Skip to main content
Log in

Efficacy of cryopreservation of embryos generated by intracytoplasmic sperm injection with spermatozoa from frozen testicular tissue

  • Assisted Reproduction Technologies
  • Published:
Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the viability of frozen embryos generated by intracytoplasmic sperm injection (ICSI) with frozen testicular spermatozoa.

Methods

A total of 68 fresh embryo transfer (ET) cycles and 85 subsequent frozen-thawed ET (FET) cycles were grouped according to the source of spermatozoa: fresh testicular spermatozoa (TESE) or frozen-thawed testicular spermatozoa (t-TESE).

Results

There were no significant differences in the age of female patients, number of oocytes, or fertilization rates in fresh ET cycles with TESE (TESE-fresh ET) versus t-TESE (t-TESE-fresh ET). The rate of embryo survival after thawing (95.7 % vs. 94.0 %) was similar in frozen ET cycles (FET) with TESE (TESE-FET) and with t-TESE (t-TESE-FET). While there were significant differences in the proportion of good quality embryos, no statistical differences were found in the pregnancy or clinical abortion rates between the two groups. Moreover, delivery rates were not significantly different.

Conclusions

Although the proportion of good quality embryos was affected by cryopreservation of testicular tissue, embryo survival rate was not. As well, subsequent pregnancy could be achieved successfully via t-TESE-FET cycles. Therefore, FET is not affected by the cryopreservation of testicular tissue, and avoids further oocyte retrieval and TESE procedures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Schoysman R, Vanderzwalmen P, Nijs M, Segal L, Segal-Bertin G, Geerts L, et al. Pregnancy after fertilization with human testicular spermatozoa. Lancet. 1993;342:1237.

    Article  PubMed  CAS  Google Scholar 

  2. Devroey P, Liu J, Nagy A, Tournaye H, Silber SJ, Van Steirteghem AC. Normal fertilization of human oocytes after testicular sperm extraction and intracytoplasmic sperm injection. Fertil Steril. 1994;62:639–41.

    PubMed  CAS  Google Scholar 

  3. Silber SJ, Van Steirteghem AC, Liu J, Nagy Z, Tournaye H, Devroey P. High fertilization and pregnancy rate after intracytoplasmic sperm injection with spermatozoa obtained from testicle biopsy. Hum Reprod. 1995;10:148–52.

    Article  PubMed  CAS  Google Scholar 

  4. Silber SJ, Van Streirteghem AC, Nagy Z, Liu J, Tournaye H, Devroey P. Normal pregnancies resulting for testicular sperm extraction and intracytoplasmic sperm injection for azoospermia due to maturation arrest. Fertil Steril. 1996;66:110–7.

    PubMed  CAS  Google Scholar 

  5. Harrington TG, Schauer D, Gilbert BR. Percutaneous testis biopsy: an alternative to open testicular biopsy in the evaluation of the subfertile man. J Urol. 1996;156:1647–51.

    Article  PubMed  CAS  Google Scholar 

  6. Nogueira D, Bourgain C, Verheyen G, Van Steirteghem AC. Light and electron microscopic analysis of human testicular spermatozoa and spermatids from frozen and thawed testicular biopsies. Hum Reprod. 1999;14:2041–9.

    Article  PubMed  CAS  Google Scholar 

  7. Wu B, Wong D, Lu S, Dickstein S, Silva M, Gelety TJ. Optimal use of fresh and frozen-thawed testicular sperm for intracytoplasmic sperm injection in azoospermic patients. J Assist Reprod Genet. 2005;22:389–94.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Park YS, Lee SH, Song SJ, Jun JH, Koong MK, Seo JT. Influence of motility on the outcome of in vitro fertilization/intracytoplasmic sperm injection with fresh vs frozen testicular sperm from men with obstructive azoospermia. Fertil Steril. 2003;80:526–30.

    Article  PubMed  Google Scholar 

  9. Silber SJ, Nagy Z, Liu J, Godoy H, Devroey P, Van Steirteghem AC. The use of epididymal and testicular spermatozoa for intracytoplasmic sperm injection; the genetic implication for male infertility. Hum Reprod. 1995;10:2031–43.

    Article  PubMed  CAS  Google Scholar 

  10. Romero J, Remohi J, Minguez Y, Rubio C, Pellicer A, Gil-Salom M. Fertilization after intracytoplasmic sperm injection with cryopreserved testicular spermatozoa. Fertil Steril. 1996;65:877–9.

