Impact of the Sperm Swim-Up Method on Embryo Aneuploidy Rates Patients
Undergoing Non-Invasive Chromosomal Screening in Conventional In Vitro
Fertilization
Abstract
Objective: To assess the impact of the sperm swim-up method on
embryo aneuploidy rates patients undergoing Non-Invasive Chromosomal
Screening in conventional in vitro fertilization. Design:
Retrospective cohort study. Setting: Hospita district, China
Population or Sample: Patients Undergoing Non-Invasive
Chromosomal Screening in Conventional In Vitro Fertilization.
Methods: A retrospective analysis was conducted on patients who
underwent conventional IVF and NICS at our hospital from January 2022 to
May 2024. Patients were grouped based on the semen processing method
used: the SU group and the DGC group. We compared semen parameters
before and after processing on the day of oocyte retrieval, as well as
the number of oocytes retrieved, MII oocytes, and two pronuclei embryos.
The fertilization rate, cleavage rate, Day 3 high-quality embryo rate,
embryo ploidy rate, and aneuploidy rate between the two groups were also
analyzed. Main Outcome Measures:embryo ploidy and aneuploidy
rate Results: There were no significant differences between the
DGC and SU groups in terms of the number of oocytes retrieved, number of
MII oocytes, number of normal fertilizations, normal fertilization rate,
abnormal fertilization rate, number of cleavages, cleavage rate,
blastocyst formation rate, or blastocyst grading (all P
> 0.05). However, the DGC group had a significantly higher
D3 high-quality embryo rate than the SU group (53.9% vs. 48.20%,
P = 0.011). The proportion of embryos rated as Grade A by NICS
was significantly lower in the DGC group (31.8%, 262/824) compared to
the SU group (39.4%, 119/302) ( P = 0.017). The euploidy rate
was 21.7% (179/824) and the aneuploidy rate was 71.2% (587/824) in the
DGC group; in the SU group, the euploidy rate was 25.8% (78/302) and
the aneuploidy rate was 68.9% (208/302), with no significant
differences between the groups ( P > 0.05).
Conclusion: In this study, embryos derived from semen processed
using the SU method had a higher proportion of Grade A embryos according
to NICS compared to those processed by DGC. However, there was no
reduction in the embryo aneuploidy rate.