized controlled study

M. Dirnfeld, M. Paz, D. Yshai, I. Calderon, S. Lahav-Baratz, M. Koifman, H. Shiloh, H. Abramovici, D. Bider*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Purpose: To compare the outcome of sperm extraction 24 h before ovum pickup and on the day of oocyte retrieval. Methods: A controlled study was performed to compare the outcome of 90 sperm extractions and in vitro sperm injection cycles performed in 54 patients. Results: Available fresh sperm for the sperm injection procedure and cryopreservation obtained on the day of ovum pickup were similar to sperm collected 1 day before (33.3% vs. 39.4%, respectively). Fertilization rate obtained with fresh sperm was also similar (48.9% vs. 54%), respectively. Clinical pregnancy rate was 38% vs. 22% per embryo transfer, respectively (P = 0.235). When comparing an additional 24 cycles with cryopreservation of sperm retrieved on the day of ovum pickup, as well as a day previously, no significance was noted in the parameters. Conclusions: Sperm retrieved 24 h before oocyte retrieval and used as fresh or frozen-thawed for sperm injection are as effective as those used on the day of ovum pickup.

Original languageEnglish
Pages (from-to)205-209
Number of pages5
JournalJournal of Assisted Reproduction and Genetics
Volume20
Issue number6
DOIs
StatePublished - 1 Jun 2003

Keywords

  • Cryopreservation
  • ICSI
  • Nonobstructive azoospermia
  • TESE

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