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Relation between semen oxidative reduction potential in initial semen examination and IVF outcomes
Kazuhisa Tomita1, Kankanam Gamage Sanath Udayanga1, Manabu Satoh1,2
1HORAC Grand Front Osaka Clinic Osaka Japan.
Reproductive Medicine and Biology
|February 2, 2023
Summary
Semen oxidative reduction potential (ORP) analysis shows varied correlations with IVF outcomes. While high ORP may indicate more transferable embryos, its impact on clinical pregnancy and live birth rates requires further investigation.
Area of Science:
- Reproductive Medicine
- Semen Analysis
- In Vitro Fertilization (IVF)
Background:
- Oxidative stress significantly impacts male fertility and IVF success.
- Semen oxidative reduction potential (ORP) is a potential biomarker for sperm DNA integrity.
- The clinical utility of ORP in predicting IVF outcomes remains unclear.
Purpose of the Study:
- To investigate the correlation between semen ORP values and in vitro fertilization (IVF) outcomes.
- To determine if ORP can classify sperm DNA integrity and influence IVF results.
- To analyze the relationship between ORP and key IVF metrics.
Main Methods:
- Analysis of semen ORP in 430 male partners undergoing IVF.
- Grouping participants based on semen ORP values (high vs. low).
- Comparison of fertilization rates, cleavage rates, embryo quality, and clinical pregnancy outcomes between groups.
Main Results:
- Semen ORP values exhibited correlations with conventional semen parameters.
- No significant differences in fertilization or cleavage rates were observed between high and low ORP groups.
- A higher rate of transferable embryos was noted in the high ORP group, but with a trend towards lower clinical pregnancy and abortion rates.
Conclusions:
- The clinical significance of measuring semen ORP for predicting IVF success remains controversial.
- While high ORP may correlate with certain embryo development indicators, its overall predictive value for pregnancy outcomes is uncertain.
- Further research is needed to clarify the role of ORP in male infertility and assisted reproductive technologies.

