A healthy birth after intracytoplasmic sperm injection using ejaculated spermatozoa from a patient with Kartagener's syndrome.

OBJECTIVE

To report a healthy birth that was achieved by intracytoplasmic sperm injection (ICSI) with use of ejaculated spermatozoa from a patient with Kartagener's syndrome.

DESIGN

Case report.

SETTING

Private infertility clinic.

PATIENT(S): Couple with male factor infertility due to Kartagener's syndrome.

INTERVENTION(S): Intracytoplasmic sperm injection with ejaculated sperm.

MAIN OUTCOME MEASURE(S): Semen characteristics, sperm motility, fertilization, pregnancy, and birth after ICSI.

RESULT(S): With ejaculated sperm, the fertilization rates were 73% in the first stimulation cycle and 100% in the second cycle. Intracytoplasmic sperm injection was successful. The pregnancy resulted in birth of a single healthy child.

CONCLUSION(S): With ejaculated sperm, successful pregnancy after ICSI in couples with Kartagener's syndrome is possible. Kartagener's syndrome is a heterogeneous group of disorders with similar clinical presentations, and treatment should be individualized depending on sperm motility.