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Prognostic significance of computerized motility analysis for in vivo fertility.

作者信息

Barratt C L, Tomlinson M J, Cooke I D

机构信息

University Department of Obstetrics and Gynaecology, Jessop Hospital for Women, Sheffield, United Kingdom.

出版信息

Fertil Steril. 1993 Sep;60(3):520-5.

PMID:8375537
Abstract

OBJECTIVE

To determine the predictive value of quantitative motility characteristics produced by the Hamilton Thorn Motility (HTM) Analyzer (Hamilton Thorn Research, Beverley, MA) for in vivo conception.

DESIGN

A prospective analysis of 222 couples attending a regional infertility clinic. The measurements were made on a semen sample, and the presence or absence of a treatment-independent conception up to 22 months later was determined. The semen variables were then correlated to conception.

SETTING

University based center for reproductive medicine.

PATIENTS, PARTICIPANTS: The presence or absence of an in vivo conception was recorded in 222 couples in whom the influence on fertility of the female partner was minimized, i.e., normal in terms of history and examination, a regular menstrual cycle, ovulatory (midluteal serum P > 18 nmol/L [5.6 ng/mL]), and the outcome of the hysterosalpingogram was normal. The median follow-up time was 13 months (range, 5 to 22 months).

INTERVENTIONS

None.

MAIN OUTCOME MEASURE

Pregnancy.

RESULTS

A number of variables were significantly related to time to conception. When a forward stepwise analysis was performed, the total number of spermatozoa was selected on the first step, and average path velocity was selected on the second step. No other variables were selected. The final variables consisted of the total number of spermatozoa and average path velocity.

CONCLUSION

The measurement of quantitative motility and sperm number using a HTM Analyser is of clinical value.

摘要

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