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男性年龄和精液参数对囊胚形态、β-人绒毛膜促性腺激素阳性率及妊娠活力的影响:冻融胚胎移植周期的回顾性分析

Impact of Male Age and Semen Parameters on Blastocyst Morphology, Beta-HCG Positivity and Pregnancy Viability: A Retrospective Analysis in Frozen Embryo Transfer Cycles.

作者信息

Pande Doel Bose, Deshmukh Hemant, Bhadauria Shivani, Tomar Gajendra Singh

机构信息

Indore Infertility Clinic, Indore, India.

出版信息

J Obstet Gynaecol India. 2025 Jun;75(3):206-212. doi: 10.1007/s13224-024-02079-0. Epub 2025 Jan 22.

Abstract

BACKGROUND

This study was conducted to explore the impact of male age, sperm concentration and motility, on the blastocyst expansion, inner cell mass and trophectoderm grade of the blastocyst along with beta-HCG positivity and viability of pregnancy following a frozen embryo transfer.

MATERIALS AND METHODS

Data from Indore Infertility Clinic from January 2021 to December 2023 were utilized. ICSI cycles with a single frozen embryo transfer were used for analysis. Statistical analyses were performed using STATA-13/IC software and Microsoft Excel Professional Plus 2021.

RESULTS

No significant correlation was found between male age and sperm concentration or motility. A positive correlation between sperm concentration and motility was observed in autologous sperm samples. There was no significant association between male age, sperm concentration and sperm motility with blastocyst expansion, inner cell mass grade or trophectoderm grade. No significant association was found between male age, sperm concentration and sperm motility with beta-HCG. A significant association was observed between inner cell mass grade and beta-HCG positivity. No significant association was found between cardiac activity and blastocyst morphology, male age, sperm concentration and motility.

CONCLUSION

This study did not reveal any significant associations between male age, semen parameters and blastocyst morphology. No association was found between male age, semen parameters to beta-HCG positivity and pregnancy viability. A significant association was found between quality of inner cell mass and beta-HCG positivity in autologous semen sample cases.

摘要

背景

本研究旨在探讨男性年龄、精子浓度和活力对囊胚扩张、囊胚内细胞团和滋养外胚层等级的影响,以及冷冻胚胎移植后β-HCG阳性和妊娠存活情况。

材料与方法

利用印多尔不孕不育诊所2021年1月至2023年12月的数据。采用单冻融胚胎移植的卵胞浆内单精子注射(ICSI)周期进行分析。使用STATA-13/IC软件和Microsoft Excel Professional Plus 2021进行统计分析。

结果

未发现男性年龄与精子浓度或活力之间存在显著相关性。在自体精子样本中观察到精子浓度与活力之间呈正相关。男性年龄、精子浓度和精子活力与囊胚扩张、内细胞团等级或滋养外胚层等级之间无显著关联。男性年龄、精子浓度和精子活力与β-HCG之间未发现显著关联。观察到内细胞团等级与β-HCG阳性之间存在显著关联。未发现心脏活动与囊胚形态、男性年龄、精子浓度和活力之间存在显著关联。

结论

本研究未揭示男性年龄、精液参数与囊胚形态之间存在任何显著关联。未发现男性年龄、精液参数与β-HCG阳性和妊娠存活之间存在关联。在自体精液样本病例中,发现内细胞团质量与β-HCG阳性之间存在显著关联。

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