Status:

COMPLETED

Comparison of ICSI Outcomes in Cycles Using Testicular and Ejaculate Sperm From Couples With High SDF

Lead Sponsor:

Fundación IVI

Conditions:

Oligospermia

DNA Damage

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

In patients with oligospermia in the ejaculate or previous ICSI failures if it concurs with high DNA fragmentation, it has been hypothesized that the use of sperm obtained from the testicle would impr...

Detailed Description

Since its first description in 1992, intracytoplasmic sperm injection (ICSI) has been widely used to overcome all forms of severe male factor infertility. Despite achieving acceptable success rates wi...

Eligibility Criteria

Inclusion

  • Infertile males with severe oligospermia (\<5 mill/ml of spermatozoa in the ejaculate) or infertile males without severe oligospermia (\>5 mill/ml of spermatozoa in the ejaculate) but with a previous complete ICSI failure. In addition, all of them have to have a sperm DNA fragmentation test level higher than 30% (SDF\>30%), the threshold value for considering the result as abnormal.
  • Women with adequate ovarian reserve, understood as those with AMH values \>10pM, and Antral Follicular Count (AFC) \>10.

Exclusion

  • Abnormal karyotype (previously known).
  • Microdeletions in the Y chromosome (previously known).
  • Carriers of known cystic fibrosis gene mutations.
  • Presence of varicocele.
  • Female age \>38 years.
  • Presence of uterine pathology that may condition reproductive outcomes (fibroids, uterine malformations).

Key Trial Info

Start Date :

October 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 30 2023

Estimated Enrollment :

22 Patients enrolled

Trial Details

Trial ID

NCT04795440

Start Date

October 1 2020

End Date

October 30 2023

Last Update

March 13 2025

Active Locations (1)

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1

IVI Foundation

Valencia, Valencia, Spain, 46026