Predictors of intracytoplasmic sperm injection (ICSI) outcome in couples with and without male factor infertility.
OBJECTIVE
To find out the predictors of ICSI outcome.


METHODS
Forty-three pregnancies in 100 consecutive ICSI cycles.


RESULTS
Every 1,000 pg/ml increase in hCG-day E2 (OR = 0.46, CI: 0.25-0.83, p = 0.01) and 1% decrease in the rate of normal sperm morphology (OR = 0.81, CI: 0.67-0.98, p = 0.03) caused a significant decrease in clinical pregnancy rate and live birth rate (respectively, OR = 0.5, CI: 0.32-0.96, p = 0.03, OR = 0.66, CI: 0.5-0.86, p = 0.002) while every increase in the number of good quality embryos transferred caused a two-time increase in the clinical pregnancy rate (OR = 2.1, CI: 1.2-4, p = 0.01). On the other hand, every increase in the number of four-cell cleavage embryos (OR = 1.02, CI: 1.002-1.04, p = 0.03) and hCG-day endometrial thickness (OR = 1.6, CI: 1.15-2.24, p = 0.005) were found to increase the live birth rate. Implantation rate (m = 8.3 +/- 14.6) was significantly lower in cases with leucocytospermia (n = 33) compared to cases without leucocytospermia (n = 67, m = 17.4 +/- 24.6, p = 0.02).


CONCLUSIONS
Leucocytospermia, hCG-day E2 level and endometrial thickness, normal sperm morphology, and number of good quality embryos are predictors of implantation, clinical pregnancy and live birth rate following ICSI.
Vural
B
B
Kocaeli University, Faculty of Medicine, Department of Obstetrics and Gynecology, Turkey.
Sofuoglu
K
K
Caliskan
E
E
Delikara
N
N
Aksoy
E
E
Uslu
H
H
Karan
A
A
D000328:Adult; D015415:Biomarkers / Q000097:blood; D002970:Cleavage Stage, Ovum; D010064:Embryo Implantation; D004624:Embryo Transfer; D004717:Endometrium / Q000033:anatomy & histology; D004967:Estrogens / Q000097:blood; D005260:Female; D006801:Humans; D007248:Infertility, Male / Q000628:therapy*; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome; D018873:Pregnancy Rate; D012044:Regression Analysis; D012661:Semen / Q000166:cytology; D020554:Sperm Injections, Intracytoplasmic / Q000379:methods / Q000592:standards*; D013081:Sperm Motility; D013997:Time Factors
D015415:Biomarkers; D004967:Estrogens