Paternal advanced age and sperm quality are indicators for Preimplantation Genetic Testing in egg donation cycles

Background: A wide variety of studies demonstrate the influence of the oocyte source’s age on the success of assisted reproduction treatments; however, the effect of paternal age has been studied to a lesser extent. Therefore, our goal was to assess the impact of male age and sperm quality on in vit...

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Main Authors: Jeimy Pedraza, Hugo Sierra, Jacqueline Cordero, Esther López-Bayghen
Format: Article
Language:English
Published: IMR Press 2021-12-01
Series:Clinical and Experimental Obstetrics & Gynecology
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Online Access:https://www.imrpress.com/journal/CEOG/48/6/10.31083/j.ceog4806222
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author Jeimy Pedraza
Hugo Sierra
Jacqueline Cordero
Esther López-Bayghen
author_facet Jeimy Pedraza
Hugo Sierra
Jacqueline Cordero
Esther López-Bayghen
author_sort Jeimy Pedraza
collection DOAJ
description Background: A wide variety of studies demonstrate the influence of the oocyte source’s age on the success of assisted reproduction treatments; however, the effect of paternal age has been studied to a lesser extent. Therefore, our goal was to assess the impact of male age and sperm quality on in vitro fertilization (IVF) outcomes. Methods: Three hundred ninety-four ova donation IVF cycles from Ingenes México were retrospectively analyzed. All ova donors (age range: 18–35 years) underwent a similar IVF stimulation protocol. The oocytes were aspirated and inseminated by intracytoplasmic sperm injection (ICSI) using either partner sperm (n = 332, age: 42.4 ± 7.4 years) or donor sperm (n = 62, age: 25.0 ± 3.3 years). Semen characteristics were evaluated by a seminogram. Biopsies were performed on Day 5 or Day 6, and Preimplantation Genetic Testing for Aneuploidies (PGT-A) was used to determine chromosome integrity with Next-Generation Sequencing. Results: A total of 1449 embryos were biopsied, 995 Day 5 and 454 Day 6. The aneuploidy rates for Day 5 and Day 6 embryos were not significantly different (22.2% and 22.7%, respectively). Independent of the sperm source, there was no observable trend between embryo aneuploidy rates and the sperm source’s age; however, when considering paternal sperm with teratozoospermia, a significant association was observed (rho = 0.165, p = 0.041). Sperm quality showed no effect on fertilization rates, blastocyst formation, or implantation rates. Discussion: Here, the sperm source’s age did not affect the aneuploidy rate nor embryo implantation; however, with teratozoospermia, there was a weak association between the aneuploidy rate and age. Therefore, it would be prudent to perform PGT-A when advanced age and teratozoospermia are detected.
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publishDate 2021-12-01
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spelling doaj-art-d13f9e60e9b94f9bbc8a305b68bf9a032025-08-20T03:48:32ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632021-12-014861404141110.31083/j.ceog4806222S0390-6663(21)01642-0Paternal advanced age and sperm quality are indicators for Preimplantation Genetic Testing in egg donation cyclesJeimy Pedraza0Hugo Sierra1Jacqueline Cordero2Esther López-Bayghen3Laboratorio de Fertilización in Vitro, Instituto de Infertilidad y Genética México SC, Ingenes, 05320 México City, MéxicoLaboratorio de Fertilización in Vitro, Instituto de Infertilidad y Genética México SC, Ingenes, 05320 México City, MéxicoLaboratorio de Fertilización in Vitro, Instituto de Infertilidad y Genética México SC, Ingenes, 05320 México City, MéxicoDepartamento de Toxicología, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional (CINVESTAV-IPN), 07360 México City, MéxicoBackground: A wide variety of studies demonstrate the influence of the oocyte source’s age on the success of assisted reproduction treatments; however, the effect of paternal age has been studied to a lesser extent. Therefore, our goal was to assess the impact of male age and sperm quality on in vitro fertilization (IVF) outcomes. Methods: Three hundred ninety-four ova donation IVF cycles from Ingenes México were retrospectively analyzed. All ova donors (age range: 18–35 years) underwent a similar IVF stimulation protocol. The oocytes were aspirated and inseminated by intracytoplasmic sperm injection (ICSI) using either partner sperm (n = 332, age: 42.4 ± 7.4 years) or donor sperm (n = 62, age: 25.0 ± 3.3 years). Semen characteristics were evaluated by a seminogram. Biopsies were performed on Day 5 or Day 6, and Preimplantation Genetic Testing for Aneuploidies (PGT-A) was used to determine chromosome integrity with Next-Generation Sequencing. Results: A total of 1449 embryos were biopsied, 995 Day 5 and 454 Day 6. The aneuploidy rates for Day 5 and Day 6 embryos were not significantly different (22.2% and 22.7%, respectively). Independent of the sperm source, there was no observable trend between embryo aneuploidy rates and the sperm source’s age; however, when considering paternal sperm with teratozoospermia, a significant association was observed (rho = 0.165, p = 0.041). Sperm quality showed no effect on fertilization rates, blastocyst formation, or implantation rates. Discussion: Here, the sperm source’s age did not affect the aneuploidy rate nor embryo implantation; however, with teratozoospermia, there was a weak association between the aneuploidy rate and age. Therefore, it would be prudent to perform PGT-A when advanced age and teratozoospermia are detected.https://www.imrpress.com/journal/CEOG/48/6/10.31083/j.ceog4806222aneuploidyegg donorin vitro fertilizationpaternal agepreimplantation genetic screening
spellingShingle Jeimy Pedraza
Hugo Sierra
Jacqueline Cordero
Esther López-Bayghen
Paternal advanced age and sperm quality are indicators for Preimplantation Genetic Testing in egg donation cycles
Clinical and Experimental Obstetrics & Gynecology
aneuploidy
egg donor
in vitro fertilization
paternal age
preimplantation genetic screening
title Paternal advanced age and sperm quality are indicators for Preimplantation Genetic Testing in egg donation cycles
title_full Paternal advanced age and sperm quality are indicators for Preimplantation Genetic Testing in egg donation cycles
title_fullStr Paternal advanced age and sperm quality are indicators for Preimplantation Genetic Testing in egg donation cycles
title_full_unstemmed Paternal advanced age and sperm quality are indicators for Preimplantation Genetic Testing in egg donation cycles
title_short Paternal advanced age and sperm quality are indicators for Preimplantation Genetic Testing in egg donation cycles
title_sort paternal advanced age and sperm quality are indicators for preimplantation genetic testing in egg donation cycles
topic aneuploidy
egg donor
in vitro fertilization
paternal age
preimplantation genetic screening
url https://www.imrpress.com/journal/CEOG/48/6/10.31083/j.ceog4806222
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AT hugosierra paternaladvancedageandspermqualityareindicatorsforpreimplantationgenetictestingineggdonationcycles
AT jacquelinecordero paternaladvancedageandspermqualityareindicatorsforpreimplantationgenetictestingineggdonationcycles
AT estherlopezbayghen paternaladvancedageandspermqualityareindicatorsforpreimplantationgenetictestingineggdonationcycles