PMID- 27020275 OWN - NLM STAT- MEDLINE DCOM- 20170306 LR - 20181113 IS - 1573-7330 (Electronic) IS - 1058-0468 (Print) IS - 1058-0468 (Linking) VI - 33 IP - 5 DP - 2016 May TI - Genetic counseling for men with recurrent pregnancy loss or recurrent implantation failure due to abnormal sperm chromosomal aneuploidy. PG - 571-576 LID - 10.1007/s10815-016-0702-8 [doi] AB - PURPOSE: The purpose of this study is to review recurrent pregnancy loss (RPL) due to sperm chromosomal abnormalities and discuss the genetic counseling that is required for men with sperm chromosomal abnormalities. METHOD: The literature was reviewed, and a genetic counselor lends her expertise as to how couples with RPL and sperm chromosomal abnormalities ought to be counseled. The review of the literature was performed using MEDLINE. RESULTS: Sperm fluorescence in situ hybridization (FISH) can be used to determine if disomy or unbalanced chromosomal translocations are present. In men with aneuploidy in sperm or who carry a chromosomal translocation, pre-implantation genetic screening (PGS) combined with in vitro fertilization (IVF) and intra-cytoplasmic sperm injection (ICSI) can increase chances of live birth. In men with abnormal sperm FISH results, the degree of increased risk of abnormal pregnancy remains unclear. Genetic counselors can provide information to couples about the risk for potential trisomies and sex chromosome aneuploidies and discuss their reproductive and testing options such as PGS, use of donor sperm, and adoption. The provision of genetic counseling also allows a couple to be educated about recommended prenatal testing since pregnancies conceived with a partner who has had abnormal sperm FISH are considered to be at increased risk for aneuploidy. CONCLUSION: We review the literature and discuss genetic counseling for couples with RPL or recurrent implantation failure due to increased sperm aneuploidy. FAU - Kohn, Taylor P AU - Kohn TP AD - Baylor College of Medicine, Houston, TX, USA. FAU - Kohn, Jaden R AU - Kohn JR AD - Baylor College of Medicine, Houston, TX, USA. FAU - Darilek, Sandra AU - Darilek S AD - Molecular and Human Genetics Clinical Program, Baylor College of Medicine, Houston, TX, USA. FAU - Ramasamy, Ranjith AU - Ramasamy R AD - Department of Urology, Miller School of Medicine, University of Miami, Miami, FL, USA. FAU - Lipshultz, Larry AU - Lipshultz L AD - Scott Department of Urology, Baylor College of Medicine, 6624 Fannin Street Suite 1700, Houston, TX, 77030, USA. larryl@bcm.edu. LA - eng PT - Journal Article PT - Review DEP - 20160328 PL - Netherlands TA - J Assist Reprod Genet JT - Journal of assisted reproduction and genetics JID - 9206495 SB - IM MH - Abortion, Habitual/*psychology MH - *Aneuploidy MH - *Genetic Counseling MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infertility, Male/*psychology MH - Male MH - Men/*psychology MH - Prenatal Diagnosis MH - Spermatozoa/*physiology PMC - PMC4870448 OTO - NOTNLM OT - Chromosomal aneuploidy OT - Genetic counseling OT - Male infertility OT - Recurrent pregnancy loss OT - Sperm FISH EDAT- 2016/03/30 06:00 MHDA- 2017/03/07 06:00 PMCR- 2017/05/01 CRDT- 2016/03/30 06:00 PHST- 2015/12/29 00:00 [received] PHST- 2016/03/10 00:00 [accepted] PHST- 2016/03/30 06:00 [entrez] PHST- 2016/03/30 06:00 [pubmed] PHST- 2017/03/07 06:00 [medline] PHST- 2017/05/01 00:00 [pmc-release] AID - 10.1007/s10815-016-0702-8 [pii] AID - 702 [pii] AID - 10.1007/s10815-016-0702-8 [doi] PST - ppublish SO - J Assist Reprod Genet. 2016 May;33(5):571-576. doi: 10.1007/s10815-016-0702-8. Epub 2016 Mar 28.