    PubMed  CAS  Google Scholar 

  11. Verheyen G, Nagy Z, Joris H, Croo ID, Tournaye H, Van Steirteghem AC. Quality of frozen-thawed testicular sperm and its preclinical use for intracytoplasmic sperm injection into in vitro matured germinal vesicle stage oocytes. Fertil Steril. 1997;67:74–80.

    Article  PubMed  CAS  Google Scholar 

  12. Oates RD, Mulhall J, Burgess C, Cunningham D, Carson R. Fertilization and pregnancy using intentionally cryopreserved testicular tissue as the sperm source for intracytoplasmic sperm injection in 10 men with nonobstructive azoospermia. Hum Reprod. 1997;12:734–9.

    Article  PubMed  CAS  Google Scholar 

  13. Gianaroli L, Magli MC, Selman HA, Colpi G, Belgrano E, Trombetta C, et al. Diagnostic testicular biopsy and cryopreservation of testicular tissue as an alternative to repeated surgical openings in the treatment of azoospermic men. Hum Reprod. 1999;14:1034–8.

    Article  PubMed  CAS  Google Scholar 

  14. Nicopoullos JDM, Ramsay JWA, Gilling-Smith C, Almeida PA. Frozen embryos generated from surgically retrieved sperm from azoospermic men: are they clinically viable? J Assist Reprod Genet. 2004;21:401–7.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Schnorr JA, Doviak MJ, Musasher SJ, Jones Jr HW. Impact of a cryopreservation program on the multiple pregnancy rate associated with assisted reproductive technologies. Fertil Steril. 2001;75:147–51.

    Article  PubMed  CAS  Google Scholar 

  16. Wang JX, Yaq YY, Mattehews CD. Frozen-thawed embryo transfer: influence of clinical factors on implantation rate and risk of multiple conception. Hum Reprod. 2001;16:2316–9.

    Article  PubMed  CAS  Google Scholar 

  17. Schalkoff ME, Oskowoitz SP, Powers DR. A multifactorial analysis of the pregnancy outcome in a successful embryo cryopreservation program. Fertil Steril. 1993;59:1070–4.

    PubMed  CAS  Google Scholar 

  18. Karlstrom PO, Bergh T, Forsberg AS, Sandkvist U, Wikland M. Prognostic factors for the success rate of embryo freezing. Hum Reprod. 1997;12:1263–6.

    Article  PubMed  CAS  Google Scholar 

  19. Wang WJ, Ledger W, Payne D, Jeffrey R, Mathews CD. The contribution of embryo cryopreservation to in vitro fertilization/gamete intra-fallopian transfer: 8 years experience. Hum Reprod. 1994;9:103–9.

    PubMed  CAS  Google Scholar 

  20. Kondo I, Suganuma N, Ando T. Clinical factors for successful cryopreserved thawed embryo transfer. J Assist Reprod Genet. 1996;13:201–6.

    Article  PubMed  CAS  Google Scholar 

  21. Al-Hasani S, Demirel LC, Schőpper B, Bals-Pratsch M, Nilolettos N, Kűpker W, et al. Pregnancies achieved after frozen-thawed pronuclear oocytes obtained by intracytoplasmic sperm injection with spermatozoa extracted from frozen-thawed testicular tissues from non-obstructive azoospermic men. Hum Reprod. 1999;14:2031–5.

    Article  PubMed  CAS  Google Scholar 

  22. Park YS, Kim MK, Lee SH, Cho JW, Song IO, Seo JT. Efficacy of testicular sperm chromatin condensation assay using aniline blue-eosin staining in the IVF-ET cycle. Clin Exp Reprod Med. 2011;38:142–7.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Lee S-H, Lee H-S, Lim CK, Park Y-S, Yang KM, Park DW. Comparison of the clinical outcomes of day 4 and 5 embryo transfer cycles. Clin Exp Reprod Med. 2013;40:122–5.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Lee S-H, Song H, Park Y-S, Koong MK, Song IO, Jun JH. Poor sperm quality affects clinical outcomes of intracytoplasmic sperm injection in fresh and subsequent frozen-thawed cycles: potential paternal effects on pregnancy outcomes. Fertil Steril. 2009;91:798–804.

    Article  PubMed  Google Scholar 

  25. Nicopoullos JDM, Gilling-Smith C, Almeida PA, Ramsay JWA. The results of 154 ICSI cycles using surgically retrieved sperm from azoospermic men. Hum Reprod. 2004;19:579–85.

    Article  PubMed  CAS  Google Scholar 

  26. De Croo I, Van der Elst J, Everaert K, De Sutter P, Dhont M. Fertilization, pregnancy and embryo implantation rates after ICSI with fresh or frozen-thawed testicular spermatozoa. Hum Reprod. 1998;13:1893–7.

