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자료유형
학술저널
저자정보
저널정보
대한산부인과학회 Obstetrics & Gynecology Science Obstetrics & Gynecology Science 제62권 제6호
발행연도
2019.1
수록면
429 - 437 (9page)

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ObjectiveThe male reproductive system generates, accumulates, and transports the sperm. In this study, 2 methods of surgicallyretrieving sperm, namely, testicular sperm aspiration (TESA) and percutaneous epididymal sperm aspiration (PESA), arediscussed and studied in men aged ≤38 years to achieve successful conception using assisted reproductive technology. The purpose was to assess the fertilization rate (FA), clinical pregnancy, and live birth rate (LBR) with sperm. MethodsA total of 287 semen samples were divided into 4 groups as follows: fresh PESA (n=73), frozen PESA (n=65), fresh TESA(n=128), and frozen TESA (n=21). The DNA fragmentation test using sperm chromatin dispersion assay was measuredand reported. ResultsFA was 70.3% and 65.5%, (P<0.022) for fresh and frozen epididymal sperm and 53.8% and 49.5%, (P<0.032) for freshand frozen testicular sperm. LBR was 33.6% and 30.2% (P<0.075) for fresh and frozen epididymal sperm (PESA) and22.7% and 18.2% (P<0.063) for fresh and frozen-thawed TESA sperm. ConclusionExposure to tissue shearing may adversely affect sperm quality. Increased sperm DNA damage due to long-termexposure while teasing enhances reactive oxygen species production foremost to membrane damage because ofthe oxidation of polyunsaturated fatty acid in lipids (lipid peroxidation), oxidation of amino acid in proteins, andinactivation of specific enzymes, all leading to enzymatic dipping and possibility of less fertilization and conception asindicated by the increase in LBR with fresh/frozen PESA compared to with fresh/frozen TESA.

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