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- Title
Pregnancy outcome of intracytoplasmic injection with epididymal and testicular sperm retrieval in azoospermic patients.
- Authors
Moein M. R.; Ghasemi-EsmailabadS; Ghasemzadeh J.; Fesahat F.; Tabibnejad N.
- Abstract
Introduction: Intra cytoplasmic sperm injection (ICS1) is an assisted reproductive technique for treatment of infertility in azoospermic men. It seems that pregnancy outcome in ICSI following percutaneous epididymal sperm aspiration (PESA) is better than using testicular sperm retrieving from testis due to greater motility and better morphology of epididymal spermatozoa. To determine clinical pregnancy outcome following ICSI with epididymal sperm comparing to that of testicular sperm in men with azoospermia. Materials and Methods: 60 men with azoospermia who were candidate for ICSI have been selected. Sperm retrieval was performed using PESA (n=30) or testicular sperm extraction (TESE) (n=30). The number of embryos and live births were analyzed and evaluated between two mentioned groups and also thawed sperms after freezing in TESE group (n=30). Results: No difference was seen in age and duration of infertility between groups. The number of embryos were not different significantly between TESE and PESA groups (p>0.05), but the different was significant between PESA and TESE freeze groups (3.67±2.89 vs. 2.10±1.53 respectively; p<0.05). The live birth rate was higher in the PESA group compared with the TESE group p<0.05). Conclusion: Intracytoplasmic sperm injection using sperm from epididymis is more effective than testicular sperm injection and can successfully be performed to treat men with azoospermia.
- Subjects
INTRACYTOPLASMIC sperm injection; INFERTILITY; PREGNANCY; EMBRYOLOGY; EPIDIDYMIS
- Publication
Iranian Journal of Reproductive Medicine, 2015, p59
- ISSN
1680-6433
- Publication type
Article