Preimplantation Testing of Human Blastomeres for Aneuploidy Increases IVF Success in Couples Where Male Partners Had Abnormal Semen Parameters

<b>Background/Objectives:</b> Male infertility is becoming a serious problem affecting about 7% of all men worldwide and is a major or contributory factor in 50% of infertile couples overall. Men with abnormal semen parameters have a significantly increased risk of aneuploidy, presenting...

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Main Authors: Mahira Ismayilova, Aytakin Hasanova, Andrei Semikhodskii
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/13/5/1191
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author Mahira Ismayilova
Aytakin Hasanova
Andrei Semikhodskii
author_facet Mahira Ismayilova
Aytakin Hasanova
Andrei Semikhodskii
author_sort Mahira Ismayilova
collection DOAJ
description <b>Background/Objectives:</b> Male infertility is becoming a serious problem affecting about 7% of all men worldwide and is a major or contributory factor in 50% of infertile couples overall. Men with abnormal semen parameters have a significantly increased risk of aneuploidy, presenting a serious concern in programmes of assisted reproductive technologies. Recently, the introduction of preimplantation genetic testing for aneuploidies (PGT-A) has increased the pregnancy rate and live births. We investigated the effect of PGT-A on the success of IVF treatment in couples with the male factor of infertility. <b>Methods:</b> Two experimental groups and one control group were studied: Group A (110 couples)—male partners with abnormal semen parameters, with PGT-A; Group B (110 couples)—male partners with abnormal semen parameters, without PGT-A; and Group C (105 couples)—control, male partners with normal spermograms, with PGT-A. A Day 3 blastomere biopsy was followed by FISH-based PGT-A. A total of 880 embryos from Group A and 890 embryos from Group C was analysed. <b>Results:</b> In patients with abnormal semen parameters, embryonic aneuploidy was twice as common compared to the control (13.6% vs. 5.8%, <i>p</i> < 0.001). Group B had the lowest clinical pregnancy rate (28.2%), with two out of three pregnancies ending in a miscarriage. Only 10% of IVF cycles in this group resulted in live birth compared with 35.5% for Group A and 49.5% for Group C. <b>Conclusions:</b> Our data demonstrate that PGT-A screening as part of IVF treatment drastically increases the clinical pregnancy rate and chances of live birth in couples where male partners have semen abnormality.
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spelling doaj-art-e4cb856e6041416892f6d68eb8b69ed62025-08-20T03:14:30ZengMDPI AGBiomedicines2227-90592025-05-01135119110.3390/biomedicines13051191Preimplantation Testing of Human Blastomeres for Aneuploidy Increases IVF Success in Couples Where Male Partners Had Abnormal Semen ParametersMahira Ismayilova0Aytakin Hasanova1Andrei Semikhodskii2Central Clinic Hospital, 76 Parliament Ave., Baku AZ1006, AzerbaijanDepartment of Medical Biology and Genetics, Azerbaijan Medical University, Baku AZ1001, AzerbaijanMedical Genomics Ltd., 134 Somerset Road, London SW19 5HP, UK<b>Background/Objectives:</b> Male infertility is becoming a serious problem affecting about 7% of all men worldwide and is a major or contributory factor in 50% of infertile couples overall. Men with abnormal semen parameters have a significantly increased risk of aneuploidy, presenting a serious concern in programmes of assisted reproductive technologies. Recently, the introduction of preimplantation genetic testing for aneuploidies (PGT-A) has increased the pregnancy rate and live births. We investigated the effect of PGT-A on the success of IVF treatment in couples with the male factor of infertility. <b>Methods:</b> Two experimental groups and one control group were studied: Group A (110 couples)—male partners with abnormal semen parameters, with PGT-A; Group B (110 couples)—male partners with abnormal semen parameters, without PGT-A; and Group C (105 couples)—control, male partners with normal spermograms, with PGT-A. A Day 3 blastomere biopsy was followed by FISH-based PGT-A. A total of 880 embryos from Group A and 890 embryos from Group C was analysed. <b>Results:</b> In patients with abnormal semen parameters, embryonic aneuploidy was twice as common compared to the control (13.6% vs. 5.8%, <i>p</i> < 0.001). Group B had the lowest clinical pregnancy rate (28.2%), with two out of three pregnancies ending in a miscarriage. Only 10% of IVF cycles in this group resulted in live birth compared with 35.5% for Group A and 49.5% for Group C. <b>Conclusions:</b> Our data demonstrate that PGT-A screening as part of IVF treatment drastically increases the clinical pregnancy rate and chances of live birth in couples where male partners have semen abnormality.https://www.mdpi.com/2227-9059/13/5/1191asthenozoospermiamale infertilityPGT-Aoligospermiaoligozoospermiateratozoospermia
spellingShingle Mahira Ismayilova
Aytakin Hasanova
Andrei Semikhodskii
Preimplantation Testing of Human Blastomeres for Aneuploidy Increases IVF Success in Couples Where Male Partners Had Abnormal Semen Parameters
Biomedicines
asthenozoospermia
male infertility
PGT-A
oligospermia
oligozoospermia
teratozoospermia
title Preimplantation Testing of Human Blastomeres for Aneuploidy Increases IVF Success in Couples Where Male Partners Had Abnormal Semen Parameters
title_full Preimplantation Testing of Human Blastomeres for Aneuploidy Increases IVF Success in Couples Where Male Partners Had Abnormal Semen Parameters
title_fullStr Preimplantation Testing of Human Blastomeres for Aneuploidy Increases IVF Success in Couples Where Male Partners Had Abnormal Semen Parameters
title_full_unstemmed Preimplantation Testing of Human Blastomeres for Aneuploidy Increases IVF Success in Couples Where Male Partners Had Abnormal Semen Parameters
title_short Preimplantation Testing of Human Blastomeres for Aneuploidy Increases IVF Success in Couples Where Male Partners Had Abnormal Semen Parameters
title_sort preimplantation testing of human blastomeres for aneuploidy increases ivf success in couples where male partners had abnormal semen parameters
topic asthenozoospermia
male infertility
PGT-A
oligospermia
oligozoospermia
teratozoospermia
url https://www.mdpi.com/2227-9059/13/5/1191
work_keys_str_mv AT mahiraismayilova preimplantationtestingofhumanblastomeresforaneuploidyincreasesivfsuccessincoupleswheremalepartnershadabnormalsemenparameters
AT aytakinhasanova preimplantationtestingofhumanblastomeresforaneuploidyincreasesivfsuccessincoupleswheremalepartnershadabnormalsemenparameters
AT andreisemikhodskii preimplantationtestingofhumanblastomeresforaneuploidyincreasesivfsuccessincoupleswheremalepartnershadabnormalsemenparameters