scholarly journals Advanced paternal age: effects on sperm parameters, assisted reproduction outcomes and offspring health

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Iman Halvaei ◽  
Julia Litzky ◽  
Navid Esfandiari
Keyword(s):  
Assisted Reproduction ◽  
Assisted Reproductive Technologies ◽  
Sperm Quality ◽  
Reproductive Technologies ◽  
Paternal Age ◽  
Sperm Parameters ◽  
Success Rates ◽  
Advanced Paternal Age ◽  
Developed Nations ◽  
Offspring Health

AbstractMany factors, including postponement of marriage, increased life expectancy, and improved success with assisted reproductive technologies have been contributing to increased paternal age in developed nations. This increased average paternal age has led to concerns about adverse effects of advanced paternal age on sperm quality, assisted reproductive outcomes, and the health of the offspring conceived by older fathers. This review discusses the association between advanced paternal age and sperm parameters, assisted reproduction success rates, and offspring health.

scholarly journals Follicular Metabolites-Assisted Clinical Evaluation of IVF/ICSI Outcomes

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Bing Qu ◽  
Yunhe Xiong ◽  
Xiaofan Yu ◽  
Jinli Ding ◽  
Jing Weng ◽  
...  
Keyword(s):  
Assisted Reproductive Technologies ◽  
Sperm Quality ◽  
Public Health Problem ◽  
Decisive Role ◽  
Reproductive Technologies ◽  
Sperm Parameters ◽  
Success Rates ◽  
Vitro Fertilization ◽  
Icsi Outcomes

As infertility became a significant public health problem, assisted reproductive technologies (ARTs) were introduced. However, the fertilization rate of in vitro fertilization (IVF) per cycle varied, and patients needed to repeat IVF or change to intracytoplasmic sperm injection (ICSI). Here, 75 couples suffering from female fallopian tubal blockage (tubal group) and 42 spouses beset by male abnormal sperm status (dysspermia group) were recruited. We comprehensively explored the relationship among couples’ clinical factors, follicular metabolites, and IVF/ICSI stepwise outcomes. IVF/ICSI outcomes were affected by follicular metabolites and physical status in both women and men, regardless of which side infertility came from. Particularly, in the tubal group, the energy supporting pathways—glycolysis and pyruvate metabolism—were most essential in follicles, and IVF/ICSI outcomes were also related to sperm parameters. However, in the dysspermia group, in addition to sperm conditions, oocyte quality acted as a compensation for poor sperm quality, for which aminoacyl-tRNA biosynthesis and the related supporting metabolism were critical in the follicular environment, and ultimately played a decisive role in IVF/ICSI outcomes. The respective logistic regression models in combination with selective male sperm parameters, estradiol (E2), follicular alanine, glutamine, glycoprotein, lipid, and acetic acid, were constructed to predict IVF or ICSI outcomes. No matter which sex infertility comes from, factors from both men and women should be considered. The current study provides a feasible option for pre-IVF evaluation, as well as guidance for follow-up clinical intervention to improve IVF/ICSI success rates.

scholarly journals Intrinsic and Extrinsic Factors Predicting the Cumulative Outcome of IVF / ICSI Treatment

2019 ◽  
Vol 9 (2S) ◽  
pp. 269-273 ◽  
Keyword(s):  
Assisted Reproductive Technologies ◽  
Sperm Quality ◽  
Reproductive Technologies ◽  
Process Time ◽  
Success Rates ◽  
Embryo Viability ◽  
Extrinsic Factors ◽  
Response Level ◽  
Female Population ◽  
Incident Cases

