Nakagawa K, Yamano S, Kamada M, Hinokio K, Maegawa M, Aono T. Quality of embryo does not affect the implantation rate of IVF-ET in infertile women with antisperm antibody.
Fertil Steril 1999;
72:1055-60. [PMID:
10593381 DOI:
10.1016/s0015-0282(99)00440-9]
[Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
OBJECTIVE
To determine whether low quality score of embryos and advanced maternal age affect the implantation rate in infertile women with sperm-immobilizing antibody.
DESIGN
A retrospective study.
SETTING
The IVF Unit of the Department of Obstetrics and Gynecology at Tokushima University Hospital.
PATIENT(S)
Four infertile groups were studied: 20 women with sperm-immobilizing antibodies; 169 with tubal; 129 with male factor; and 72 with unexplained etiology.
INTERVENTION(S)
All women were hyperstimulated with GnRH analogue and scheduled ovarian stimulation with FSH and hMG for oocyte retrieval.
MAIN OUTCOME MEASURE(S)
Relationship of quality of transferred embryos, implantation rate and maternal age among four groups of infertile couples.
RESULT(S)
In the antisperm group, the fertilization rate (57.6%) and mean (+/- SD) score of transferred embryos (5.4+/-1.9) were significantly lower than those in the tubal group (72.4% and 6.2+/-1.9, respectively). However, the implantation rate in the antisperm group (23.6%) was significantly higher than those in other three groups (tubal, 8.6%; male factor, 9.5%; unexplained, 7.6%). With advancing maternal age, the implantation rate decreased in the three comparative groups. In contrast, the implantation rate in the antisperm group did not decrease with advancing maternal age.
CONCLUSION(S)
Women with antisperm antibodies have several disadvantages to overcome in order to achieve successful IVF-ET, such as a low fertilization rate and poor quality of transferred embryos. However, a high implantation rate was observed in this group, even in women at advanced age. The occurrence of a cellular or humoral immune reaction against sperm may augment the uterine receptivity for the implantation of fertilized ova or blastocyst.
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