Prospective controlled randomized study of in vitro fertilization versus intracytoplasmic sperm injection in the treatment of tubal factor infertility with normal semen parameters
To compare the results of IVF and intracytoplasmic sperm injection (ICSI) in tubal factor infertility with normal semen parameters. A prospective randomized study. The Egyptian IVF-ET Center. One hundred sixteen patients infertile due to tubal factor were divided randomly into two groups. Group A (n...
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Published in | Fertility and sterility Vol. 66; no. 5; pp. 753 - 756 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
New York, NY
Elsevier Inc
01.11.1996
Elsevier Science |
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Abstract | To compare the results of IVF and intracytoplasmic sperm injection (ICSI) in tubal factor infertility with normal semen parameters.
A prospective randomized study.
The Egyptian IVF-ET Center.
One hundred sixteen patients infertile due to tubal factor were divided randomly into two groups. Group A (n=58) was treated with IVF and group B (n=58) was treated with ICSI.
In vitro fertilization and ICSI.
Pregnancy rate.
In group A, 736 oocytes were retrieved and normal (two pronuclear [2pN]) fertilization occurred in 477 oocytes (64.8%). In group B, 748 oocytes were retrieved, 572 metaphase II oocytes were injected, and 2PN fertilization occurred in 400 oocytes (70% per injected oocyte and 53.5% per retrieved oocyte). Clinical pregnancy was diagnosed in 18 patients in group A (31%) and 19 patients in group B (32.8%). There was no significant difference in the pregnancy rate between the two groups. The fertilization rate per retrieved oocytes was significantly higher in group A.
Intracytoplasmic sperm injection does not offer a higher pregnancy rate as compared with IVF in the treatment of tubal factor infertility with normal semen. |
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AbstractList | To compare the results of IVF and intracytoplasmic sperm injection (ICSI) in tubal factor infertility with normal semen parameters.
A prospective randomized study.
The Egyptian IVF-ET Center.
One hundred sixteen patients infertile due to tubal factor were divided randomly into two groups. Group A(n = 58) was treated with IVF and group B(m = 58) was treated with ICSI.
In vitro fertilization and ICSI.
Pregnancy rate.
In group A, 736 oocytes were retrieved and normal (two pronuclear [2pN] fertilization occurred in 477 oocytes (64.8%). In group B, 748 oocytes were retrieved, 572 metaphase II oocytes were injected, and 2PN fertilization occurred in 400 oocytes (70% per injected oocyte and 53.5% per retrieved oocyte). Clinical pregnancy was diagnosed in 18 patients in group A (31%) and 19 patients in group B (32.8%). There was no significant difference in the pregnancy rate between the two groups. The fertilization rate per retrieved oocytes was significantly higher in group A.
Intracytoplasmic sperm injection does not offer a higher pregnancy rate as compared with IVF in the treatment of tubal factor infertility with normal semen. OBJECTIVETo compare the results of IVF and intracytoplasmic sperm injection (ICSI) in tubal factor infertility with normal semen parameters.DESIGNA prospective randomized study.SETTINGThe Egyptian IVF-ET Center.PARTICIPANTSOne hundred sixteen patients infertile due to tubal factor were divided randomly into two groups. Group A(n = 58) was treated with IVF and group B(m = 58) was treated with ICSI.INTERVENTIONIn vitro fertilization and ICSI.MAIN OUTCOME MEASUREPregnancy rate.RESULTSIn group A, 736 oocytes were retrieved and normal (two pronuclear [2pN] fertilization occurred in 477 oocytes (64.8%). In group B, 748 oocytes were retrieved, 572 metaphase II oocytes were injected, and 2PN fertilization occurred in 400 oocytes (70% per injected oocyte and 53.5% per retrieved oocyte). Clinical pregnancy was diagnosed in 18 patients in group A (31%) and 19 patients in group B (32.8%). There was no significant difference in the pregnancy rate between the two groups. The fertilization rate per retrieved oocytes was significantly higher in group A.CONCLUSIONSIntracytoplasmic sperm injection does not offer a higher pregnancy rate as compared with IVF in the treatment of tubal factor infertility with normal semen. To compare the results of IVF and intracytoplasmic sperm injection (ICSI) in tubal factor infertility with normal semen parameters. A prospective randomized study. The Egyptian IVF-ET Center. One hundred sixteen patients infertile due to tubal factor were divided randomly into two groups. Group A (n=58) was treated with IVF and group B (n=58) was treated with ICSI. In vitro fertilization and ICSI. Pregnancy rate. In group A, 736 oocytes were retrieved and normal (two pronuclear [2pN]) fertilization occurred in 477 oocytes (64.8%). In group B, 748 oocytes were retrieved, 572 metaphase II oocytes were injected, and 2PN fertilization occurred in 400 oocytes (70% per injected oocyte and 53.5% per retrieved oocyte). Clinical pregnancy was diagnosed in 18 patients in group A (31%) and 19 patients in group B (32.8%). There was no significant difference in the pregnancy rate between the two groups. The fertilization rate per retrieved oocytes was significantly higher in group A. Intracytoplasmic sperm injection does not offer a higher pregnancy rate as compared with IVF in the treatment of tubal factor infertility with normal semen. |
Author | Kamal, Ahmed Serour, Gamal I. Aboulghar, Mohamed A. Amin, Yahia M. Mansour, Ragaa T. |
