Evidence map›Paper›PMID 29995229›Full record

ArticleJournal of assisted reproduction and genetics2018

Abnormal sperm concentration and motility as well as advanced paternal age compromise early embryonic development but not pregnancy outcomes: a retrospective study of 1266 ICSI cycles.

Alessandro Bartolacci, Luca Pagliardini, Sofia Makieva, Andrea Salonia, Enrico Papaleo, Paola Viganò

Registry-linked trialAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07369362 (A Multicenter Randomized Controlled Non-Inferiority Trial Comparing SwimCount Harvester® to Standard Sperm Preparation Methods in IVF Cycles With PGT-A), which is not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07369362 naactive not recruitingnot on this mapstarted 2026, after this paper: background citation

A Multicenter Randomized Controlled Non-Inferiority Trial Comparing SwimCount Harvester® to Standard Sperm Preparation Methods in IVF Cycles With PGT-A

TypeinterventionalSponsorMotilityCount apsRan2026 to 2027Enrolled1,600ConditionsInfertility, Male Infertility, InVitro Fertilization, Aneuploidy RateArmsmicrofludics semen processing device
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Article
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  11. Too many embryos: a critical perspective on a global challenge.Journal of assisted reproduction and genetics · 2024
    Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Conventional IVF performs similarly in women with and without endometriosis.Journal of assisted reproduction and genetics · 2023
    Article
  17. Article
  18. Reproductive axis ageing and fertility in men.Reviews in endocrine & metabolic disorders · 2022
    Review
  19. Effect of advanced parental age on pregnancy outcome and offspring health.Journal of assisted reproduction and genetics · 2022
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alessandro BartolacciObstetrics and Gynaecology Department, IRCCS Ospedale San Raffaele, Milan, Italy.
Luca PagliardiniDivision of Genetics and Cell Biology, Reproductive Sciences Laboratory, IRCCS Ospedale San Raffaele, Via Olgettina 58, 20132, Milan, Italy.
Sofia MakievaDivision of Genetics and Cell Biology, Reproductive Sciences Laboratory, IRCCS Ospedale San Raffaele, Via Olgettina 58, 20132, Milan, Italy.
Andrea SaloniaDivision of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.
Enrico PapaleoObstetrics and Gynaecology Department, IRCCS Ospedale San Raffaele, Milan, Italy.
Paola ViganòDivision of Genetics and Cell Biology, Reproductive Sciences Laboratory, IRCCS Ospedale San Raffaele, Via Olgettina 58, 20132, Milan, Italy. vigano.paola@hsr.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the effect of sperm concentration, motility and advanced paternal age on reproductive outcomes.

methodsA retrospective analysis of 1266 intracytoplasmic sperm injection (ICSI) cycles between 2013 and 2017. The cohort was divided into four groups according to semen concentration based on the WHO criteria (2010): group A (conc. <1 M/ml), group B (1 ≤ conc. <5 M/ml), group C (5 ≤ conc. < 15 M/ml) and the control group D (conc. ≥15 M/ml). The primary outcome investigated was the blastulation rate. Secondary outcomes were fertilization rate, top quality blastocyst formation rate and ongoing pregnancy rate.

resultsAfter adjustment for maternal age and number of oocytes recovered, a significant difference was observed between group A and group D on the rate of fertilized oocytes [66.7 (40.0-80.0) vs 75.0 (57.1-90.2), adjusted p < 0.001] and the blastocyst formation rate [50.0 (33.3-66.3) vs 55.6 (40.0-75.0), adjusted p < 0.05]. However, the male factor did not affect the top quality blastocyst formation rate nor the ongoing pregnancy rate. Considering the age of the male partner as confounding factor, at the increase of each year of age, a reduction of 0.3% on the fertilization rate was observed but no other outcome was impacted. A negative correlation was also observed between sperm motility and fertilization rate in the group with a motility <5%.

conclusionMale factor infertility and advanced paternal age may compromise fertilization and blastulation rates but not top quality blastocyst formation rate or the establishment of pregnancy in ICSI cycles.

Indexed as

Embryonic DevelopmentFertilization in VitroPaternal AgePregnancy OutcomeAdultFemaleHumansInfertility, MaleMaleMaternal AgeOocytesPregnancyPregnancy RateRetrospective StudiesSpermatozoaSperm Injections, IntracytoplasmicAbnormal sperm parametersBlastulation rateMale factor infertilityPaternal age

Identifiers

PMID29995229
PMCPMC6150884

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.