title: [Safe gametes acquisition through association of seminal processing techniques with HIV serodiscordant couples].
abstract: OBJECTIVE
  the propose of this study was to analyze the clinical and laboratorial parameters of patients submitted to human assisted reproduction techniques with association of sperm processing techniques, in order to remove virus particles from semen samples of couples in which men was infected by human immunodeficiency virus (HIV).
  
  
  METHODS
  assessed were 11 intracytoplasmatic sperm injection (ICSI) cycles from couples whose men were HIV seropositive (HIV Group), and 35 cycles in which semen donors' samples were used in ICSI procedures (Control Group). Semen samples from Control Group were submitted to routine semen analysis, sperm wash and cryopreservation. The man from HIV Group received previous antibiotic therapy; the semen samples were analyzed routinely and prepared by sperm wash and density gradient method before cryopreservation. Those samples were evaluated to viral load and ICSI was performed when no HIV was detected.
  
  
  RESULTS
  with regards to semen analysis, the groups were similar to sperm concentration and progressive motility. Nevertheless, the percentage of sperm with normal morphology were higher on Control Group (14.3%) than HIV (5.8%; p=0.002). On embryo parameters assessment, the normal fertilization (CT: 74.7% and HIV: 71.7; p=0.838, respectively) and good embryos rate (CT: 42.4% and HIV: 65.1%; p=0.312, respectively) were comparable. On the other hand, the Control Group presented better clinic results than HIV Group (ongoing pregnancy rate: 52.9% versus 12.5%; p=0.054, and implantation rate: 42.6 versus 10.4%; p=0.059, respectively), however the differences were not statistically significant. After delivery, no seroconversion was observed on mother and child.
  
  
  CONCLUSIONS
  the association of sperm processing techniques in order to remove HIV from semen samples does not influence in laboratorial parameters of assisted reproduction techniques cycles. On the other hand, it has been demonstrated excellent results getting safety gametes to serodiscordant couples.
authors.affiliation: Laboratório de Andrologia e Fertilização in vitro, Fertility-Centro de Fertilização Assistida, São Paulo, SP, Brazil.
authors.forename: Priscila
authors.initials: P
authors.lastname: Queiroz
authors.forename: Claudia Taddeo
authors.initials: CT
authors.lastname: Tanil
authors.forename: Camila
authors.initials: C
authors.lastname: Madaschi
authors.forename: Debora Rodrigues
authors.initials: DR
authors.lastname: Lopes
authors.forename: Assumpto
authors.initials: A
authors.lastname: Iaconelli Junior
authors.forename: Fabio Firmbach
authors.initials: FF
authors.lastname: Pasqualotto
authors.forename: Edson
authors.initials: E
authors.lastname: Borges Junior
mesh_terms: D000328:Adult; D005260:Female; D018023:HIV Seronegativity; D006679:HIV Seropositivity; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D012661:Semen; D020554:Sperm Injections, Intracytoplasmic / Q000379:methods*