Sperm morphology and recurrent abortion

Recurrent Miscarriage Center, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115.
Fertility and Sterility (Impact Factor: 4.59). 05/1994; 61(4):776-8.
Source: PubMed

ABSTRACT In 98 men whose partners experienced three or more spontaneous abortions, there were no significant differences in ejaculate volume, concentration of sperm, the percentage of total abnormal sperm, or the percentage of individual sperm defects as compared with normal WHO standards and 17 men fathering successful pregnancies. These data indicate that neither abnormal sperm concentration nor abnormal sperm morphology are significantly associated with recurrent spontaneous abortion.

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    • "In this context, the results of our study were consistent with those of another investigation (Mohamed et al., 2007). According to the study carried out by Hill et al., 1994, irregularities in sperm morphology are implicated in the incidence of RSA. Our study of the RSA group showed a negative correlation between sperm DNA fragmentation, sperm progressive motility and normal sperm morphology. "
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    ABSTRACT: The aim of the present study was to evaluate the degree of sperm DNA fragmentation in couples with idiopathic recurrent spontaneous abortion (RSA) and in those with no history of infertility or abortion. In this cohort study, 30 couples with RSA and 30 fertile couples as control group completed the demographic data questionnaires, and their semen samples were analysed according to World Health Organization (WHO) standards (September 2009-March 2010) for evaluation of sperm DNA fragmentation, using sperm chromatin dispersion (SCD) technique. The percentage of morphologically normal sperm was significantly lower in RSA patients compared with control group (51.50 ± 11.60 versus 58.00 ± 9.05, P = 0.019), but not in other parameters. Additionally, the level of abnormal DNA fragmentation in the RSA group was significantly higher than the control group (43.3% versus 16.7%, P = 0.024). Our results indicated a negative correlation between the number of sperm with progressive motility and DNA fragmentation (r = -0.613; P < 0.001). The sperm from men with a history of RSA had a higher incidence of DNA fragmentation and poor motility than those of the control group, indicating a possible relationship between idiopathic RSA and DNA fragmentation.
    Andrologia 12/2012; 46(2). DOI:10.1111/and.12056 · 1.17 Impact Factor
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    ABSTRACT: To investigate the role of the 'male factor' in the pathogenesis of recurrent spontaneous abortion (RSA), especially sperm morphology abnormalities, 120 previously selected couples with unexplained RSA were studied for sperm parameters retrospectively and prospectively. The patients were subdivided into three subgroups, depending on their reproductive outcome during the 3 years of follow-up study: (i) 48 RSA couples who achieved a successful pregnancy; (ii) 39 RSA couples who experienced further abortions, and (iii) 33 RSA couples who experienced infertility during the follow-up period. A semen analysis was performed twice at the time of inclusion in this study, and twice again during the 3 year follow-up period. No significant differences in semen parameters were observed between RSA males and fertile controls. Instead, significant differences were observed between the group of RSA couples who experienced infertility during the follow-up and the other two groups (RSA couples who achieved successful pregnancy and RSA couples who experienced miscarriages and no live birth during the follow-up) for sperm concentration (P < 0.01 and P < 0.01 respectively), sperm motility (P < 0.01 and P < 0.01 respectively) and sperm morphology abnormalities (P < 0.01 and P < 0.01 respectively). Sperm morphology abnormalities do not seem to be involved in determining RSA; instead, they are an aetiological factor in determining infertility in patients, along with the other semen parameters, in the RSA couple's subsequent reproductive life. Semen analysis is an important test in the clinical management of RSA couples.
    Human Reproduction 01/1996; 11(1):117-20. DOI:10.1093/oxfordjournals.humrep.a019002 · 4.59 Impact Factor
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    ABSTRACT: Between 6.5 and 21% of pregnancies result in spontaneous abortion. The incidence of repeated spontaneous abortion (RSA) is, however, lower: 0.05-1.0% of pregnancies. These values vary, not only according to the populations studied and the means of diagnosing the miscarriages, but also to the age and the parity of the patient: 4% at 20 years of age versus 16% after 35 years. These differences are greater if biochemical pregnancies are taken into account. The aetiologies of RSA are multiple and at times even multifactorial. While certain aetiologies, such as chromosomal, anatomic, hormonal, immunological or unexplained anomalies, have been extensively explored, the sperm characteristics likely to influence the quality of the conceptus have rarely been examined. This review examines the male factor's contribution in RSA.
    Human Reproduction Update 07/1997; 3(4):393-400. · 8.66 Impact Factor
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