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Massarotti C, Fraire-Zamora JJ, Liperis G, Uraji J, Sharma K, Serdarogullari M, Ammar OF, Makieva S, Ali ZE, Romualdi D, Somigliana E, Sakkas D, Dancet E, Mincheva M. Understanding and addressing unexplained infertility: from diagnosis to treatment. Hum Reprod 2024; 39:1155-1159. [PMID: 38531672 DOI: 10.1093/humrep/deae054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2024] [Revised: 02/25/2024] [Indexed: 03/28/2024] Open
Affiliation(s)
- Claudia Massarotti
- IRCCS Ospedale Policlinico San Martino, Genova, Italy
- DINOGMI Department, University of Genova, Genova, Italy
| | | | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
- Embryorigin Fertility Centre, Larnaca, Cyprus
| | - Julia Uraji
- MVZ Kinderwunsch am Seestern, Düsseldorf, Germany
| | - Kashish Sharma
- HealthPlus Fertility Center, HealthPlus Network of Specialty Centers, Abu Dhabi, United Arab Emirates
| | - Munevver Serdarogullari
- Department of Histology and Embryology, Faculty of Medicine Cyprus International University, Northern Cyprus, Turkey
| | - Omar F Ammar
- Ar-Razzi Private Hospital, IVF Centre, Ramadi, Iraq
- Department of Obstetrics and Gynaecology, College of Medicine, University of Anbar, Ramadi, Iraq
| | - Sofia Makieva
- Kinderwunschzentrum, Klinik für Reproduktions-Endokrinologie, Universitätsspital Zürich, Zurich, Switzerland
| | - Zoya E Ali
- Research & Development Department, Hertility Health Limited, London, UK
| | - Daniela Romualdi
- Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario 'Agostino Gemelli' IRCCS, Rome, Italy
| | - Edgardo Somigliana
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico and Università degli Studi di Milano, Milan, Italy
| | | | - Eline Dancet
- Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium
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2
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Ammar OF, Massarotti C, Mincheva M, Sharma K, Liperis G, Herraiz S, Rodríguez-Nuevo A, Zambelli F, Mihalas BP, Fraire-Zamora JJ. Oxidative stress and ovarian aging: from cellular mechanisms to diagnostics and treatment. Hum Reprod 2024:deae082. [PMID: 38670545 DOI: 10.1093/humrep/deae082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Revised: 04/08/2024] [Indexed: 04/28/2024] Open
Affiliation(s)
- Omar F Ammar
- IVF Department, Ar-Razzi Hospital, Ramadi, Iraq
- Department of Obstetrics and Gynaecology, College of Medicine, University of Anbar, Ramadi, Iraq
| | - Claudia Massarotti
- IRCCS Ospedale Policlinico San Martino, Genova, Italy
- DINOGMI Department, University of Genova, Genova, Italy
| | | | - Kashish Sharma
- HealthPlus Fertility Center, HealthPlus Network of Specialty Centers, Abu Dhabi, United Arab Emirates
| | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
- Embryorigin Fertility Centre, Larnaca, Cyprus
| | - Sonia Herraiz
- IVIRMA Global Research Alliance, IVI Foundation-IIS la Fe, Valencia, Spain
| | - Aida Rodríguez-Nuevo
- Centre for Genomic Regulation (CRG), The Barcelona Institute of Science and Technology, Barcelona, Spain
| | | | - Bettina P Mihalas
- The Oocyte Biology Research Unit, Discipline of Women's Health, School of Clinical Medicine, Faculty of Medicine and Health, The University of NSW Sydney, Randwick, NSW, Australia
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Liperis G, Makieva S, Serdarogullari M, Uraji J, Ali ZE, Pisaturo V, Cuevas-Saiz I, Scarica C, Sharma K, Fraire-Zamora JJ. Agree to disagree: reaching consensus amongst embryologists on the clinical management of low-quality blastocysts. Hum Reprod 2024:deae083. [PMID: 38670550 DOI: 10.1093/humrep/deae083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/28/2024] Open
Affiliation(s)
- George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
- Embryorigin Fertility Centre, Larnaca, Cyprus
| | - Sofia Makieva
- Kinderwunschzentrum, Klinik für Reproduktions-Endokrinologie, Universitätsspital Zürich, Zurich, Switzerland
| | - Munevver Serdarogullari
- Department of Histology and Embryology, Faculty of Medicine, Cyprus International University, Nicosia, Turkey
| | - Julia Uraji
- IVF Laboratory, TFP Düsseldorf GmbH, Düsseldorf, Germany
| | - Zoya Enakshi Ali
- Research & Development Department, Hertility Health Limited, London, UK
| | - Valerio Pisaturo
- Department of Maternal and Child Health and Urology, Sapienza University of Rome, Policlinico Umberto I, Rome, Italy
| | | | - Catello Scarica
- European Hospital, New Fertility Group Centre for Reproductive Medicine, Rome, Italy
| | - Kashish Sharma
- HealthPlus Fertility Center, HealthPlus Network of Specialty Centers, Abu Dhabi, United Arab Emirates
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Sharma K, Ammar OF, Fraire-Zamora JJ, Uraji J, Thomson A, Aydin B, Ezzati M, Alteri A, Liperis G. When disaster strikes: risk management and implementing emergency vitrification protocols in IVF laboratory crises. Hum Reprod 2024:deae080. [PMID: 38649142 DOI: 10.1093/humrep/deae080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2024] [Indexed: 04/25/2024] Open
Affiliation(s)
- Kashish Sharma
- HealthPlus Fertility Center, HealthPlus Network of Specialty Centers, Abu Dhabi, United Arab Emirates
| | - Omar F Ammar
- IVF Department, Ar-Razzi Hospital, Ramadi, Iraq
- Department of Obstetrics and Gynaecology, College of Medicine, University of Anbar, Ramadi, Iraq
| | | | - Julia Uraji
- IVF Laboratory, TFP Düsseldorf GmbH, Düsseldorf, Germany
