SCORE PROGNOSIS FOR THE INFERTILE COUPLE BASED ON HISTORICAL FACTORS AND SPERM ANALYSIS

Objective: To identify variables, obtained from historical factors and sperm analysis, associated with greater chances of pregnancy in infer tile couples. Methods: The study was carried out in Cordoba, Argentina . The characteristics of 247 couples consulting for infertility who ac hieved pregnancy within 3 years of their first visit were compared wit h those of 312 couples who did not become pregnant. We evaluated the r elationship between the age of the woman and her partner, the type and duration of infertility, length of the last three menstrual cycles, h istory of pelvic surgery in the woman, and testicular volume, sperm de nsity, motility and morphology in her partner, and the achievement of pregnancy. For the analysis, logistic regression was used. Results: Si x variables had a predictive value: sperm morphology, the woman's age, type and duration of infertility, her history of pelvic surgery, and duration of menstrual cycles. Conclusions, The best prognosis for futu re fertility in infertile couples is correlated with a higher percenta ge of normal sperm morphology, younger woman's age, secondary infertil ity, fewer years of infertility, negative history of pelvic surgery, a nd abnormal menstrual cycles.