35. THE RESULTS OF BLASTOCYST FORMATION RATE WHEN INJECTING HIGH DNA FRAGMENTATION INDEX SPERM INTRA-CYTOPLASMIC

Le Ngoc Tue Nhi1, Pham Thai Ha1, Dao Xuan Kien1, Nguyen Dieu Linh1
1 Phu Tho Obstetric and Pediatric Hospital

Main Article Content

Abstract

Objective: To evaluate the results of blastocyst formation rate injecting sperm with high fragmentation index (DFI ≥ 30) incubated with follicular fluid and injected intra-cytoplasmic. Subjects and Methods: A cross-sectional descriptive study was conducted on 1,383 oocytes from 110 couples undergoing in vitro fertilization (IVF) at the Center for Assisted Reproduction and Andrology - Phu Tho Obstetrics & Pediatric Hospital. The fertilization results, embryo formation (Day 3) and blastocyst formation (Day 5 and 6) were compared between the study group (injected high DFI sperm incubated with follicular fluid) and the control group (injected high DFI sperm not incubated with follicular fluid).


Results: The fertilization rate, Day 3 embryo rate, Day 3 embryo rate (grade 1 + grade 2), blastocyst rate and blastocyst rate (grade 1+ grade 2) of the study group compared to the control group showed statistically significant differences: 90.4% vs. 81.6%, p < 0.05; 100% vs. 99.2%, p < 0.05; 57.5% vs. 50.9%, p < 0.05;  65.7% vs. 47.7%, p < 0.05; and 63.5% vs. 32.4%, p < 0.05, respectively.


Conclusion: The fertilization rate and the blastocyst formation rate in the study group higher the control group, particularly the blastocyst rate (grade 1+ grade 2) in the sudy group with double for the control group.

Article Details

References

[1] Agarwal A, Majzoub A, Esteves SC, Ko E, Ramasamy R, Zini A. Clinical utility of sperm DNA fragmentation testing: practice recommendations based on clinical scenarios. Transl Androl Urol. 2016; 5(6):935-950.
[2] Larson-Cook KL, Brannian JD, Hansen KA, Kasperson KM, Aamold ET, Evenson DP. Relationship between the outcomes of assisted reproductive techniques and sperm DNA fragmentation as measured by the sperm chromatin structure assay. Fertil Steril. 2003 Oct; 80(4):895-902.
[3] Alvarez JG. DNA fragmentation in human spermatozoa: significance in the diagnosis and treatment of infertility. Minerva Ginecol, 2003 Jun; 55(3):233-9.
[4] TS. Bùi Manh Hưng, Nguyễn Thị Thuỷ (2023). Hiệu quả của việc ủ tinh trùng với dịch nang trứng lên kết quả tạo phôi bằng phương pháp ICSI. Hội nghị phôi học lâm sàng lần 4, Thành phố Hồ Chí Minh.
[5] ESHRE Special Interest Group of Embryology and Alpha Scientists in Reproductive Medicine., "The Vienna consensus: report of an expert meeting on the development of ART laboratory performance indicators," Reprod Biomed Online, vol. 35, no. 5, pp. 494-510, 2017.
[6] H. Zhao, W. Tao, M. Li, H. Liu, K. Wu, and S. Ma, "Comparison of two protocols of blastocyst biopsy submitted to preimplantation genetic testing for aneuploidies: a randomized controlled trial," Arch Gynecol Obstet, vol. 299, no. 5, p. 1487–1493, 2019.
[7] Sankar Kumar Das, Krishna Kalita, “Effect of sperm DNA fragmentation on blastocyst formation rate and subsequent IVF outcome”, International Journal Reprod Contracept Obstet Gynecol. 2022 Feb;11(2):385-389