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Updated: Jan 15, 2026

Fertility Preservation in Patients with Severe Ovarian Dysfunction
Published on: March 25, 2021
Success Rates of Assisted Reproduction in Couples with Poor Ovarian Response and Oligospermia
Jakub Wyroba1,2, Joanna Kochan1,3, Maciej Brązert4
1Malopolski Institute of Fertility Diagnostics and Treatment-KrakOvi, 30-118 Krakow, Poland.
This study shows that male factor infertility (oligozoospermia) and diminished ovarian response significantly reduce in vitro fertilization success rates. Personalized treatment strategies are crucial for couples facing both conditions to improve conception outcomes.
Area of Science:
- Reproductive Medicine
- In Vitro Fertilization
- Andrology
- Gynecology
Background:
- Assisted reproductive medicine offers solutions for subfertility.
- Diminished ovarian response and oligozoospermia (low sperm count) are key challenges in IVF.
- Lifestyle factors impact fertility outcomes.
Purpose of the Study:
- To investigate the combined impact of poor ovarian response and oligozoospermia on intracytoplasmic sperm injection (ICSI) outcomes.
- To propose an optimal management strategy for couples with both conditions.
- To highlight the importance of both partners' health in achieving successful conception.
Main Methods:
- Analysis of ICSI outcomes in couples with diminished ovarian response and oligozoospermia.
- Comparison of fertilization, cleavage, and blastocyst rates.
- Evaluation of cycle cancellation rates.
Main Results:
- Oligozoospermia significantly reduced ICSI fertilization and cleavage rates.
- Poor ovarian responders had higher rates of cycle cancellation due to fewer embryos.
- Overall success rates were lower in couples with both male factor infertility and poor ovarian response.
Conclusions:
- Combined diminished ovarian response and oligozoospermia negatively impact IVF success.
- Personalized treatment approaches are essential for optimizing outcomes in these couples.
- Addressing both partners' fertility factors is critical for successful conception.
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