Evidence map›Paper›PMID 33533739›Full record

ArticleAsian journal of andrology

Influence of sperm morphology on pregnancy outcome and offspring in

Wen-Jun Zhou, Chuan Huang, Su-Hua Jiang, Xi-Ren Ji, Fei Gong, Li-Qing Fan, Wen-Bing Zhu

Open access · goldAbstract read
In one paragraph

Article in Asian journal of andrology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Meta-correlation of Sperm Morphology and DNA Fragmentation Index.Reproductive sciences (Thousand Oaks, Calif.) · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Influencing factors of live birth in vitrified oocyte donation cycles: A retrospective cohort study.European journal of obstetrics & gynecology and reproductive biology: X · 2026
    Article
  5. Article
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  9. Sperm selection for assisted reproductive technology: do we have a winner?Journal of assisted reproduction and genetics · 2025
    Review
  10. Article
  11. Article
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  17. Observational
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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

7 authors at 2 institutions in 1 country.

Wen-Jun ZhouInstitute of Reproductive and Stem Cell Engineering, Basic Medicine College, Central South University, Changsha 410008, China.
Chuan HuangReproductive and Genetic Hospital of CITIC-Xiangya, Changsha 410008, China.
Su-Hua JiangInstitute of Reproductive and Stem Cell Engineering, Basic Medicine College, Central South University, Changsha 410008, China.
Xi-Ren JiInstitute of Reproductive and Stem Cell Engineering, Basic Medicine College, Central South University, Changsha 410008, China.
Fei GongInstitute of Reproductive and Stem Cell Engineering, Basic Medicine College, Central South University, Changsha 410008, China.
Li-Qing FanInstitute of Reproductive and Stem Cell Engineering, Basic Medicine College, Central South University, Changsha 410008, China.
Wen-Bing ZhuInstitute of Reproductive and Stem Cell Engineering, Basic Medicine College, Central South University, Changsha 410008, China.
Reproductive & Genetic Hospital CITIC-Xiangya · CNCentral South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sperm morphology was once believed as one of the most predictive indicators of pregnancy outcome in assisted reproductive technology (ART). However, the impact of teratozoospermia on in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) outcomes and its offspring remains inconclusive. In order to evaluate the influence of teratozoospermia on pregnancy outcome and newborn status after IVF and ICSI, a retrospective study was conducted. This was a matched case-control study that included 2202 IVF cycles and 2574 ICSI cycles and was conducted at the Reproductive and Genetic Hospital of CITIC-Xiangya in Changsha, China, from June 2013 to June 2018. Patients were divided into two groups based on sperm morphology: teratozoospermia and normal sperm group. The pregnancy outcome and newborn outcome were analyzed. The results indicated that couples with teratozoospermia had a significantly lower optimal embryo rate compared to those with normal sperm morphology in IVF (P = 0.007), while there were no statistically significant differences between the two groups in terms of the fertilization rate, cleavage rate, implantation rate, and pregnancy rate (all P > 0.05). Additionally, teratozoospermia was associated with lower infant birth weight in multiple births after IVF. With regard to ICSI, there was no significant difference in both pregnancy outcome and newborn outcome between the teratozoospermia and normal groups (both P > 0.05). Furthermore, no increase in the risk of birth defects occurred in the teratozoospermia group after IVF/ICSI. Consequently, we believe that teratozoospermia has limited predictive value for pregnancy outcomes in IVF/ICSI, and has little impact on the resulting offspring if multiple pregnancy is avoided.

Indexed as

AdultCase-Control StudiesChinaChi-Square DistributionFemaleFertilization in VitroHumansMalePregnancyPregnancy OutcomeRetrospective StudiesSpermatozoaSperm Injections, Intracytoplasmicfertilizationintracytoplasmic sperm injectionin vitronewborn outcomepregnancy outcometeratozoospermia

Identifiers

PMID33533739
PMCPMC8269829
OpenAlexW3129038534

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.