Single blastocyst transfer after ICSI from ejaculate spermatozoa, percutaneous epididymal sperm aspiration (PESA) or testicular sperm extraction (TESE)

  • Staffan Nilsson
  • Urban Waldenström
  • Ann-Britt Engström
  • Dan Hellberg
Original Paper

DOI: 10.1007/s10815-006-9091-8

Cite this article as:
Nilsson, S., Waldenström, U., Engström, AB. et al. J Assist Reprod Genet (2007) 24: 167. doi:10.1007/s10815-006-9091-8
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Abstract

Purpose: To investigate the outcome of IVF following intracytoplasmic sperm injection (ICSI) from ejaculate, percutaneous epididymal sperm aspiration (PESA) and testicular sperm extraction (TESE), with subsequent blastocyst culture and single blastocyst transfer.

Methods: Single blastocyst transfer was performed after ejaculate ICSI (oligozoospermia) in 587 patients, TESE/PESA (azoospermia) in 31 patients, and standard IVF in 680 women.

Results: There were only minor differences in IVF characteristics between the standard IVF and the PESA-TESE couples. Couples where ejaculate ICSI were performed seemed to represent a slightly poorer prognostic group. A viable fetus after the 12th gestational week, i.e. ongoing pregnancy, was present in 41.4% after ICSI/ET, 51.6% after PESA-TESE/ET and in 40.4% after standard IVF/ET (no significant differences).

Conclusion: Single blastocyst transfer after ejaculate ICSI or after PESA/TESE appears to give similar results as conventional IVF blastocyst culture.

Keywords

In vitro fertilization Single embryo transfer Blastocyst Intracytoplasmic sperm injection Percutaneous epididymal sperm aspiration Testicular sperm extraction 

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Staffan Nilsson
    • 1
    • 2
    • 3
  • Urban Waldenström
    • 1
  • Ann-Britt Engström
    • 1
  • Dan Hellberg
    • 2
    • 3
  1. 1.IVF UnitFalun HospitalFalunSweden
  2. 2.Center for Clinical Research DalarnaFalunSweden
  3. 3.Department of Women’s and Children’s HealthUppsala UniversityUppsalaSweden

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