Evidence map›Paper›PMID 41082068›Full record

ArticleJournal of assisted reproduction and genetics2025

Distinct post-insemination dynamics between fresh and frozen-derived gametes using testicular sperm.

V Ferracuti, A Bayram, I Elkhatib, A Abdala, E Kalafat, F Ruiz, H Fatemi, D Nogueira

Abstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

8 authors.

V FerracutiIVF Department, ART Fertility Clinics, Abu Dhabi, UAE.
A BayramIVF Department, ART Fertility Clinics, Abu Dhabi, UAE.ORCID http://orcid.org/0000-0003-1921-8395
I ElkhatibIVF Department, ART Fertility Clinics, Abu Dhabi, UAE.ORCID http://orcid.org/0000-0003-2841-5745
A AbdalaIVF Department, ART Fertility Clinics, Abu Dhabi, UAE.ORCID http://orcid.org/0009-0007-6513-8480
E KalafatIVF Department, ART Fertility Clinics, Abu Dhabi, UAE.ORCID http://orcid.org/0000-0003-0658-138X
F RuizIVF Department, ART Fertility Clinics, Abu Dhabi, UAE.
H FatemiIVF Department, ART Fertility Clinics, Abu Dhabi, UAE.ORCID http://orcid.org/0000-0002-9330-4040
D NogueiraIVF Department, ART Fertility Clinics, Abu Dhabi, UAE. daniela_nogueira@yahoo.com.ORCID http://orcid.org/0000-0002-8615-9180

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate differences in post-insemination events between fresh and frozen-derived gametes when testicular sperm extraction (TESE) is used.

methodA retrospective cohort study including 980 oocytes retrieved across 72 cycles from 30 couples, between January 2017 and September 2023. Gamete sources were fresh (fresh-TESE) or frozen-thawed-TESE (frozen-TESE) from the same patients with non-obstructive azoospermia (NOA), and fresh or vitrified (frozen) oocytes from the same female partner. Following insemination by TESE-sperm, embryos were cultured in a time-lapse (TL) incubator. Resulting blastocysts underwent trophectoderm (TE) biopsy for preimplantation genetic testing for aneuploidy (PGT-A) by next-generation sequencing (NGS). Fertilization, usable blastocysts, and euploidy rates were recorded, and morphokinetic key parameters were annotated.

resultsOocyte/sperm dyads using frozen-TESE showed an association with lower fertilization (OR 0.64, 95% CI 0.45-0.89, P = 0.008) and lower blastulation/MII (OR 0.53, 95% CI 0.37-0.77, P = 0.001), but similar blastulation/2PN (OR 0.69, 95% CI 0.45-1.07, P = 0.09). After accounting for female age, euploidy per tested blastocyst was similar whether fresh or frozen-TESE was used, but frozen oocyte use showed no association with these outcomes. The use of frozen dyads was associated with longer duration of 2PN after tPNa to tPNf: in frozen-TESE, 2.10 h longer (95% CI 0.55-3.64, P = 0.008) and in vitrified oocytes, 2.34 h longer (95% CI 0.31-4.36, P = 0.024). Slight morphokinetic differences between fresh and frozen-TESE were observed during subsequent developmental stages.

conclusionsSynchronizing fresh-TESE with oocyte retrieval, when possible, appears safer to maximize fertilization rates. Regardless of the gamete type, frozen-sourced sperm or oocyte impact 2PN-lag time, possibly indicating nuclear repair mechanisms post-freezing, requiring further investigation.

Indexed as

AzoospermiaOocytesSpermatozoaTestisAdultAneuploidyBlastocystCryopreservationEmbryo TransferFemaleFertilization in VitroHumansMalePregnancyPregnancy RatePreimplantation DiagnosisBlastocystMale infertilityMorphokineticsPGT-ATesticular sperm extraction

Identifiers

PMID41082068
PMCPMC12705513

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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.