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Recent research has revealed that subtle abnormalities can be found in sperm samples that seem to be normal with conventional analysis techniques. The DNA in the sperm heads is sometimes fragmented and this may be the reason why couples with a diagnosis of unexplained infertility do not achieve pregnancy.
We are planning a study to examine the incidence of DNA fragmentation in the sperm of couples with previously unexplained infertility. In a first treatment cycle with intra-uterine insemination the percentage of DNA fragmentation in sperm will be measured. Afterwards the results of the patients who are pregnant will be compared with those of the not pregnant ones. We expect to find differences between both groups.
100 patients will be included in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Clinical Pregnancy | Patients who are clinically pregnant after first treatment cycle with intra-uterine insemination. |
| |
| No Clinical Pregnancy | Patients who are not clinically pregnant after first treatment cycle with intra-uterine insemination. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sperm Chromatin Dispersion Test | Other |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Clinical pregnancy rate | Ultrasound to diagnose intra-uterine pregnancy | 2 1/2 weeks after insemination |
| Measure | Description | Time Frame |
|---|---|---|
| Ongoing pregnancy rate | Ultrasound to diagnose an evolutive pregnancy. | 20 weeks after insemination |
| Live birth rate | Clinical report of the delivery by the obstetrician |
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Inclusion Criteria:
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Patients with unexplained fertility treated with intra-uterine insemination (first cycle) and ovulation induction with clomiphene citrate.
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| Name | Affiliation | Role |
|---|---|---|
| Frank Vandekerckhove, MD | Fertility Centre, University Hospital Ghent | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fertility Centre of the University Hospital | Ghent | East Flanders | 9000 | Belgium |
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Sperm samples
| 42 weeks after insemination |