Infertility rates in India becoming increased in last decade principally due to the urbanization conditions and the lifestyle habits. It is giving alarm by continuously reporting the progress in incident cases of infertility amongst the young Indian adults of both male and female population. Among the various Assisted Reproductive Technologies (ART) available today in the treatment of infertility, In Vitro Fertilization (IVF) is found to be the most applicable treatment method of choice. This involves the administration of different hormones and drugs to treat infertility. In the present scenario technically IVF treatment process is tedious, laborious, high cost and most importantly success rates reported to be very low (20-30%). The prediction of IVF success rates is becoming an important scientific knowledge and practice, which helps both the doctor and the candidate couple to know about the conditions hence to take the right decision. The accurate prediction of the IVF success rate is really a challenging task in obstetrics and gynecology medicine. The success rates of the IVF depends on the various factors such as Intrinsic factors i.e, Genetic predisposition, Age, Body mass Index, Hormonal balance, Embryo viability, Sperm quality, Endometriosis and overall patient’s response level of the candidate couple and the Extrinsic factors such as Medical equipment technology, Treatment methods, Personal experiences of clinicians and embryologists, Process time, Stress due to the lifestyle etc.

scholarly journals The use of insulin-like growth factor 1 improved the parameters of the seminogram in a patient with severe oligoasthenoteratozoospermia

2019 ◽  
Vol 7 ◽  
pp. 2050313X1983415
Author(s):  
José Arturo Mora Rodríguez ◽  
Leonardo M Porchia ◽  
Felipe Camargo ◽  
Esther López-Bayghen
Keyword(s):  
Growth Factor ◽  
Assisted Reproductive Technologies ◽  
Sperm Quality ◽  
Sperm Concentration ◽  
Reproductive Technologies ◽  
Quality Parameters ◽  
Intradermal Injection ◽  
Sperm Parameters ◽  
Insulin Like Growth Factor ◽  
Progressive Motility

Male patients suffering from oligoasthenoteratozoospermia typically failed to achieve pregnancy, even with assisted reproductive technologies. Growth hormone and insulin-like growth factor 1 have been shown to regulate sperm quality parameters; therefore, the insulin-like growth factor 1 supplement could improve sperm parameters. Here, we determine the effect insulin-like growth factor 1 has on sperm parameters in a patient suffering from oligoasthenoteratozoospermia. A 47-year-old male was administered once a day 1.5 IU of insulin-like growth factor 1 by intradermal injection for 2 months. Seminogram analysis was performed before and after. Treatment with insulin-like growth factor 1 resulted in a 15.5-fold improvement in sperm concentration (1.1 × 106 vs 18.3 × 106 per mL), 71.4% change in volume (0.7 vs 1.2 mL), increased progressive motility (2% vs 43%), and the total volume of sperm with progressive motility (0% vs 23.6%). Here, we show that administering a daily dose of insulin-like growth factor 1 can improve sperm quality parameters.

scholarly journals Future developments in assisted reproduction in humans

Reproduction ◽  
2002 ◽  
pp. 171-183 ◽  
Author(s):  
K Hardy ◽  
C Wright ◽  
S Rice ◽  
M Tachataki ◽  
R Roberts ◽  
...  
Keyword(s):  
Assisted Reproduction ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Early Embryo ◽  
Embryo Biopsy ◽  
Screening Methods ◽  
Success Rates ◽  
Aneuploidy Screening ◽  
Vitro Fertilization

The advent of human in vitro fertilization (IVF) over 30 years ago has made the oocyte and preimplantation embryo uniquely accessible. This accessibility has given rise to new micromanipulation techniques, such as intracytoplasmic sperm injection for treatment of male infertility, as well as embryo biopsy for preimplantation diagnosis of both genetic disease and aneuploidy, a major cause of early embryo demise and miscarriage. In the UK, average pregnancy rates after IVF and embryo transfer are < 25%, even after transfer of several embryos. Unfortunately, a third of these pregnancies involve multiple gestations. Research is currently focusing on methods to improve IVF success rates while reducing twin and triplet pregnancies and their associated increased morbidity and mortality. One approach is to develop screening methods to identify the most viable embryos, so that transfer of fewer healthy embryos will result in a higher proportion of singleton pregnancies. Screening methods include optimizing culture conditions for prolonged culture and selection of viable blastocysts for transfer, or embryo biopsy and aneuploidy screening. Assisted reproduction is also increasingly important in other branches of medicine: survival rates for cancer sufferers are improving continually and there is now a significant need for approaches to preserve fertility after sterilizing chemo-and radiotherapy treatment. Techniques for cryopreserving male and female gametes or gonadal tissue are being developed, although systems to grow and mature these gametes are in their infancy. Finally, there are also concerns regarding the safety of these new assisted reproductive technologies.

