Intracytoplasmic sperm injection increased fertilization and good-quality embryo formation in patients with non-male factor indications for in vitro fertilization: a prospective randomized study
F. Khamsi et al., Intracytoplasmic sperm injection increased fertilization and good-quality embryo formation in patients with non-male factor indications for in vitro fertilization: a prospective randomized study, FERT STERIL, 75(2), 2001, pp. 342-347
Objective: To compare the fertilization rate and formation of good-quality
embryos with conventional IVF and ICSI in patients with non-male factor inf
ertility.
Design: Prospective controlled study.
Setting: Infertility clinic.
Patient(s): Thirty-five patients with non-male factor infertility.
Intervention(s): Retrieved sibling oocytes were randomly assigned to conven
tional IVF or ICSI. Of sibling oocytes assigned to ICSI, only metaphase II
oocytes were injected with sperm.
Main Outcome Measure(s): Fertilization rate and formation of good-quality e
mbryos per retrieved oocyte.
Result(s): Per retrieved oocyte, ICSI resulted in better fertilization rate
compared with conventional IVF (71.3% [134 of 188] vs. 57.2% [107 of 187])
. Per retrieved oocyte, ICSI also resulted in better formation of good-qual
ity embryos at 48 hours after retrieval compared with conventional IVF (64.
4% [121 of 188] vs. 47.1% [88 of 187]).
Conclusion(s): In IVF patients with non-male factor infertility, subjecting
some sibling oocytes to ICSI increased the fertilization rate and formatio
n of good-quality embryos per retrieved oocyte. It also avoided the problem
of total fertilization failure in almost all cases. (C)2001 by American So
ciety for Reproductive Medicine.