Predictive value of semen parameters in in vitro fertilisation pregnancy outcome. 2009

X Chen, and W Zhang, and Y Luo, and X Long, and X Sun
The Third Affiliated Hospital of Guangzhou Medical College, Guangdong, China. lucychen23@yahoo.com.cn

This study investigated retrospectively the predictive value of routine semen analysis in pregnancy by in vitro fertilisation (IVF). The selected (n = 796) cycles were divided into two groups: pregnancy group (group 1; n = 264) and nonpregnancy group (group 2; n = 532), in which the female partners were normal or just had tube problems. No significant differences were found in the percentage of normal sperm morphology, sperm motility, sperm progressive motility, rapid progressive motility (rapid) and concentration between the two groups (P > 0.05). However, teratozoospermic index (TZI) and sperm deformity index (SDI) showed statistically significant differences between the two groups (P < 0.05). The number of retrieved eggs (P = 0.001), fertilisation rate (P = 0.000) and number of embryos transferred (P = 0.020) in group 1 were significantly higher than those in group 2, but no significant differences were noted in cleavage rates, and good quality embryo rates between the two groups (P > 0.05). Using receiver operating characteristics curve, we found that semen parameters (morphology, motility and concentration), fertilisation rate, TZI and SDI were not good indicators for pregnancy by IVF. Thus, the semen parameters evaluated according to criteria of the World Health Organization are no good predictors for accurately identifying the IVF outcome. However, TZI and SDI may be more informative than other semen parameters.

UI MeSH Term Description Entries
D007248 Infertility, Male The inability of the male to effect FERTILIZATION of an OVUM after a specified period of unprotected intercourse. Male sterility is permanent infertility. Sterility, Male,Sub-Fertility, Male,Subfertility, Male,Male Infertility,Male Sterility,Male Sub-Fertility,Male Subfertility,Sub Fertility, Male
D008297 Male Males
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011256 Pregnancy Outcome Results of conception and ensuing pregnancy, including LIVE BIRTH; STILLBIRTH; or SPONTANEOUS ABORTION. The outcome may follow natural or artificial insemination or any of the various ASSISTED REPRODUCTIVE TECHNIQUES, such as EMBRYO TRANSFER or FERTILIZATION IN VITRO. Outcome, Pregnancy,Outcomes, Pregnancy,Pregnancy Outcomes
D005260 Female Females
D005307 Fertilization in Vitro An assisted reproductive technique that includes the direct handling and manipulation of oocytes and sperm to achieve fertilization in vitro. Test-Tube Fertilization,Fertilizations in Vitro,In Vitro Fertilization,Test-Tube Babies,Babies, Test-Tube,Baby, Test-Tube,Fertilization, Test-Tube,Fertilizations, Test-Tube,In Vitro Fertilizations,Test Tube Babies,Test Tube Fertilization,Test-Tube Baby,Test-Tube Fertilizations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective

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