2023
DOI: 10.1007/s40618-022-02000-4
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Male factor infertility and assisted reproductive technologies: indications, minimum access criteria and outcomes

Abstract: Background Infertility, which is defined as the inability to conceive after at least 12 months of regular unprotected sexual intercourses, affects about 15–20% of couples worldwide and a male factor is involved in about half of the cases. The development of assisted reproductive technology (ART) made it possible to conceive also to individuals affected from severe oligospermia or azoospermia. However, the impact of the male factor on embryo development, implantation, prevalence of chromosomal abn… Show more

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Cited by 12 publications
(6 citation statements)
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“…The importance of understanding the mechanisms underlying PME is not only of academic interest, as the use of medically assisted reproduction (MAR) treatments is constantly increasing, leading to diversion of research efforts from molecular studies to improvement of MAR technologies. Consequently, much less attention has been given to possible negative impacts of some of these treatments, which inevitably involve PM leakage, on embryo development, implantation, and clinical and obstetric outcomes [100][101][102] . Furthermore, the novel reproductive technologies known as mitochondrial donation or mitochondrial replacement therapy (MRT), raise challenging ethical and safety issues, as only a few successful MRT case reports are available.…”
Section: Discussionmentioning
confidence: 99%
“…The importance of understanding the mechanisms underlying PME is not only of academic interest, as the use of medically assisted reproduction (MAR) treatments is constantly increasing, leading to diversion of research efforts from molecular studies to improvement of MAR technologies. Consequently, much less attention has been given to possible negative impacts of some of these treatments, which inevitably involve PM leakage, on embryo development, implantation, and clinical and obstetric outcomes [100][101][102] . Furthermore, the novel reproductive technologies known as mitochondrial donation or mitochondrial replacement therapy (MRT), raise challenging ethical and safety issues, as only a few successful MRT case reports are available.…”
Section: Discussionmentioning
confidence: 99%
“…The experience gathered from various micromanipulation methods of gametes, including zona-opening procedures, subzonal sperm insertion, and sperm microinjection into the ooplasm, have demonstrated not only their clinical utility in assisted fertilization but also suggests the potential for selective application of these techniques and their combinations in the treatment of male infertility. The possible interference of gamete micromanipulation during ICSI with genomic imprinting and pre-zygotic sperm selection as potential teratogens could be important factors to consider [139]. ICSI produces chromosomal abnormalities, observed not only in infertile men and their spermatozoa but also in pre-implantation embryos resulting from microinjection [140].…”
Section: Genetic and Epigenetic Considerations: Risk Of Transmission ...mentioning
confidence: 99%
“…Couple infertility ranges between 12.6 and 17.5% [123], out of which half of the cases are attributed to the male factor due to low sperm concentration or poor spermatozoa quality [124]. Among the major causes of male infertility are genetic causes, like chromosomal aberrations and microdeletions of the Y chromosome.…”
Section: Genetic Causes Of Spermatogenesis Disturbances 41 Microdelet...mentioning
confidence: 99%