title: Role of Abnormal Sperm Morphology in Predicting Pregnancy Outcomes.
abstract: The evaluation of strict morphology for predicting successful pregnancy has been controversial, nevertheless remains an essential component of semen analysis. Patients with teratozoospermia (abnormal strict morphology) have traditionally been counseled to undergo assisted reproduction. However, recent studies suggest that patients with abnormal sperm morphology alone should not be precluded from attempting natural conception before undergoing assisted reproduction. The goal of this review is to provide an update on the evaluation of sperm morphology for prognosis in assisted reproductive techniques such as intrauterine insemination and in vitro fertilization with or without intracytoplasmic sperm injection. Additionally, we propose a logical approach to the evaluation of a patient with teratozoospermia seeking fertility treatment.
authors.affiliation: University of Miami Miller School of Medicine, Miami, FL, USA.
authors.forename: Samuel A
authors.initials: SA
authors.lastname: Shabtaie
authors.affiliation: Department of Obstetrics and Gynecology, University of Miami Miller School of Medicine, Miami, FL, USA.
authors.forename: Sabrina A
authors.initials: SA
authors.lastname: Gerkowicz
authors.affiliation: Baylor College of Medicine, Houston, TX, USA.
authors.forename: Taylor P
authors.initials: TP
authors.lastname: Kohn
authors.affiliation: Department of Urology, University of Miami Miller School of Medicine, 1120 NW 14th Street, Room 1560, Miami, FL, 33136, USA. ramasamy@miami.edu.
authors.forename: Ranjith
authors.initials: R
authors.lastname: Ramasamy
mesh_terms: D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome; D055101:Semen Analysis; D020554:Sperm Injections, Intracytoplasmic
keywords: Abnormal sperm morphology; In vitro fertilization (IVF); Intracytoplasmic sperm injection (ICSI); Intrauterine insemination (IUI); Strict criteria; Teratozoospermia