113 DEVELOPING A CRYOPRESERVATION PROTOCOL FOR DESERT TORTOISE SPERM (GOPHERUS AGASSIZZII)

2017 ◽  
Vol 29 (1) ◽  
pp. 165
Author(s):  
N. Ravida ◽  
C. Young ◽  
L. Gokool ◽  
B. S. Durrant
Keyword(s):  
Assisted Reproductive Technologies ◽  
Sperm Quality ◽  
Membrane Integrity ◽  
Reproductive Technologies ◽  
Sperm Parameters ◽  
Equal Weight ◽  
Desert Tortoise ◽  
Sperm Cryopreservation ◽  
Starting Point ◽  
Acrosome Integrity

The desert tortoise (Gopherus agassizzii) is listed as threatened by the USA Fish and Wildlife Service and population declines continue to occur throughout most of their range. This species’ low reproductive rate, combined with the advanced age at which they reach sexual maturity, makes them vulnerable to multiple threats. Although assisted reproductive technologies can enhance breeding of many species, they are not widely used in tortoises. The objective of this study was to identify effective sperm cryopreservation protocols for the desert tortoise and possibly to other members of Testudinidae. We compared the effects of various concentrations of the cryoprotectants dimethyl sulfoxide (DMSO) and glycerol (6–20%) using 3 freezing devices at 4 freeze rates (CryoCooler, Ops Diagnostics, 2.3°C/m, 6.4°C/m; CryoMed, Thermo Scientific, 0.3°C/m or 1.0°C/m; and CoolCell, Biocision, 1.0°C/m) on several sperm parameters. Sperm was collected postmortem from the vas deferens of 9 individuals and tested either individually (n = 2), combined into 1 pool of 3 individuals, or 2 pools of 2 individuals. Sperm was extended in TEST-yolk buffer. Initial motility score (IMS; % motile × speed of progression2), plasma membrane integrity (IPL), and acrosome integrity (IAC) were recorded before cryoprotectant addition and freezing. For each treatment group, triplicate vials were thawed at 37°C for 60 s. Cryoprotectant was removed by centrifugation and the sperm pellet was resuspended in M199 + HEPES. Sperm were evaluated immediately following resuspension (T0), as well as 30 (T30) and 60 (T60) minutes postincubation at 22°C. All data were expressed as a percentage of initial (%IMS, %IPL, and %IAC). A sperm quality index (SQI) was calculated as (%IMS × %IPL × %IAC)/1,000, giving equal weight to each indicator of cryosurvival. The effects of freeze method on %IMS, %IPL, %IAC, and SQI were analysed by ANOVA and Tukey’s test. The effect of freeze method was significant at T0 and T60, with the 16% DMSO, 6.4°C/m method resulting in the highest %IMS at T0 (46.1%) and T30 (33.8%) and the 12% glyercol at 0.3°C/m highest at T60 (48.7%). Sperm frozen in 16% glycerol at 0.3°C/m had the highest %IPL at T0, T30, and T60 (91.9, 90.4, and 85.4%, respectively). Acrosome integrity was best maintained when sperm were frozen in 16% DMSO at 6.4°C/min (91.9%). The SQI was highest at T0 when sperm was frozen at 1.0°C/min in the CryoMed with highest post-thaw sperm parameters in 16% (T0) or 12% glycerol (T30 and T60). Interestingly, there were significant differences in SQI between the two 1.0°C/min freeze methods at each period, indicating that freezing device affected sperm cryosurvival, perhaps due to different freezing curves. This study indicates that mid-range (12 and 16%) cryoprotectant concentrations and slow freeze rates (0.3°C/m and 1.0°C/m) are optimal for desert tortoise sperm frozen in TEST-yolk buffer. Future studies will determine fertilizing capability of these sperm. These results may serve as a starting point for the study of sperm cryopreservation in other Testudinidae species.

