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Severity of oligo-asteno-teratozoospermia no longer determines overall success rate in male subfertility.

To authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1365-2605.2010.01128.x Keywords: male infertility; pregnancy; sperm quality; treatment strategy Abstract: Summary In this longitudinal multicentre cohort study, the overall ongoing pregnancy rate af... Full description

Journal Title: International journal of andrology December 2011, Vol.34(6 Pt 1), pp.614-623
Main Author: Brandes, M
Other Authors: Hamilton, C J C M , van Der Steen, J O M , de Bruin, J P , Bots, R S G M , Nelen, W L D M , Kremer, J A M
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1365-2605 ; DOI: 10.1111/j.1365-2605.2010.01128.x
Link: http://search.proquest.com/docview/905672239/?pq-origsite=primo
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title: Severity of oligo-asteno-teratozoospermia no longer determines overall success rate in male subfertility.
format: Article
creator:
  • Brandes, M
  • Hamilton, C J C M
  • van Der Steen, J O M
  • de Bruin, J P
  • Bots, R S G M
  • Nelen, W L D M
  • Kremer, J A M
subjects:
  • Female–Pathology
  • Humans–Pathology
  • Infertility, Male–Pathology
  • Male–Pathology
  • Pregnancy–Pathology
  • Pregnancy Rate–Pathology
  • Severity of Illness Index–Pathology
ispartof: International journal of andrology, December 2011, Vol.34(6 Pt 1), pp.614-623
description: To authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1365-2605.2010.01128.x Keywords: male infertility; pregnancy; sperm quality; treatment strategy Abstract: Summary In this longitudinal multicentre cohort study, the overall ongoing pregnancy rate after current evidence-based management in male subfertility was studied. All subfertile couples who visited the fertility clinic for the first time between 2002 and 2006, and had male subfertility as a single diagnosis (n = 762 of 2476 couples), were included in this study. Couples were grouped by the severity of male factor. Group I (n = 541) had a total motile sperm count (TMSC) 1-20 x 10.sup.6. Group II (n = 161) had a TMSC
language: eng
source:
identifier: E-ISSN: 1365-2605 ; DOI: 10.1111/j.1365-2605.2010.01128.x
fulltext: fulltext
issn:
  • 13652605
  • 1365-2605
url: Link


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titleSeverity of oligo-asteno-teratozoospermia no longer determines overall success rate in male subfertility.
creatorBrandes, M ; Hamilton, C J C M ; van Der Steen, J O M ; de Bruin, J P ; Bots, R S G M ; Nelen, W L D M ; Kremer, J A M
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ispartofInternational journal of andrology, December 2011, Vol.34(6 Pt 1), pp.614-623
identifierE-ISSN: 1365-2605 ; DOI: 10.1111/j.1365-2605.2010.01128.x
subjectFemale–Pathology ; Humans–Pathology ; Infertility, Male–Pathology ; Male–Pathology ; Pregnancy–Pathology ; Pregnancy Rate–Pathology ; Severity of Illness Index–Pathology
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descriptionTo authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1365-2605.2010.01128.x Keywords: male infertility; pregnancy; sperm quality; treatment strategy Abstract: Summary In this longitudinal multicentre cohort study, the overall ongoing pregnancy rate after current evidence-based management in male subfertility was studied. All subfertile couples who visited the fertility clinic for the first time between 2002 and 2006, and had male subfertility as a single diagnosis (n = 762 of 2476 couples), were included in this study. Couples were grouped by the severity of male factor. Group I (n = 541) had a total motile sperm count (TMSC) 1-20 x 10.sup.6. Group II (n = 161) had a TMSC <1 x 10.sup.6. Group III (n = 60) had azoospermia. The overall ongoing pregnancy rate was 65.5% (500/762). The overall ongoing pregnancy rates in group I (69.3%) and group II (61.5%) were comparable (p = 0.06). However, group I and group II conceived significantly more frequently than group III (43.3%) (group I vs. group III p < 0.001 and group II vs. group III p = 0.02, respectively). Moreover, the spontaneous ongoing pregnancy rate in group I was 35.3%, in group II 22.4% and in group III, 1.7% (group I vs. group II p = 0.002; group I vs. group III p < 0.001; group II vs. group III p < 0.001). Thus, despite a significant difference in spontaneous ongoing pregnancy rates, except for azoospermia, the overall ongoing pregnancy rates, regardless of the severity of the male factor, were comparable. Couples with poorer sperm parameters, however, have to undergo more invasive treatment to reach the same goal. Author Affiliation: (*)Department of Obstetrics and Gynaecology, Jeroen Bosch Hospital, 's-Hertogenbosch ([dagger])Department of Obstetrics and Gynaecology, St Elisabeth Hospital, Tilburg ([double dagger])Department of Obstetrics and Gynaecology, Radboud University Medical Centre Nijmegen, The Netherlands Article History: Received 5 July 2010; revised 27 October 2010; accepted 28 October 2010 Article note: M. Brandes, Department of Obstetrics and Gynaecology, Jeroen Bosch Ziekenhuis, PO Box 90153, 5200 's-Hertogenbosch, The Netherlands. E-mail: m.brandes@jbz.nl
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titleSeverity of oligo-asteno-teratozoospermia no longer determines overall success rate in male subfertility.
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