TRIPLET PREGNANCY AFTER INTRACYTOPLASMIC SPERM INJECTION

Morphology of the spermatozoa is one of the major criteria in severe m ale subfertility. We report on a case of severe Oligoasthenoteratozoos permia in which a triplet pregnancy could be achieved after intracytop lasmic sperm injection (ICSI). After treatment with GnRH-analogues/HMG /HCG seven oocytes of metaphase II could be retrived and injected. Thr ee of them fertilised and were transferred as four-cell stage embryos after two days. Seven weeks later an intact triplet pregnancy could be detected by ultrasonography. The severe sperm defects in this case we re evaluated with the technique of electron microscopy. Ultramorpholog y of spermatozoa appears to have an important predictive value for fer tilisation and pregnancy in classical IVF. Its value for the assisted procreation techniques such as ICSI remains to be investigated.