Reducing time to pregnancy and facilitating the birth of healthy children through functional analysis of embryo physiology†

2019 ◽  
Vol 101 (6) ◽  
pp. 1124-1139 ◽  
Author(s):  
Laura Ferrick ◽  
Yee Shan Lisa Lee ◽  
David K Gardner
Keyword(s):  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Healthy Children ◽  
Success Rates ◽  
Embryo Viability ◽  
Time To Pregnancy ◽  
Indirect Measure ◽  
Offspring Health ◽  
Viable Embryo ◽  
Selection Of

Abstract An ever-increasing number of couples rely on assisted reproductive technologies (ART) in order to conceive a child. Although advances in embryo culture have led to increases in the success rates of clinical ART, it often takes more than one treatment cycle to conceive a child. Ensuring patients conceive as soon as possible with a healthy embryo is a priority for reproductive medicine. Currently, selection of embryos for transfer relies predominantly on the morphological assessment of the preimplantation embryo; however, morphology is not an absolute link to embryo physiology, nor the health of the resulting child. Non-invasive quantitation of individual embryo physiology, a key regulator of both embryo viability and health, could provide valuable information to assist in the selection of the most viable embryo for transfer, hence reducing the time to pregnancy. Further, according to the Barker Hypothesis, the environment to which a fetus is exposed to during gestation affects subsequent offspring health. If the environment of the preimplantation period is capable of affecting metabolism, which in turn will affect gene expression through the metaboloepigenetic link, then assessment of embryo metabolism should represent an indirect measure of future offspring health. Previously, the term viable embryo has been used in association with the potential of an embryo to establish a pregnancy. Here, we propose the term healthy embryo to reflect the capacity of that embryo to lead to a healthy child and adult.

174 What Quality and Fertility Should We Expect When Using Semen Cryopreservation and AI with Livestock? a Comparison Across Species

2021 ◽  
Vol 99 (Supplement_1) ◽  
pp. 113-113
Author(s):  
Phillip H Purdy
Keyword(s):  
Artificial Insemination ◽  
Germ Plasm ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Educational Opportunities ◽  
Success Rates ◽  
Agricultural Producers ◽  
Scientific Communities ◽  
Semen Cryopreservation ◽  
Agricultural Species

Abstract Assisted reproductive technologies (ART) can be used across most agricultural species and will result in some degree of fertility when employed correctly. Still, conversations with agricultural producers and scientists (corporate, academic, governmental) repeatedly reveal that they do not know what success rates they should anticipate when using some ARTs, specifically semen cryopreservation and artificial insemination, with agricultural species (beef and dairy cattle, goats, pigs, poultry, sheep). These perceptions hinder ART application within the agricultural and scientific communities. Understanding these expected results is a critical component that is used to guide the USDA National Animal Germplasm Program laboratory operations for collecting, freezing and using germ plasm (semen, eggs, embryos, DNA, tissues, organs, cells), has consequently resulted in growth of the national collection, and provided tools, technologies, and educational opportunities for agricultural producers with documented success. Therefore, the intent of this presentation is to provide an overview of what results should be expected when using semen cryopreservation and artificial insemination across livestock species, explain the factors that influence successful use of these ARTs, which should encourage a more broad acceptance of their use with all agricultural species, and discuss opportunities for research and optimization that will improve fertility when using these technologies.

scholarly journals PROTECTION OF INHERITANCE RIGHTS OF A CHILD BORN WITH THE USE OF ASSISTED REPRODUCTIVE TECHNOLOGIES

2021 ◽  
Vol 1 ◽  
pp. 39-41
Author(s):  
Ksenia A. Zhirikova ◽  
Keyword(s):  
Assisted Reproduction ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Surrogate Mother

The article deals with the problems of inheritance by children born with the help of assisted reproductive technologies, in particular, after a surrogate mother, after the death of one of the parents, etc. These problems are not regulated in Russian legislation. The article proposes directions for its improvement in order to protect a child born with the help of assisted reproduction.

