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Successful Pregnancy Using a Second Semen Sample After a Very Short Abstinence Period in a Man with Asthenozoospermia: A Case Report
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Fatemeh Tanhayi Kalateh Sabz *1    , Tooba Farazmand2 , Kataneh Kazemi2 |
1- Assistant Professor of Reproductive Biology, Department of Anatomy and Pathology, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran,
2- Assistant Professor of Infertility, Department of Obstetrics and Gynecology, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran |
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Abstract: (60 Views) |
Background and Objective: Infertility affects approximately 17.5% of the adult population worldwide and is attributable to male-factor abnormalities in about 45% of cases. Asthenozoospermia is one of the most common causes of male infertility and is characterized by reduced progressive sperm motility. One of the commonly used treatments for these patients is antioxidant therapy. Given the prolonged and unpredictable nature of these treatments, a very short abstinence period, followed by collection of a second ejaculate, has been proposed as a means of improving sperm motility and reducing sperm DNA fragmentation (SDF). We report a successful pregnancy following the use of a second ejaculate collected on the day of oocyte retrieval in a man with asthenozoospermia and a history of repeated infertility treatment failures.
Case Presentation: This report concerns a couple with primary infertility for 8 years, a history of three failed IUI treatments and two failed ICSI treatments, and a diagnosis of persistent asthenozoospermia during treatment cycles. On the day of oocyte retrieval, the man provided two semen samples one hour apart. In the second sample, progressive sperm motility improved significantly (from 8% to 20%), and this sample was used for ICSI. This cycle resulted in a clinical pregnancy.
Conclusion: In men who present with low motility or unstable semen quality (asthenozoospermia) on the day of oocyte retrieval, collecting a second sample after a short interval (~1 hour) can be a reasonable and low-cost option to improve the sperm quality used for ICSI. This report is consistent with recent evidence on the benefits of short abstinence and a second sample, and requires evaluation in prospective controlled studies. |
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| Keywords: Asthenozoospermia, Sexual Abstinence, Semen, Pregnancy, Case Report |
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Full-Text [PDF 548 kb]
(17 Downloads)
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Type of Study: case report |
Subject:
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