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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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VI. HA <strong>and</strong> <strong>IVF</strong> outcome: retrospective study<br />

(20 samples, Time1= raw sample, T2= the time of <strong>in</strong>sem<strong>in</strong>ation).<br />

No correlation for %HA-b<strong>in</strong>d<strong>in</strong>g <strong>in</strong><br />

the raw sample or after gradient<br />

centrifugation (at the time of<br />

<strong>in</strong>sem<strong>in</strong>ation)<br />

No correlation for fertilization rates<br />

VII. HA <strong>and</strong> <strong>IVF</strong> outcome (under Italian law)<br />

Tarozzi et al. Reprod Biomed Onl<strong>in</strong>e 2009 (19) suppl 3:35-43<br />

60 <strong>IVF</strong> patients<br />

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

No relationship between HA-b<strong>in</strong>d<strong>in</strong>g with fertilization,<br />

cleavage, embryo quality, cl<strong>in</strong>ical pregnancy,<br />

miscarriages.<br />

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

VIII. HA <strong>and</strong> <strong>ICSI</strong> outcome (under Italian law)<br />

1) Tarozzi et al. Reprod Biomed Onl<strong>in</strong>e 2009 (19) suppl 3:35-43<br />

2) Parmegiani et al. Fertil Steril 2010 93(2):598-604<br />

1) 293 <strong>ICSI</strong> couples HA-selected vs 86 st<strong>and</strong>ard <strong>ICSI</strong><br />

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

2) 206 <strong>ICSI</strong> couples<br />

Conclusion both studies: HA-bound sperm significantly<br />

improved embryo quality <strong>and</strong> implantation<br />

Predictive cl<strong>in</strong>ical value<br />

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