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Beyond IUI, IVF and ICSI - New developments in - eshre 2013

Beyond IUI, IVF and ICSI - New developments in - eshre 2013

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III. HA <strong>and</strong> <strong>ICSI</strong> outcome: prospective r<strong>and</strong>omized<br />

study<br />

Van den Bergh et al . Reprod. Biomed. Onl<strong>in</strong>e 2009 19(6): 796-801<br />

Nasr-Esfahani et al. J Assit Reprod Genet 2008 25 (5):197-203<br />

44 Patients: <strong>ICSI</strong> with ½ HA-bound sperm (HA+)<br />

½ unbound sperm (HA -)<br />

• % fertilization: HA(+) 75% HA(-) 70%<br />

• Zygote score, embryo quality <strong>and</strong> # 4c- embryos: similar<br />

<strong>in</strong> both groups<br />

HA(+) higher fertilization rate; pregnancy rate not different<br />

Limited predictive value/ limited cl<strong>in</strong>ical use<br />

IV. HA <strong>and</strong> ART outcome: freezability of sperm<br />

Yogev et al. Fertil Steril 2010 93(1): 154-8<br />

Sperm donors (129) : semen analysis <strong>and</strong> % HA-bound<br />

sperm<br />

Predictive value HA-b<strong>in</strong>d<strong>in</strong>g significant, significant but not better than<br />

% motility after 1- to 4 hours<br />

Limited predictive value/ limited cl<strong>in</strong>ical use<br />

Va. HA <strong>and</strong> <strong>IVF</strong> outcome<br />

Ye et al. Hum Reprod. 2006 21(6): 1545-50<br />

175 <strong>IVF</strong> patients: 3 or > oocytes.<br />

HA-b<strong>in</strong>d<strong>in</strong>g test <strong>in</strong> an aliquot semen<br />

HA-b<strong>in</strong>d<strong>in</strong>g correlates with motility <strong>and</strong> morphology<br />

Poor predictive value of HA-b<strong>in</strong>d<strong>in</strong>g for poor fertilization<br />

Limited predictive value/ limited cl<strong>in</strong>ical use<br />

Page 55 of 127

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