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• W2240814252 abstract "As medical comorbidity and medication use increases, semen quality declines. However, less is known about how a man’s somatic health may impact the outcomes of assisted reproductive techniques. Retrospective cohort study. After IRB approval, we identified couples undergoing assisted reproductive technology (ART) cycles at our center from 2004 until 2014. We only fresh IVF cycles utilizing fresh ejaculated sperm from the male partner. We recorded patient and partner demographic characteristics. The cohort was linked to administrative data to obtain information on the male partners’ comorbidities identified using ICD-9-CM codes and limited to men evaluated within the health care system. Cycle outcomes were queried from our clinical database. We calculated fertilization rate, clinical pregnancy rate, miscarriage rate, implantation rate, live birth rate, and singleton birth weight. Regression models were adjusted for male and female covariates. In all, we identified 772 men who had outpatient data available. Those men underwent 1,503 fresh ART cycles - 702 were IVF only and 801 utilized ICSI. Overall, the mean age of the man was 39.6 and 37.7 for his female partner. 67 % of men had at least one medical diagnosis. 96% of men had a CCI of 0. After stratifying by organ system, differences were noted for ART outcomes based on any male diagnosis. Men with neurologic diseases had a lower live birth rate (15% vs 23%, p=0.02) while men with endocrine diseases had a higher implantation rate (73% vs 62%, p=0.02). The associations were similar for unadjusted and adjusted models. When examining singleton birth weights after all forms of ART, men with diseases of the nervous system (3270g vs 2990g, p<0.01) and respiratory system (3260g vs 3000g, p<0.01) had significantly smaller children. In addition, after examining singleton births conceived after IVF alone, men with respiratory (3280g vs 2900g, p<0.01) and genitourinary diseases (3250g vs 2720g, p<0.01) had smaller children compared to men without such diagnoses. Men with diseases of the nervous, respiratory, and genitourinary system had children with significantly lower singleton birth weights compared to men without such diagnoses. However, the current report identified a modest relationship between a man’s health and other IVF outcomes. As these are potentially modifiable factors, further research should determine whether treatment for men’s health conditions may improve or impair IVF outcomes." @default.
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• W2240814252 date "2015-09-01" @default.
• W2240814252 modified "2023-09-26" @default.
• W2240814252 title "The relationship between a man’s somatic health and ART outcomes" @default.
• W2240814252 doi "https://doi.org/10.1016/j.fertnstert.2015.07.921" @default.
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