Literature DB >> 26081127

Increased count, motility, and total motile sperm cells collected across three consecutive ejaculations within 24 h of oocyte retrieval: implications for management of men presenting with low numbers of motile sperm for assisted reproduction.

Al-Hasen Said1, Michael L Reed.   

Abstract

PURPOSE: The purpose of this study was to quantitate changes in seminal volume, sperm count, motility, qualitative forward progression, and total motile sperm cells per ejaculate, across three consecutive ejaculates collected from individuals within 24 h preceding an IVF cycle.
METHODS: Men presenting with oligoasthenozoospermia or asthenozoospemia attempted three ejaculates within 24 h preceding IVF. Ejaculate 1 was produced the afternoon prior to oocyte retrieval, and ejaculates 2 and 3 were produced the morning of oocyte retrieval with 2-3 h between collections. Ejaculates 1 and 2 were extended 1:1 v/v with room temperature rTYBS. Test tubes were placed into a beaker of room temperature water, then placed at 4 °C for gradual cooling. Ejaculate 3 was not extended, but pooled with ejaculates 1 and 2 and processed for intracytoplasmic sperm injection (ICSI).
RESULTS: Out of 109 oocyte retrievals, 28 men were asked to attempt multiple consecutive ejaculations. Among this population, 25/28 (89.3 %) were successful, and 3/28 men (10.7 %) could only produce two ejaculates. Mean volumes for ejaculates 1, 2, and 3 were significantly different from each other (p < 0.01); the volume decreased for each ejaculate. Mean sperm counts, motility, qualitative forward progression, and total motile cells per ejaculate for the ejaculates1, 2, and 3 demonstrated the following: ejaculates 2 and 3 were not significantly different, but counts, motility, and total motile sperm were improved over ejaculate 1 (p < 0.01).
CONCLUSIONS: Pooling three consecutive ejaculates within 24 h increased the numbers of available motile sperm in this population by 8-fold compared to the first ejaculate alone, facilitating avoidance of sperm cryopreservation and additional centrifugation steps that could affect sperm viability and/or function.

Entities:  

Mesh:

Year:  2015        PMID: 26081127      PMCID: PMC4531863          DOI: 10.1007/s10815-015-0509-z

Source DB:  PubMed          Journal:  J Assist Reprod Genet        ISSN: 1058-0468            Impact factor:   3.412


  33 in total

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2.  A short period of ejaculatory abstinence before intrauterine insemination is associated with higher pregnancy rates.

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Journal:  Fertil Steril       Date:  2009-09-03       Impact factor: 7.329

Review 3.  Effects of advanced selection methods on sperm quality and ART outcome: a systematic review.

Authors:  Tamer M Said; Jolande A Land
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4.  Relationship between processed total motile sperm count of husband or donor semen and pregnancy outcome following intrauterine insemination.

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5.  Effect of ejaculatory abstinence period on the pregnancy rate after intrauterine insemination.

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Journal:  Fertil Steril       Date:  2005-09       Impact factor: 7.329

6.  Anxiety and sexual stress in men and women undergoing infertility treatment.

Authors:  Brennan D Peterson; Christopher R Newton; Tal Feingold
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Review 7.  Predictive factors for pregnancy after intrauterine insemination (IUI): an analysis of 1038 cycles and a review of the literature.

Authors:  Philippe Merviel; Marie Hélène Heraud; Nadège Grenier; Emmanuelle Lourdel; Pierre Sanguinet; Henri Copin
Journal:  Fertil Steril       Date:  2008-11-08       Impact factor: 7.329

Review 8.  Considerations in evaluating human spermatogenesis on the basis of total sperm per ejaculate.

Authors:  Rupert P Amann
Journal:  J Androl       Date:  2009-05-14

9.  Effects of pentoxifylline treatment before freezing on motility, viability and acrosome status of poor quality human spermatozoa cryopreserved by the liquid nitrogen vapor method.

Authors:  S C Esteves; D M Spaine; A P Cedenho
Journal:  Braz J Med Biol Res       Date:  2007-07       Impact factor: 2.590

Review 10.  Sperm preparation for ART.

Authors:  Ralf R Henkel; Wolf-Bernhard Schill
Journal:  Reprod Biol Endocrinol       Date:  2003-11-14       Impact factor: 5.211

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  1 in total

1.  The Use of Pooled Consecutive Ejaculates in Moderate Male Factor Infertility to Increase Intrauterine Insemination Success.

Authors:  Sumana Gurunath; Swathi Gundlapalli; John Louis
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