Evidence map›Paper›PMID 39982658›Full record

ArticleInternational urology and nephrology2025

Effect of ovarian reserve on pregnancy outcomes in patients undergoing IVF treatment due to azoospermia.

Aycan S Arabacı, Can Köse, Esin Kasap, Ebru Sahin Güleç, Ahmet Demir

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Article in International urology and nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
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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

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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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

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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

5 authors.

Aycan S ArabacıHealth Sciences University Izmir Tepecik Education and Research Hospital, Izmir City Hospital Clinic of In Vitro Fertilization, Izmir, Turkey.
Can KöseDepartment of Histology and Embryology, Izmir City Hospital Clinic of In Vitro Fertilization, Izmir, Turkey.
Esin KasapIzmir City Hospital Clinic of In Vitro Fertilization, Izmir, Turkey. dresincelik@windowslive.com.
Ebru Sahin GüleçHealth Sciences University Izmir Tepecik Education and Research Hospital, Izmir City Hospital Clinic of In Vitro Fertilization, Izmir, Turkey.
Ahmet DemirHealth Sciences University Izmir Tepecik Education and Research Hospital, Izmir City Hospital Clinic of In Vitro Fertilization, Izmir, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInfertility is an increasingly common condition that has demographic, psychological, economic, and medical consequences for society. Although many studies have examined azoospermia (AZO) and diminished ovarian reserve (DOR), few have investigated these two groups together. In this study, we aimed to contribute to the literature by comparing these conditions, which can be challenging for physicians and patients.

methodsThe study included couples with AZO and/or DOR who underwent intracytoplasmic sperm injection (ICSI) at Tepecik Training and Research Hospital Gynecology and Obstetrics Clinic In Vitro Fertilization (IVF) Center between 01 January 2017 and 30 June 2023. A total of 100 couples meeting the inclusion criteria were divided into 3 groups according to treatment indication: AZO (n = 34), DOR (n = 34), and AZO + DOR (n = 32). The women's ages, basal hormone levels (follicle-stimulating hormone, estradiol, progesterone, anti-Müllerian hormone), treatment indications, day of embryo transfer, and clinical pregnancy outcomes were documented.

resultsClinical pregnancy rates were 64.7% in the AZO group, 50% in the DOR group, and 34.4% in the DOR + AZO group. In pairwise comparisons, the clinical pregnancy rate was significantly higher in the AZO group than in the DOR + AZO group (p = 0.014). The live birth rate was also significantly lower in the DOR + AZO group than in the AZO group (p = 0.022). In the DOR group, 70.6% of achieved pregnancies resulted in live birth and 29.4% in missed abortion.

conclusionClinical pregnancy and live birth rates were found to be significantly higher in couples with AZO compared to those with both DOR and AZO. This suggests that the woman's ovarian reserve is more decisive than sperm quality in the success of IVF/ICSI.

Indexed as

AzoospermiaFertilization in VitroOvarian ReservePregnancy OutcomeAdultFemaleHumansMalePregnancyPregnancy RateRetrospective StudiesSperm Injections, IntracytoplasmicAbortionAMHAzoospermiaICSIIVFOvarian reservePregnancy rate

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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.