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Information Journal Paper

Title

ASSISTED REPRODUCTIVE TECHNOLOGY AND OBSTETRIC OUTCOME IN COUPLES WHEN THE MALE PARTNER HAS A CHRONIC VIRAL DISEASE

Pages

  291-300

Abstract

 Background: Assisted reproductive technology (ART) with washed semen can achieve pregnancy with minimal risk of horizontal and vertical transmission of chronic viral diseases (CVD) such as human immunodeficiency virus (HIV), hepatitis C virus (HCV) and hepatitis B virus (HBV) among serodiscordant couples. However, few studies have been made of the use made by these couples of ARTs or of the obstetric results achieved.Materials and Methods: In this retrospective study, 93 men who were seropositive for HIV, HCV or HBV and who underwent assisted reproduction treatment at our centre (Hospital Universitario Virgen de las Nieves, Granada, Spain) were included. Washed semen was tested to detect viral particles. Non-infected women were tested before and after each treatment, as were the neonates at birth and after three months.Results: A total of 62 sperm samples were washed, and none were positive for the detection of viral molecules. Semen samples from 34 HBV positive males were not washed since the female partner had immunity to hepatitis B. In total, 38 clinical pregnancies were achieved (22% per cycle and 40.9% per couple) out of 173 cycles initiated, and 28 births were achieved (16.2% per cycle and 30.1% per couple), producing 34 live births. The rate of multiple pregnancies was 21.4%. Obstetric and neonatal results were similar in the groups of couples studied. At follow-up, no seroconversion was detected in the women or neonates.Conclusion: Sperm washing and intracytoplasmic sperm injection are shown to be a safe and effective option for reducing the risk of transmission or super infection in serodiscordant or concordant couples who wish to have a child. Pregnancies obtained by ART in couples when the male is CVD infected achieve good obstetric and neonatal results.

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    APA: Copy

    MOLINA, IRENE, CARMEN GONZALVO, MARIA DEL, CLAVERO, ANA, LOPEZ RUZ, MIGUEL ANGEL, MOZAS, JUAN, PASQUAU, JUAN, SAMPEDRO, ANTONIO, MARTINEZ, LUIS, & CASTILLA, JOSE ANTONIO. (2014). ASSISTED REPRODUCTIVE TECHNOLOGY AND OBSTETRIC OUTCOME IN COUPLES WHEN THE MALE PARTNER HAS A CHRONIC VIRAL DISEASE. INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY, 7(4), 291-300. SID. https://sid.ir/paper/305431/en

    Vancouver: Copy

    MOLINA IRENE, CARMEN GONZALVO MARIA DEL, CLAVERO ANA, LOPEZ RUZ MIGUEL ANGEL, MOZAS JUAN, PASQUAU JUAN, SAMPEDRO ANTONIO, MARTINEZ LUIS, CASTILLA JOSE ANTONIO. ASSISTED REPRODUCTIVE TECHNOLOGY AND OBSTETRIC OUTCOME IN COUPLES WHEN THE MALE PARTNER HAS A CHRONIC VIRAL DISEASE. INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY[Internet]. 2014;7(4):291-300. Available from: https://sid.ir/paper/305431/en

    IEEE: Copy

    IRENE MOLINA, MARIA DEL CARMEN GONZALVO, ANA CLAVERO, MIGUEL ANGEL LOPEZ RUZ, JUAN MOZAS, JUAN PASQUAU, ANTONIO SAMPEDRO, LUIS MARTINEZ, and JOSE ANTONIO CASTILLA, “ASSISTED REPRODUCTIVE TECHNOLOGY AND OBSTETRIC OUTCOME IN COUPLES WHEN THE MALE PARTNER HAS A CHRONIC VIRAL DISEASE,” INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY, vol. 7, no. 4, pp. 291–300, 2014, [Online]. Available: https://sid.ir/paper/305431/en

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