AZF microdeletions of the Y chromosome and in vitro fertilization outcome.

Abstract:

OBJECTIVE:To determine whether the presence of a Y microdeletion confers any adverse effects on in vitro fertilization or intracytoplasmic sperm injection (IVF/ICSI) outcome. DESIGN:Retrospective case-control study. SETTING:Academic infertility center. PATIENT(S):A total of 17 patients with Y microdeletions who attempted IVF/ICSI cycles at our center between March 1996 and March 2002 were studied. Study patients were analyzed in two groups: those who underwent testicular sperm extraction (TESE) and those for whom ejaculated sperm was used. INTERVENTION(S):The two patient study groups were matched to controls treated at the same time who had either nonobstructive severe oligozoospermia or azoospermia with normal Y chromosomes. Controls were matched for age of the female partner, sperm concentration, and number of embryos transferred. MAIN OUTCOME MEASURE(S):Fertilization and clinical pregnancy rates. RESULT(S):Sperm was only obtained from patients with azoospermic factor (AZF)c microdeletions (and from one patient with a partial AZFb microdeletion). A trend toward lower fertilization rates in patients with Y microdeletions was noted, which did not reach statistical significance. Clinical pregnancy rates per cycle and per transfer were similar to those for controls. CONCLUSION(S):Patients with AZFc microdeletions seem to have IVF/ICSI outcomes comparable to those of controls with normal Y chromosomes.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Choi JM,Chung P,Veeck L,Mielnik A,Palermo GD,Schlegel PN

doi

10.1016/j.fertnstert.2003.06.030

keywords:

subject

Has Abstract

pub_date

2004-02-01 00:00:00

pages

337-41

issue

2

eissn

0015-0282

issn

1556-5653

pii

S001502820302867X

journal_volume

81

pub_type

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