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Keywords | IVF tubal factor ICSI fertilization infertility Human Spermatozoa Intracytoplasmic sperm injection Semen Assisted procreation Female sterility Fecundation Normal In vitro Comparative study Female genital diseases Fallopian tube pathology |
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contributor: fullname: Molloy – volume: 9 start-page: 2051 year: 1994 ident: 10.1016/S0015-0282(16)58630-0_bb0095 article-title: Successful treatment of severe male factor infertility in 100 consecutive cycles using intracytoplasmic sperm injection publication-title: Hum Reprod doi: 10.1093/oxfordjournals.humrep.a138392 contributor: fullname: Payne – volume: 63 start-page: 1231 year: 1995 ident: 10.1016/S0015-0282(16)58630-0_bb0065 article-title: Intracytoplasmic sperm injection: a novel treatment for all forms of male factor infertility publication-title: Fertil Steril doi: 10.1016/S0015-0282(16)57603-1 contributor: fullname: Palermo – volume: 52 start-page: 1 year: 1989 ident: 10.1016/S0015-0282(16)58630-0_bb0010 article-title: Operative laparoscopy: time for acceptance publication-title: Fertil Steril doi: 10.1016/S0015-0282(16)60779-3 contributor: fullname: Gomel – volume: 60 start-page: 888 year: 1993 ident: 10.1016/S0015-0282(16)58630-0_bb0080 article-title: Influence of sperm 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sperm injection publication-title: Hum Reprod doi: 10.1093/oxfordjournals.humrep.a138192 contributor: fullname: van Steirteghem – volume: 5 start-page: 7 year: 1990 ident: 10.1016/S0015-0282(16)58630-0_bb0050 article-title: Impairment of the hatching process following IVF in the human improvement of implantation by assisting hatching using micromanipulation publication-title: Hum Reprod doi: 10.1093/oxfordjournals.humrep.a137044 contributor: fullname: Cohen – volume: 9 start-page: 1459 year: 1994 ident: 10.1016/S0015-0282(16)58630-0_bb0085 article-title: AJ-FSI monoclonal antibody detects a novel group of non-glycosylated antigens within the human sperm tail fibrous sheath publication-title: Hum Reprod doi: 10.1093/oxfordjournals.humrep.a138729 contributor: fullname: Jassin – volume: 121 start-page: 418 year: 1975 ident: 10.1016/S0015-0282(16)58630-0_bb0005 article-title: Electromicrosurgery and salpingostomy: long term results publication-title: Am J Obstet Gynecol doi: 10.1016/0002-9378(75)90024-1 contributor: fullname: Swolin – volume: 64 start-page: 13 year: 1995 ident: 10.1016/S0015-0282(16)58630-0_bb0025 article-title: Assisted reproductive technology in the United States and Canada: 1993 results from the American Society for Reproductive Medicine/Society for Assisted Reproductive Technology Registry publication-title: Fertil Steril contributor: fullname: Society for Assisted Reproductive Technology, American Society for Reproductive Medicine – volume: 64 start-page: 982 year: 1995 ident: 10.1016/S0015-0282(16)58630-0_bb0040 article-title: The effect of sperm parameters on the outcome of intracytoplasmic sperm injection publication-title: Fertil Steril doi: 10.1016/S0015-0282(16)57914-X contributor: fullname: Mansour – volume: 59 start-page: 956 year: 1993 ident: 10.1016/S0015-0282(16)58630-0_bb0020 article-title: Assisted reproductive technology in the United States and Canada: 1991 results from the Society for Assisted Reproductive Technology generated from The American Fertility Society Registry publication-title: Fertil Steril doi: 10.1016/S0015-0282(16)55910-X contributor: fullname: Society for Assisted Reproductive Technology, The American Fertility Society – volume: 10 start-page: 2829 year: 1995 ident: 10.1016/S0015-0282(16)58630-0_bb0100 article-title: The role of intracytoplasmic sperm injection (ICSI) in the treatment of patients with borderline semen publication-title: Hum Reprod doi: 10.1093/oxfordjournals.humrep.a135801 contributor: fullname: Aboulghar – volume: 7 start-page: 263 year: 1995 ident: 10.1016/S0015-0282(16)58630-0_bb0070 article-title: Microfertilization techniques-the Swedish experience publication-title: Reprod Fertil Dev doi: 10.1071/RD9950263 contributor: fullname: Hamberger – volume: 4 start-page: 163 year: 1989 ident: 10.1016/S0015-0282(16)58630-0_bb0060 article-title: Recovery of motile sperm using the migration-sedimentation technique in an in vitro fertilization-embryo transfer publication-title: Hum Reprod doi: 10.1093/oxfordjournals.humrep.a136864 contributor: fullname: Lucena |
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Snippet | To compare the results of IVF and intracytoplasmic sperm injection (ICSI) in tubal factor infertility with normal semen parameters.
A prospective randomized... OBJECTIVETo compare the results of IVF and intracytoplasmic sperm injection (ICSI) in tubal factor infertility with normal semen parameters.DESIGNA prospective... |
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SubjectTerms | Biological and medical sciences Birth control Chorionic Gonadotropin - therapeutic use Embryo Implantation Estradiol - blood Fallopian Tube Diseases - complications Female fertilization Fertilization in Vitro - methods Gynecology. Andrology. Obstetrics Humans ICSI infertility Infertility, Female - etiology Infertility, Female - therapy IVF Male Medical sciences Microinjections Oocytes Pregnancy Prospective Studies Sterility. Assisted procreation tubal factor |
Title | Prospective controlled randomized study of in vitro fertilization versus intracytoplasmic sperm injection in the treatment of tubal factor infertility with normal semen parameters |
URI | https://dx.doi.org/10.1016/S0015-0282(16)58630-0 https://www.ncbi.nlm.nih.gov/pubmed/8893679 https://search.proquest.com/docview/78484040 |
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