Semen Processing for ICSI Using Swim-down and Density Gradient Methods

NCT ID: NCT02328534

Last Updated: 2014-12-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

890 participants

Study Classification

OBSERVATIONAL

Study Start Date

2007-03-31

Study Completion Date

2014-01-31

Brief Summary

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The investigators evaluate the feedback of using swim down semen processing method during preparation for ICSI and compare the results of pregnancy and embryos quality with the cases used density gradient method for their semen processing.

Detailed Description

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There is different semen processing method, in this study we compared the ICSI output when the investigators used one method with higher separation method and minimum sperm stress or physical interface as swimming down using 100 % silica solution, with other more stressful procedure with high selection power as density gradient.

The routine used method as density gradient (DG) includes about 30 min centrifugation at 1200 RPM, and more working steps with more handling procedures. According to many references the investigators can approve that it is method to be indicated with all cases particularly with those severely decreases semen number or motility.

Using 100 % silica solution for semen processing used for ICSi, shews lesser centrifugation time and minimum processing procedures. As swimming down time is about 30 min followed by 5 min washing and finalized with other 3 minutes last wash. For that total interfering physical action is about 8 minutes compared with 30 min with DG method.

In swimming down we are using the natural sperm behavior and own swimming power for separate itself from other seminal components. As well as only the one normally structure and motility direction the only can penetrate the interface surface of silica solution and swim inside higher density matrix using its speed and power.

Conditions

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Infertility

Keywords

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ICSI/IVF Semen processing Semen preparation Swim down Density gradient Silica solution

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Density Gradient semen

ICSI Cases processed using DG semen processing and evaluated by

Blastocyst Formation Rate Blastocyst Rate Pregnancy Rate

Blastocyst Formation Rate

Intervention Type BEHAVIORAL

Embryos developed at Day3 cultures, are continued for Day5 culture tho reach blastocyst stage. The percentage of blastocyst produced from cleaved embryos to be evaluated ar rate.

The evaluation with doe one time using Density Gradient semen one time and Swimming down semen another time.

Blastocyst Rate

Intervention Type PROCEDURE

Day 5 embryo transfer achieved pregnancy are compared with total embryo transfer cases at Day5.

The evaluation with doe one time using Density Gradient semen one time and Swimming down semen another time.

Pregnancy confirmed with day 12 after Et and repeated with 48 hours after 1st exam.

Pregnancy Rate

Intervention Type PROCEDURE

All pregnancy achieved from all ET. Pregnancy confirmed with day 12 after Et and repeated with 48 hours after 1st exam.

The evaluation with doe one time using Density Gradient semen one time and Swimming down semen another time.

Swimming down semen

ICSI Cases processed using SD semen processing and evaluated by

Blastocyst Formation Rate Blastocyst Rate Pregnancy Rate

Blastocyst Formation Rate

Intervention Type BEHAVIORAL

Embryos developed at Day3 cultures, are continued for Day5 culture tho reach blastocyst stage. The percentage of blastocyst produced from cleaved embryos to be evaluated ar rate.

The evaluation with doe one time using Density Gradient semen one time and Swimming down semen another time.

Blastocyst Rate

Intervention Type PROCEDURE

Day 5 embryo transfer achieved pregnancy are compared with total embryo transfer cases at Day5.

The evaluation with doe one time using Density Gradient semen one time and Swimming down semen another time.

Pregnancy confirmed with day 12 after Et and repeated with 48 hours after 1st exam.

Pregnancy Rate

Intervention Type PROCEDURE

All pregnancy achieved from all ET. Pregnancy confirmed with day 12 after Et and repeated with 48 hours after 1st exam.

The evaluation with doe one time using Density Gradient semen one time and Swimming down semen another time.

Interventions

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Blastocyst Formation Rate

Embryos developed at Day3 cultures, are continued for Day5 culture tho reach blastocyst stage. The percentage of blastocyst produced from cleaved embryos to be evaluated ar rate.

The evaluation with doe one time using Density Gradient semen one time and Swimming down semen another time.

Intervention Type BEHAVIORAL

Blastocyst Rate

Day 5 embryo transfer achieved pregnancy are compared with total embryo transfer cases at Day5.

The evaluation with doe one time using Density Gradient semen one time and Swimming down semen another time.

Pregnancy confirmed with day 12 after Et and repeated with 48 hours after 1st exam.

Intervention Type PROCEDURE

Pregnancy Rate

All pregnancy achieved from all ET. Pregnancy confirmed with day 12 after Et and repeated with 48 hours after 1st exam.

The evaluation with doe one time using Density Gradient semen one time and Swimming down semen another time.

Intervention Type PROCEDURE

Other Intervention Names

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Blastocyst developed form cleaved embryos Pregnancey produced formblastocyst embryo transfer Pregnancy achieved after all ET

Eligibility Criteria

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Inclusion Criteria

* Cases have semen examination criteria fall within WHO 2010 standards of count
* Cases have semen examination criteria fall within WHO 2010 standards of motility
* Cases have semen examination criteria with all types of abnormal forms
* Cases produced more than 4 mature oocytes (M2) and more

Exclusion Criteria

* Cases have semen examination criteria with motility less than 5%
* Cases have semen examination criteria with count less than 1.0 million
* Cases with TESE, TESA and EPSA, both fresh and frozen
* Cases produced less than 4 mature oocytes (M2)
Minimum Eligible Age

20 Years

Maximum Eligible Age

38 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ahmad Mustafa Mohamed Metwalley

OTHER

Sponsor Role lead

Responsible Party

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Ahmad Mustafa Mohamed Metwalley

Novel Approach of Semen Preparation to Improve ICSI Outcome

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Ahmad M Metwalley, Ms. Genetics

Role: STUDY_DIRECTOR

Adliyah

Locations

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Al Baraka Fertility Hospital

Manama, Adliyah, Bahrain

Site Status

Ibn Sina IVF Center- Ibn Sina Hospital

Sohag, Sohag Governorate, Egypt

Site Status

Countries

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Bahrain Egypt

References

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Malvezzi H, Sharma R, Agarwal A, Abuzenadah AM, Abu-Elmagd M. Sperm quality after density gradient centrifugation with three commercially available media: a controlled trial. Reprod Biol Endocrinol. 2014 Dec 2;12:121. doi: 10.1186/1477-7827-12-121.

Reference Type RESULT
PMID: 25466430 (View on PubMed)

Related Links

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Other Identifiers

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AlBarakaSD1

Identifier Type: -

Identifier Source: org_study_id