Whether the Effect of Sperm DNA Fragmentation on the Clinical and Laboratory Outcomes Changes with the Paternal age in the intracytoplasmic sperm injection Cycles of Donor Oocytes

OBJECTIVE: The present study aimed to know the effect of paternal age together with Sperm DNA fragmentation on the clinical and laboratory outcomes in the donor oocyte intracytoplasmic sperm injection cycles. STUDY DESIGN: In this prospective cohort study a total of 229 patients undergoing their...

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Main Authors: Deepthi Repalle, saritha kv, Shilpa Bhandari, Jitendra Choudhary
Format: Article
Language:English
Published: Medical Network 2022-12-01
Series:Gynecology Obstetrics & Reproductive Medicine
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Online Access:https://gorm.com.tr/index.php/GORM/article/view/1279
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author Deepthi Repalle
saritha kv
Shilpa Bhandari
Jitendra Choudhary
author_facet Deepthi Repalle
saritha kv
Shilpa Bhandari
Jitendra Choudhary
author_sort Deepthi Repalle
collection DOAJ
description OBJECTIVE: The present study aimed to know the effect of paternal age together with Sperm DNA fragmentation on the clinical and laboratory outcomes in the donor oocyte intracytoplasmic sperm injection cycles. STUDY DESIGN: In this prospective cohort study a total of 229 patients undergoing their first intracytoplasmic sperm injection cycles and fresh blastocyst embryo transfer with donor oocytes were included in this study. All the patients of the donor oocyte intracytoplasmic sperm injection cycles were categorized into four groups based on the male age and sperm DNA fragmentation. Ⅰ. Y group (Young, Male age <40 years) with low sperm DNA fragmentation (Sperm DNA fragmentation ≤30%), Ⅱ. Y group (Young, Male age <40 years) with high sperm DNA fragmentation, Ⅲ. Advanced paternal age group, Male age ≥40 years with low sperm DNA fragmentation (sperm DNA fragmentation≤30%), and Ⅳ. Advanced paternal age group, Male age ≥40 years) with high sperm DNA fragmentation (sperm DNA fragmentation>30%). RESULTS: Clinical, as well as laboratory outcomes, were correlated among these four groups. There was no significant difference in the clinical outcomes among the groups, whereas coming to the laboratory outcomes, the advanced paternal age group with high sperm DNA fragmentation has significantly decreased good quality embryos (Grade A) at day 3 rate, blastocyst rate, and good quality blastocyst rate compared to other groups (p<0.05). CONCLUSION: In conclusion, advancing paternal age together with high sperm DNA fragmentation has no deleterious effect on the clinical outcomes in the intracytoplasmic sperm injection cycles of donor oocytes.
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spelling doaj-art-3122fe7bc7704e26ac4e7c5ea52e31d52025-02-11T21:16:16ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182022-12-0128310.21613/GORM.2022.1279Whether the Effect of Sperm DNA Fragmentation on the Clinical and Laboratory Outcomes Changes with the Paternal age in the intracytoplasmic sperm injection Cycles of Donor OocytesDeepthi Repalle0saritha kv1Shilpa Bhandari2Jitendra Choudhary3Sri Aurobindo Institute of medical sciencesSri Venkateshwara UniversitySri Aurobindo Institute of medical sciencesSri Aurobindo Institute of medical sciences OBJECTIVE: The present study aimed to know the effect of paternal age together with Sperm DNA fragmentation on the clinical and laboratory outcomes in the donor oocyte intracytoplasmic sperm injection cycles. STUDY DESIGN: In this prospective cohort study a total of 229 patients undergoing their first intracytoplasmic sperm injection cycles and fresh blastocyst embryo transfer with donor oocytes were included in this study. All the patients of the donor oocyte intracytoplasmic sperm injection cycles were categorized into four groups based on the male age and sperm DNA fragmentation. Ⅰ. Y group (Young, Male age <40 years) with low sperm DNA fragmentation (Sperm DNA fragmentation ≤30%), Ⅱ. Y group (Young, Male age <40 years) with high sperm DNA fragmentation, Ⅲ. Advanced paternal age group, Male age ≥40 years with low sperm DNA fragmentation (sperm DNA fragmentation≤30%), and Ⅳ. Advanced paternal age group, Male age ≥40 years) with high sperm DNA fragmentation (sperm DNA fragmentation>30%). RESULTS: Clinical, as well as laboratory outcomes, were correlated among these four groups. There was no significant difference in the clinical outcomes among the groups, whereas coming to the laboratory outcomes, the advanced paternal age group with high sperm DNA fragmentation has significantly decreased good quality embryos (Grade A) at day 3 rate, blastocyst rate, and good quality blastocyst rate compared to other groups (p<0.05). CONCLUSION: In conclusion, advancing paternal age together with high sperm DNA fragmentation has no deleterious effect on the clinical outcomes in the intracytoplasmic sperm injection cycles of donor oocytes. https://gorm.com.tr/index.php/GORM/article/view/1279Blastocyst rate Embryo quality Intracytoplasmic sperm injection Live birth rates Paternal age Sperm DNA fragmentation
spellingShingle Deepthi Repalle
saritha kv
Shilpa Bhandari
Jitendra Choudhary
Whether the Effect of Sperm DNA Fragmentation on the Clinical and Laboratory Outcomes Changes with the Paternal age in the intracytoplasmic sperm injection Cycles of Donor Oocytes
Gynecology Obstetrics & Reproductive Medicine
Blastocyst rate
Embryo quality
Intracytoplasmic sperm injection
Live birth rates
Paternal age
Sperm DNA fragmentation
title Whether the Effect of Sperm DNA Fragmentation on the Clinical and Laboratory Outcomes Changes with the Paternal age in the intracytoplasmic sperm injection Cycles of Donor Oocytes
title_full Whether the Effect of Sperm DNA Fragmentation on the Clinical and Laboratory Outcomes Changes with the Paternal age in the intracytoplasmic sperm injection Cycles of Donor Oocytes
title_fullStr Whether the Effect of Sperm DNA Fragmentation on the Clinical and Laboratory Outcomes Changes with the Paternal age in the intracytoplasmic sperm injection Cycles of Donor Oocytes
title_full_unstemmed Whether the Effect of Sperm DNA Fragmentation on the Clinical and Laboratory Outcomes Changes with the Paternal age in the intracytoplasmic sperm injection Cycles of Donor Oocytes
title_short Whether the Effect of Sperm DNA Fragmentation on the Clinical and Laboratory Outcomes Changes with the Paternal age in the intracytoplasmic sperm injection Cycles of Donor Oocytes
title_sort whether the effect of sperm dna fragmentation on the clinical and laboratory outcomes changes with the paternal age in the intracytoplasmic sperm injection cycles of donor oocytes
topic Blastocyst rate
Embryo quality
Intracytoplasmic sperm injection
Live birth rates
Paternal age
Sperm DNA fragmentation
url https://gorm.com.tr/index.php/GORM/article/view/1279
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AT sarithakv whethertheeffectofspermdnafragmentationontheclinicalandlaboratoryoutcomeschangeswiththepaternalageintheintracytoplasmicsperminjectioncyclesofdonoroocytes
AT shilpabhandari whethertheeffectofspermdnafragmentationontheclinicalandlaboratoryoutcomeschangeswiththepaternalageintheintracytoplasmicsperminjectioncyclesofdonoroocytes
AT jitendrachoudhary whethertheeffectofspermdnafragmentationontheclinicalandlaboratoryoutcomeschangeswiththepaternalageintheintracytoplasmicsperminjectioncyclesofdonoroocytes