P–716 The relationship of men’s adherence to the Mediterranean diet with sperm parameters and outcomes of assisted reproductive technologies

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
A Salas-Huetos ◽  
M Mitsunami ◽  
L Mínguez-Alarcón ◽  
M Arvizu ◽  
J Ford ◽  
...  
Keyword(s):  
Mediterranean Diet ◽  
Live Birth ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Clinical Pregnancy ◽  
Sperm Parameters ◽  
Sensitivity Analyses ◽  
The Mediterranean ◽  
Relationship Of ◽  
The Relationship

Abstract Study question Is men’s adherence to the Mediterranean diet (MD) associated with sperm parameters and couples’ outcomes of assisted reproductive technologies (ART)? Summary answer Higher men’s adherence to the MD was associated with an increased probability of clinical pregnancy and live birth among couples undergoing ART. What is known already There is growing literature supporting the hypothesis that some nutrients, foods, and dietary patterns may be related to sperm quality and fertility. However, no previous studies analyzed the relationship of men’s adherence to the Mediterranean diet with sperm parameters and ART outcomes in the same cohort. Study design, size, duration The Environmental and Reproductive Health (EARTH) Study is a prospective preconception cohort of couples seeking fertility treatment at the Massachusetts General Hospital Fertility Center (Boston, USA). This analysis includes 314 men and their female partner, who underwent 791 ART cycles (2007–2020). Diet intake was measured by a validated semi-quantitative food frequency questionnaire completed prior to ART. Men’s adherence to the MD was estimated using the Trichopoulou score. Participants/materials, setting, methods Primary outcomes included: conventional sperm parameters (volume, sperm count, concentration, motility, and morphology), and ART outcomes (implantation, clinical pregnancy, and live birth). We estimated the marginal means and 95% confidence interval (95%CI) for semen parameters and the probability of ART (95%CI) by employing generalized linear mixed models while adjusting for several potential confounders. Sensitivity analyses by changing the cut-off points of adherence to the MD were tested. Main results and the role of chance At baseline, men had a median (IQR) age of 35.6 (32.6, 38.8) years and a BMI of 26.7 (24.0, 29.4) kg/m2. Female partner age median (IQR) was 35.0 years (32.0, 38.0) and BMI 23.3 (21.3, 26.6) kg/m2. Couples were mostly white and had never smoked. Men’s adherence to the MD was not associated with seminal parameters in the multivariable-adjusted models but it was related to a higher probability of clinical pregnancy and live birth. The predicted marginal proportions and confidence intervals among men in the lowest compared with the highest quartile of adherence to the MD were 0.25 (0.14, 0.40), 0.55 (0.41, 0.68) for clinical pregnancy (P-trend=0.005), and 0.19 (0.10, 0.32), 0.42 (0.30, 0.55) for live birth (P-trend=0.014). Male partner MD dietary pattern scores were unrelated to the probability of implantation. Sensitivity analyses using tertiles and quintiles of men’s adherence to the MD showed similar associations. Limitations, reasons for caution Although we have adjusted our models by several potential confounding factors, residual confounding cannot be ruled out, and therefore our results should be interpreted with caution. The findings may not be generalizable to other populations or couples attempting conception without ART. Wider implications of the findings: According to our knowledge, this is the first study suggesting that adherence to MD could be suitable dietary guidance for men whose partners are undergoing infertility treatment. Trial registration number Not applicable

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