Grigoriou O, Makrakis E, Konidaris S, Hassiakos D, Papadias K, Baka S, Creatsas G. Effect of sperm treatment with exogenous platelet-activating factor on the outcome of intrauterine insemination.
Fertil Steril 2005;
83:618-21. [PMID:
15749490 DOI:
10.1016/j.fertnstert.2004.07.980]
[Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2004] [Revised: 07/06/2004] [Accepted: 07/06/2004] [Indexed: 11/28/2022]
Abstract
OBJECTIVE
To evaluate the effect of sperm treatment with exogenous platelet-activating factor (PAF) on IUI clinical pregnancy rate.
DESIGN
Prospective randomized study.
SETTING
Assisted Reproduction Unit, 2nd Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, Athens, Greece.
SUBJECT(S)
Fifty-two couples with unexplained infertility, candidates for IUI.
INTERVENTION(S)
Sperm treatment with an exogenous mixture of PAF (final concentration, 10(-7) mol/L) in sperm-washing medium, direct swim-up technique of sperm preparation, a maximum of six IUI cycles per couple with or without PAF treatment.
MAIN OUTCOME MEASURE(S)
Clinical pregnancy rate (pregnancies confirmed by ultrasonography per hundred cycles).
RESULT(S)
The overall clinical pregnancy rate after a maximum of six IUI cycles was significantly higher when sperm was treated with PAF compared with the rate after the direct swim-up technique (23.07% vs. 7.92%).
CONCLUSION(S)
Treatment of sperm with exogenous PAF might improve the clinical outcome of IUI in cases of unexplained infertility.
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