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Pregnancy and birth after intracytoplasmic sperm injection with totally immotile sperm recovered from the ejaculate
Authors:Alberto Barros M.D.,Ph.D.,Má  rio Sousa M.D.,Ph.D.,Cristiano Oliveira M.D.,Joaquina Silva M.D.,Vasco Almeida Ph.D.,Jorge Beires M.D.
Affiliation:

a Laboratory of Medical Genetics, Faculty of Medicine, University of Porto, Porto, Portugal

b Laboratory of Cell Biology, Institute of Biomedical Sciences, University of Porto, Porto, Portugal

c Department of Obstetrics and Gynecology, Padre Américo Hospital of Vale do Sousa, University of Porto, Porto, Portugal

d Institute of Anthropology, Faculty of Sciences, Porto, Portugal

e Department of Obstetrics and Gynecology, St. John Academic Hospital of Porto, Porto, Portugal

Abstract:Objective: To report the birth of two healthy children after intracytoplasmic sperm injection (ICSI) with totally immotile spermatozoa recovered from the ejaculate.

Design: Retrospective case report.

Setting: University-based hospital.

Patient(s): Four couples in whom spermatozoa recovered from the ejaculate were totally immotile but presented normal vitality scores.

Intervention(s): Therapeutical IVF-ET attempts coupled with ICSI.

Main Outcome Measure(s): Fertilization and pregnancy results after ICSI.

Results: With random sperm injection, 19 of the 36 injected oocytes showed normal fertilization and cleavage. One of four patients had a twin pregnancy that resulted in birth of two healthy children.

Conclusion(s): In cases in which totally immotile ejaculated sperm present normal vitality scores, normal clinical outcomes can be achieved by using the usual random sperm selection during conventional ICSI.

Keywords:Ejaculated totally immotile sperm   intracytoplasmic sperm injection   pregnancy
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