PMID- 31396849 OWN - NLM STAT- MEDLINE DCOM- 20200320 LR - 20210110 IS - 1573-7330 (Electronic) IS - 1058-0468 (Print) IS - 1058-0468 (Linking) VI - 36 IP - 10 DP - 2019 Oct TI - The use of fluorescence in situ hybridization analysis on sperm: indications to perform and assisted reproduction technology outcomes. PG - 1975-1987 LID - 10.1007/s10815-019-01554-2 [doi] AB - PURPOSE: To determine the consequences of an altered sperm fluorescence in situ hybridization (FISH) result for ART outcomes and the indications for a sperm FISH analysis. METHODS: Data from 439 infertile men were collected. Bivariate analyses were performed to determine the association of men's age, seminal alterations, and sperm FISH indication, with the incidence of X, Y, 13, 18, and 21 sperm chromosomal abnormalities. A multivariate logistic regression analysis was performed to establish the most predictive variables for altered sperm FISH. Results from the IVF/ICSI cycles were collected for 248 out of 439 patients. Two distinct groups were established: 151 couples that used their own oocytes and 97 couples involved in egg donation programs. In both groups, ART outcomes were compared between normal and altered sperm FISH. RESULTS: Teratozoospermia and oligozoospermia were associated with sperm chromosome anomalies (p < 0.05). Indications for sperm FISH analysis with the highest predictability were teratozoospermia, male age, oligozoospermia, and implantation failure (AUC = 0.702). Embryo quality (p = 0.096), pregnancy rate (p = 0.054), and implantation rate (p = 0.089) were higher in own-oocytes couples with normal sperm FISH than in altered sperm FISH couples, although differences were not statistically significant. In donor-oocytes couples, in which high-quality embryos were transferred later than in own-oocytes couples (3.8 vs. 3.0 days), we did not identify differences in the ART outcome between normal and altered sperm FISH couples. In both groups, the possible interference of woman age was negligible. CONCLUSIONS: Sperm FISH is indicated in middle-aged oligoteratozoospermic patients with implantation failures in previous IVF/ICSI cycles. Sperm chromosome anomalies have a moderate detrimental impact on embryo quality, implantation, and pregnancy rates. FAU - Sarrate, Zaida AU - Sarrate Z AD - Genetics of Male Fertility Group, Unitat de Biologia Cel.lular, Facultat de Biociencies, Universitat Autonoma de Barcelona, 08193, Bellaterra (Cerdanyola del Valles), Spain. FAU - Blanco, Joan AU - Blanco J AD - Genetics of Male Fertility Group, Unitat de Biologia Cel.lular, Facultat de Biociencies, Universitat Autonoma de Barcelona, 08193, Bellaterra (Cerdanyola del Valles), Spain. joan.blanco@uab.cat. FAU - Marina-Rugero, Fernando AU - Marina-Rugero F AD - Instituto CEFER, c/ Marquesa de Vilallonga 12, 08017, Barcelona, Spain. FAU - Moreno-Garcia, Juan Manuel AU - Moreno-Garcia JM AD - UR Clinica Vistahermosa, Avda de Denia 103, 03015, Alicante, Spain. FAU - Ruiz-Jorro, Miguel AU - Ruiz-Jorro M AD - Crea Medicina de la Reproduccion, c/ San Martin 4, 46003, Valencia, Spain. FAU - Lafuente-Varea, Rafael AU - Lafuente-Varea R AD - CIRH, Plza Eguilaz 14, 08017, Barcelona, Spain. FAU - Grana-Zanon, Fernando AU - Grana-Zanon F AD - CEFIVA, Plaza Ferrocarriles Economicos de Asturias 6-8, 33011, Oviedo, Spain. FAU - Nunez-Calonge, Rocio AU - Nunez-Calonge R AD - Clinica Tambre, c/ Tambre 8, 28002, Madrid, Spain. FAU - Ten, Jorge AU - Ten J AD - Embryology Unit, Instituto Bernabeu, Av. Albufereta 31, 03016, Alicante, Spain. FAU - Rueda, Joaquin AU - Rueda J AD - Departamento de Histologia y Anatomia, Unidad de Genetica, Catedra de Biomedicina Reproductiva Clinica Vistahermosa, Universidad Miguel Hernandez, 03110, Sant Joan d'Alacant, Spain. LA - eng PT - Journal Article DEP - 20190808 PL - Netherlands TA - J Assist Reprod Genet JT - Journal of assisted reproduction and genetics JID - 9206495 SB - IM MH - Adult MH - Chromosome Aberrations MH - Embryo Implantation/genetics/physiology MH - Female MH - Fertilization in Vitro/methods MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Oligospermia/*diagnosis/genetics/pathology MH - Pregnancy MH - Pregnancy Rate MH - Reproductive Techniques, Assisted MH - Sperm Injections, Intracytoplasmic/methods MH - Spermatozoa/pathology/*ultrastructure MH - Teratozoospermia/*diagnosis/genetics/pathology MH - Tissue Donors PMC - PMC6823339 OTO - NOTNLM OT - ART outcome OT - Blastocyst transfer OT - Male age OT - Seminal parameters OT - Sperm FISH indications EDAT- 2019/08/10 06:00 MHDA- 2020/03/21 06:00 PMCR- 2020/10/01 CRDT- 2019/08/10 06:00 PHST- 2018/12/02 00:00 [received] PHST- 2019/07/30 00:00 [accepted] PHST- 2019/08/10 06:00 [pubmed] PHST- 2020/03/21 06:00 [medline] PHST- 2019/08/10 06:00 [entrez] PHST- 2020/10/01 00:00 [pmc-release] AID - 10.1007/s10815-019-01554-2 [pii] AID - 1554 [pii] AID - 10.1007/s10815-019-01554-2 [doi] PST - ppublish SO - J Assist Reprod Genet. 2019 Oct;36(10):1975-1987. doi: 10.1007/s10815-019-01554-2. Epub 2019 Aug 8.