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Efficiency of Hyaluronic Acid (HA) Sperm Selection

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Publisher Springer
Date 2009 Dec 31
PMID 20041286
Citations 22
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Abstract

Purpose: Hyaluronic Acid (HA) has a role as "physiologic selector" for spermatozoa prior to intracytoplasmic sperm injection (ICSI). The objective of this study is to analyze the results achievable by the introduction of a routine HA-ICSI programme.

Methods: We retrospectively observed 293 couples treated with HA-ICSI versus 86 couples treated with conventional PVP-ICSI (historical control group). ICSI was performed on a limited number of oocytes per patient (1-3) according to Italian IVF law at the time of the study. Main outcome measures observed were: fertilization, embryo quality, implantation and pregnancy.

Results: This study showed that Injection of HA-bound spermatozoa (HA-ICSI) significantly improves embryo quality and implantation.

Conclusions: If wider multi-center randomized studies will confirm these beneficial effects on ICSI outcome, HA could be considered as a routine choice for "physiologic" sperm selection prior to ICSI.

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Sperm selection by the oviduct: perspectives for male fertility and assisted reproductive technologies†.

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Molecular Chaperone HSPA2 Distribution During Hyaluronic Acid Selection in Human Sperm.

Gomez-Torres M, Huerta-Retamal N, Saez-Espinosa P, Robles-Gomez L, Aviles M, Aizpurua J Reprod Sci. 2022; 30(4):1176-1185.

PMID: 35819578 PMC: 10160204. DOI: 10.1007/s43032-022-01031-9.


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