Effect of semen quality on human sex ratio in in vitro fertilization and intracytoplasmic sperm injection: an analysis of 27158 singleton infants born after fresh single embryo transfer

Lower sperm motility was associated with significant lower sex ratio in in vitro fertilization whereas intracytoplasmic sperm injection was associated with significant lower sex ratio regardless of sperm quality.

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Authors

Mikiko Arikawa, M.D., Seung Chik Jwa, M.D., Ph.D., M.P.H., Akira Kuwahara, M.D., Ph.D., Minoru Irahara, M.D., Ph.D., Hidekazu Saito, M.D., Ph.D.

Volume 105, Issue 4, Pages 897-904

Abstract

Objective:

To evaluate the effect of semen quality on human sex ratio in in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI).

Design:

Retrospective cohort study.

Setting:

Not applicable.

Patient(s):

A total of 27,158 singleton infants born between 2007 and 2012 after fresh single-embryo transfer.

Intervention(s):

None.

Main Outcome Measure(s):

Proportion of male infants among liveborn infants.

Result(s):

There were 14,996 infants born after IVF, 12,164 infants born after ICSI with ejaculated sperm, and 646 infants born after ICSI with nonejaculated sperm. The sex ratio of IVF was 53.1% (95% confidence interval [CI], 52.3–53.9); the sex ratio of ICSI with ejaculated and nonejaculated sperm demonstrated as statistically significant reduction (48.2%; 95% CI, 47.3–49.1 and 47.7%; 95% CI, 43.8–51.6, respectively). In IVF, lower sperm motility, including asthenozoospermia (sperm motility <40%), was associated with a statistically significantly lower sex ratio compared with normal sperm (51.0%; 95% CI, 48.6–53.3 vs. 53.4%; 95% CI, 52.5–54.3). In ICSI with ejaculated sperm, there was no association between sperm motility and sex ratio. Sperm concentration was not associated with sex ratio in both IVF and ICSI. Conclusion(s):

In IVF, lower sperm motility was associated with a statistically significant reduction in sex ratio; ICSI with either ejaculated or nonejaculated sperm was associated with a statistically significant reduction in sex ratio regardless of semen quality.

Read the full text at: http://www.fertstert.org/article/S0015-0282(15)02178-0/fulltext

Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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