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Predicting success of gamete intrafallopian transfer
J R Nelson1, S L Corson, F R Batzer
1Department of Obstetrics and Gynecology, Pennsylvania Hospital, Philadelphia.
Objectives:
To examine seminal parameters predictive for success in a cycle of GIFT and to construct an algorithm using pertinent seminal data as well as easily obtained historical data to predict pregnancy and viable pregnancy rates.
Design:
A retrospective study of 544 cycles in 376 couples.
Setting:
A private IVF-ET and GIFT center.
Patients:
Couples in a GIFT program with a mean of 53.6 months of infertility who had failed to conceive with other therapies.
Interventions:
Gamete intrafallopian transfer.
Main Outcome Measures:
Pregnancy as a function of laboratory historical data with emphasis on seminal parameters.
Results:
Motility was the only seminal parameter that was predictive. Success was correlated with the number of oocytes returned and inversely related to female age. An algorithm to predict pregnancy in a GIFT cycle as well as viable pregnancy was constructed.
Conclusions:
Motility is the only seminal parameter predictive for success in a GIFT cycle. An easily programmable algorithm can be constructed to help patient and physician decide on the appropriateness of GIFT for each couple.
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