    Article  PubMed  Google Scholar 

  27. Wood S, Thomas K, Schnauffer K, Troup S, Kingsland C, Lewis-Jones I. Reproductive potential of fresh and cryopreserved epididymal and testicular spermatozoa in consecutive intracytoplasmic sperm injection cycles in the same patients. Fertil Steril. 2002;77:1162–6.

    Article  PubMed  Google Scholar 

  28. Kone J, Kanyo K, Cseh S. Deliveries from embryos fertilized with spermatozoa obtained from cryopreserved testicular tissue. J Assist Reprod Genet. 2006;23:247–52.

    Article  Google Scholar 

  29. de Oliveira Marques N, Sanchez RV, Fiesta SR, Salgado TL, Rodriguez R, Bethencourt JCA, et al. Pregnancy with frozen thawed and fresh testicular biopsy after motile and immotile sperm microinjection, using the mechanical touch technique to assess viability. Hum Reprod. 2004;19:262–5.

    Article  Google Scholar 

  30. Habermann H, Seo R, Cieslak J, Niederberger C, Prins GS, Ross L. In vitro fertilization outcomes after intracytoplasmic sperm injection with fresh or frozen-thawed testicular spermatozoa. Fertil Steril. 2000;73:955–60.

    Article  PubMed  CAS  Google Scholar 

  31. Dafopoulos K, Griesinger G, Schultze-Mosgau A, Orief Y, Schőpper B, Nikolettos N, et al. Cumulative pregnancy rate after ICSI with cryopreserved testicular tissue in non-obstructive azoospermia. Reprod Biomed Online. 2005;10:461–6.

    Article  PubMed  Google Scholar 

  32. Konc J, Kanyŏ K, Cseh S. The effect of condition/state of testicular spermatozoa injected to the outcome of TESE-ICSI-ET cycles. Eur J Obstet Gynecol Reprod Biol. 2008;141:39–43.

    Article  PubMed  Google Scholar 

  33. Gil-Salom M, Romero J, Minguez Y, Rubio C, De los Santos MJ, Remohe J, et al. Pregnancies after intracytoplasmic sperm injection with cryopreserved testicular spermatozoa. Hum Reprod. 1996;11:1309–13.

    Article  PubMed  CAS  Google Scholar 

  34. Palermo GD, Schlegel PN, Hariprashad JJ, Ergun B, Mielnik A, Zaninovic N. Fertilization and pregnancy outcome with intracytoplasmic sperm injection for azoospermic men. Hum Reprod. 1999;14:741–8.

    Article  PubMed  CAS  Google Scholar 

  35. Palermo GD, Takeuchi T, Neri QV, Katagiri Y, Veeck LL, Rosenwaks Z. Application of intracytoplasmic sperm injection in assisted reproductive technologies. Reprod Biomed Online. 2003;6:456–63.

    Article  PubMed  CAS  Google Scholar 

  36. Ishikawa T, Shiotani M, Izumi Y, Hashimoto H, Kokeguchi S, Goto S, et al. Fertilization and pregnancy using cryopreserved testicular sperm for intracytoplasmic sperm injection with azoospermia. Fertil Steril. 2009;92:174–9.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors especially thank to Myung-Geol Pang, Ph.D. (Chung-Ang University) for manuscript review and scientific suggestions. Thanks also to Duck Sung Ko, M.S. (Laboratory of Reproductive Medicine, Cheil General Hospital & Women’s Healthcare Center) for her valuable support in statistical analysis and to the staff of Laboratory of Reproductive Medicine. And would like thank to Hee-Hun Chi, Ph.D. (MizMedi Hospital) and Hwan Rho, M.S., ELD (RMG ART Laboratories, Inc.) for comments on the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yong-Seog Park.

Additional information

Capsule

The use of frozen-thawed embryos generated by intracytoplasmic sperm injection (ICSI) using frozen-thawed testicular spermatozoa could provide satisfactory clinical outcomes and avoid further oocyte retrieval and testicular sperm extraction (TESE) procedures.

Yong-Seog Park and Myo Kyung Kim equally contributed to this work and should be considered to be the first author.

Presented in part at the Annual Meeting of the American Society for Reproductive Medicine. October 23 ~ 27, 2010. Denver, Colorado, USA

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Park, YS., Kim, M.K., Lim, C.K. et al. Efficacy of cryopreservation of embryos generated by intracytoplasmic sperm injection with spermatozoa from frozen testicular tissue. J Assist Reprod Genet 31, 1331–1336 (2014). https://doi.org/10.1007/s10815-014-0304-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10815-014-0304-2

Keywords

Navigation