The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

Effects of Intravaginal Application of Seminal Plasma on Embryo Implantation and Early Abortion Rate in Patients Undergoing Intracytoplasmic Sperm Injection

Document Type : Original Article

Authors
Sariyeh Golmahammad Lou 1
Masomeh Hagshafiha 1
Zahra yekta 2
Sima Oshnouei 3
Elham Firoozi 4
Sarvin Pashapoor 5
Yaghob Deldar 6
Vida Saidi 7
1 Associate Professor of Obstetrics and Gynecology, Reproductive Health Research Center, Urmia University of Medical Sciences, Urmia, Iran.
2 Associate Professor of Community Medicine , Reproductive Health Research Center, Urmia University of Medical Sciences, Urmia, Iran.
3 M.Sc. of Epidemiology, Reproductive Health Research Center, Urmia University of Medical Sciences, Urmia, Iran.
4 Resident of Obstetrics and Gynecology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
5 Medical Student, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
6 M.Sc. of Clinical Chemistry, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
7 B.Sc of Nursing, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
10.22038/ijogi.2014.2915
Abstract
Introduction: Semen is one of the factors in preparing endometrium for embryo implantation. This is in contrast with public believed that immune response to antigen in ejaculated semen will disrupt fertility and pregnancy. The aim of this study was investigation of the influence of seminal plasma injection on Intracytoplasmic Sperm Injection (ICSI) success among infertile couples.
Methods: This clinical trial was conducted on 140 infertile couples undergoing ICSI treatment in Kosar infertility clinic and reproductive health research center of Urmia, Iran during 2010-2011. Couples were randomly divided into seminal plasma injection and control groups. Cry preserved seminal plasma was prepared 30-60 minutes before embryo transferring. bHCG test and sonography was performed respectively at day 14 and between 6th to 12th weeks after embryo transfer. Outcomes were compared between two groups. Data were analyzed by SPSS software version 16 and chi-square test. P value less than 0.05 was considered significant.
Results: There were no significant differences in number of oocyte, quantity and quality of transferred embryo between two groups (p>0.05). Rate of implantation based on βHCG results were 24.3% (17 women) in intervention group and 25.5% (18 women) in control group. Rate of abortion was 18.7% (n=2) and 11.1% (n=3) in intervention and control groups, respectively. There were no significant differences in implantation rate (p=1) and early abortion rate (p=0.5) between two groups.
Conclusion: Intravaginal application of seminal plasma has no effects on fertility outcomes in patients undergoing ICSI treatment.
Keywords
Abortion
Embryo Implantation
infertility Semen
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