How to select healthy sperm for intracytoplasmic sperm injection in samples with high sperm DNA fragmentation?

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Gul, Murat
  • Jindal, Sunil
  • Vogiatzi, Paraskevi
  • Saleh, Ramadan
  • Durairajanayagam, Damayanthi
  • Parmegiani, Lodovico
  • Boitrelle, Florence
  • Colpi, Giovanni M
  • Agarwal, Ashok

Grupos

Abstract

The body of evidence supports the negative impact of increased sperm DNA fragmentation (SDF) on natural fertility as well as assisted reproduction conditions. High SDF has been correlated with low pregnancy and delivery rates following intrauterine insemination. Also, high SDF is accused of reducing the rates of fertilization, implantation, pregnancy, and live birth following in-vitro fertilization (IVF). Despite no impact of high SDF on fertilization or pregnancy rates following intracytoplasmic sperm injection (ICSI), it has been correlated with poor embryo quality and a higher risk of miscarriage. Several methods have been introduced to help select sperm with the best DNA quality to be used in assisted reproductive technology procedures. These include magnetic-activated cell sorting, intracytoplasmic morphologically selected sperm injection, physiologic ICSI, and microfluidic sperm sorters, among others. This article aimed to discuss the impact of high SDF in infertile men on the reproductive outcome of couples undergoing IVF/ICSI. Additionally, this review highlights the principles, advantages, and limitations of different techniques that are currently used for the selection of sperm with intact DNA to be utilized for ICSI.

Datos de la publicación

ISSN/ISSNe:
0031-0808, 1827-1898

Panminerva medica  Edizioni Minerva Medica

Tipo:
Article
Páginas:
148-158
PubMed:
37194246
Factor de Impacto:
0,446 SCImago
Cuartil:
Q3 SCImago

Citas Recibidas en Web of Science: 2

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Keywords

  • Sperm injections; intracytoplasmic; Infertility; male; DNA fragmentation

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