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| Name | Class |
|---|---|
| The Center for Advanced Reproductive Services, P.C. | OTHER |
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This research is being done to determine if producing sperm after an ultrashort period of abstinence (1 hour of abstinence) will be effective in improving the rates of embryos with normal chromosomes (structures that carry genetic information) during in vitro fertilization (IVF) treatment. The investigators hypothesize that a shorter period of abstinence is effective at improving rates of normal chromosomes among embryos.
As part of the in vitro fertilization (IVF) process, eggs are removed from the ovaries and are inseminated (mixed) or injected with sperm. Typically, sperm samples for IVF are produced on the day of egg retrieval. The current recommendation for abstinence prior to providing this sample is 2-7 days. However, new research has shown that there may be improved IVF outcomes with a shorter period of abstinence including improved integrity of sperm DNA (called sperm DNA fragmentation), sperm parameters (such as motility and shape), embryo quality, implantation rates, pregnancy rates, and live birth rates. One small study found that shorter abstinence may even lead to a higher rate of chromosomally normal embryos.
The purpose of this research study is to determine whether using an ultrashort period of abstinence increases the rates of embryos with normal chromosomes. On the day of egg retrieval, participants will produce two semen samples. The first sample will be collected after 2-5 days of abstinence (standard abstinence). The second sample will be collected 1 hour after the first sample (ultrashort abstinence). Both of these samples will be used for IVF.
At the time of egg retrieval, participants will have their eggs randomized (like the flip of a coin) into two groups. Half of the eggs will be exposed to sperm produced after 2-5 days of abstinence (standard abstinence). The other half of the eggs will be exposed to sperm produced after 1 hour of abstinence (ultrashort abstinence). The goal is to determine the rate of embryos with normal chromosomes in each group. Other goals include looking at how many patients get pregnant after embryo transfer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ultrashort abstinence | Experimental | Half of participants eggs will be exposed to sperm produced after ultrashort abstinence (1 hour of abstinence). |
|
| Standard abstinence | Active Comparator | Half of participants eggs will be exposed to sperm produced after standard abstinence (2-5 days of abstinence). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrashort abstinence | Other | Ultrashort abstinence: producing a sperm sample after 1 hour of abstinence. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Euploidy rate | Rate of embryos with normal chromosomes in both groups | Within 2-4 weeks of IVF cycle |
| Measure | Description | Time Frame |
|---|---|---|
| Pregnancy rates after transfer of euploid embryos | Pregnancy rate after one euploid embryo (from either experimental or control group) is transferred back into the participant in a subsequent cycle | Within 1-2 weeks of transfer |
| Fertilization rate |
| Measure | Description | Time Frame |
|---|---|---|
| Sperm DNA fragmentation and DNA methylation results | Compare sperm DNA fragmentation and DNA methylation results between groups | 1-2 years after initial study completed |
Inclusion Criteria:
Exclusion Criteria:
Non-pregnant females undergoing in vitro fertilization (IVF) with preimplantation genetic testing (PGT) with male partners who can produce a sperm sample
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Center for Advanced Reproductive Services, P.C. | Farmington | Connecticut | 06032 | United States |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 6, 2026 | Apr 16, 2026 | Prot_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Apr 6, 2026 | Apr 16, 2026 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D007246 | Infertility |
| ID | Term |
|---|---|
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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Sibling oocyte study: Participants will have their oocytes (eggs) divided into two groups. Half of the eggs will be exposed to sperm produced after standard abstinence, and half will be exposed to sperm produced after ultrashort abstinence.
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Participants, clinical providers, investigators and outcome assessors will be blinded to outcomes.
| Standard abstinence | Other | Standard abstinence: producing a sperm sample after 2-5 days of abstinence. |
|
Proportion of oocytes fertilized in each group
| Within 1 - 2 weeks of IVF cycle |
| Blastulation rate | Proportion of usable blastocysts in each group | Within 2-3 weeks of IVF cycle |