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Evaluation of sperm selection procedure based on hyaluronic acid binding ability on ICSI outcome

  • Andrology
  • Published:
Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

Abstract

Purpose

To compare the efficiency of routine sperm selection method with HA-selection procedure for fertilization rate, embryo development, implantation and pregnancy rates as well as evaluating the relationship between HA-binding ability with sperm protamine deficiency and DNA fragmentation.

Methods

Semen samples were obtained from the 50 couples undergoing ICSI. The percentage of fertilization rate, cleavage and quality of embryos compared between two procedures (routine sperm selection and HA-binding selection). The semen samples were assessed for DNA fragmentation and protamine deficiency by sperm chromatin dispersion (SCD) test and Chromomycin A3 (CMA3) staining, respectively.

Results

A significant inverse correlation was observed between percentage of HA binding with protamine deficiency, DNA fragmentation and abnormal sperm morphology (P < 0.05). Furthermore, in current study, oocytes inseminated by HA sperm selection procedure had significantly higher fertilization rate (P < 0.05). While the pregnancy and implantation rates were insignificantly increased.

Conclusion

The results suggest that normal sperm have higher chance to bind HA and therefore, HA sperm selection procedure may select sperm with normal protamine content and low DNA fragmentation, but to confirm the effect of HA sperm selection on the ICSI outcome requires further studies.

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Acknowledgement

The authors would like to express their gratitude to the Royan Institute for its financial support and the staff of Isfahan Fertility and Infertility Center for their kind collaboration.

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Authors and Affiliations

  1. Department of Embryology and Andrology, Royan Institute, P.O.Box: 19395-4644, Tehran, Iran

    M. H. Nasr-Esfahani & M. Tavalaee

  2. Isfahan Fertility and Infertility Center, Isfahan, Iran

    M. H. Nasr-Esfahani

  3. Department of Anatomy, Isfahan Medical University, Isfahan, Iran

    S. Razavi

  4. Department of Biology, Isfahan University, Isfahan, Iran

    A. A. Vahdati & F. Fathi

Authors
  1. M. H. Nasr-Esfahani
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  2. S. Razavi
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  3. A. A. Vahdati
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  4. F. Fathi
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  5. M. Tavalaee
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Correspondence to M. H. Nasr-Esfahani.

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Nasr-Esfahani, M.H., Razavi, S., Vahdati, A.A. et al. Evaluation of sperm selection procedure based on hyaluronic acid binding ability on ICSI outcome. J Assist Reprod Genet 25, 197–203 (2008). https://doi.org/10.1007/s10815-008-9223-4

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  • DOI: https://doi.org/10.1007/s10815-008-9223-4

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