| | | | | | - Max Ezzati
- Department of Reproductive Endocrinology and Infertility, Palo Alto Medical Foundation, Palo Alto, CA, USA
| | - Alessandra Alteri
- Obstetrics and Gynaecology Department, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
- Embryorigin Fertility Centre, Larnaca, Cyprus
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Massarotti C, Ammar OF, Liperis G, Mincheva M, Fraire-Zamora JJ, Sharma K, Rosario R, Winship AL, Lambertini M, Makieva S. Chemoprotection of the ovary: a leading role or a complementary strategy in fertility preservation? Hum Reprod 2024:deae069. [PMID: 38593422 DOI: 10.1093/humrep/deae069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Revised: 03/15/2024] [Indexed: 04/11/2024] Open
Affiliation(s)
- Claudia Massarotti
- IRCCS Ospedale Policlinico San Martino, Genova, Italy
- DINOGMI Department, University of Genova, Genova, Italy
| | - Omar F Ammar
- Ar-Razzi Private Hospital, IVF Centre, Ramadi, Iraq
- Department of Obstetrics and Gynaecology, College of Medicine, University of Anbar, Ramadi, Iraq
| | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
| | | | | | - Kashish Sharma
- HealthPlus Fertility Center, HealthPlus Network of Specialty Centers, Abu Dhabi, United Arab Emirates
| | | | - Amy L Winship
- Department of Anatomy and Developmental Biology, Development and Stem Cells Program, Monash Biomedicine Discovery Institute, Monash University, Clayton, VIC, Australia
| | - Matteo Lambertini
- Department of Medical Oncology, U.O.C. Clinica di Oncologia Medica, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
- Department of Internal Medicine and Medical Specialties (DIMI), School of Medicine, University of Genoa, Genoa, Italy
| | - Sofia Makieva
- Kinderwunschzentrum, Klinik für Reproduktions-Endokrinologie, Universitätsspital Zürich, Zurich, Switzerland
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Serdarogullari M, Liperis G, Sharma K, Ammar OF, Uraji J, Cimadomo D, Alteri A, Popovic M, Fraire-Zamora JJ. Unpacking the artificial intelligence toolbox for embryo ploidy prediction. Hum Reprod 2023; 38:2538-2542. [PMID: 37877410 DOI: 10.1093/humrep/dead223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2023] Open
Affiliation(s)
- Munevver Serdarogullari
- Department of Histology and Embryology, Faculty of Medicine, Cyprus International University, Northern Cyprus, Turkey
| | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
| | - Kashish Sharma
- HealthPlus Fertility Center, HealthPlus Network of Specialty Centers, Abu Dhabi, United Arab Emirates
| | - Omar F Ammar
- Biomaterials Cluster, Bernal Institute, University of Limerick, Limerick, Ireland
- School of Engineering, Faculty of Science and Engineering, University of Limerick, Limerick, Ireland
| | - Julia Uraji
- IVF Laboratory, TFP Düsseldorf GmbH, Düsseldorf, Germany
| | - Danilo Cimadomo
- IVIRMA Global Research Alliance, Genera, Clinica Valle Giulia, Rome, Italy
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Serdarogullari M, Raad G, Yarkiner Z, Bazzi M, Mourad Y, Alpturk S, Fakih F, Fakih C, Liperis G. Identifying predictors of Day 5 blastocyst utilization rate using an artificial neural network. Reprod Biomed Online 2023; 47:103399. [PMID: 37862857 DOI: 10.1016/j.rbmo.2023.103399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 09/02/2023] [Accepted: 09/05/2023] [Indexed: 10/22/2023]
Abstract
RESEARCH QUESTION Can artificial intelligence identify predictors of an increased Day 5 blastocyst utilization rate (D5BUR), which is one of the most informative key performance indicators in an IVF laboratory? DESIGN This retrospective, multicentre study evaluated six variables for predicting D5BUR using an artificial neural network (ANN): number of metaphase II (MII) oocytes injected (intracytoplasmic sperm injection); use of autologous/donated gametes; maternal age at oocyte retrieval; sperm concentration; progressive sperm motility rate; and fertilization rate. Cycles were divided into training and testing sets through stratified random sampling. D5BUR on Day 5 was grouped into <60% and ≥60% as per the Vienna consensus benchmark values. RESULTS The area under the receiver operating characteristic curve (AUC) to predict the D5BUR groups was 80.2%. From the ANN model, all six independent variables were found to be of significant value for the prediction of D5BUR (P<0.0001), with the most important variable being the number of MII oocytes injected. Investigation of the effect of MII oocytes injected on D5BUR indicated an inverse correlation, with injection of an increasing number of MII oocytes resulting in a decreasing D5BUR (r=-0.344, P<0.001) and injection of up to six oocytes resulting in D5BUR ≥60%. CONCLUSION The number of MII oocytes injected is the most important predictor of D5BUR. Exploration of additional variables and further validation of models that can predict D5BUR can guide the way towards personalized treatment and increased safety.
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Affiliation(s)
| | - Georges Raad
- Al Hadi Laboratory and Medical Centre, Beirut, Lebanon; Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon
| | - Zalihe Yarkiner
- Cyprus International University, Faculty of Arts and Sciences, Department of Basic Sciences and Humanities, Northern Cyprus via Mersin 10, Turkey
| | - Marwa Bazzi
- Al Hadi Laboratory and Medical Centre, Beirut, Lebanon
| | - Youmna Mourad
- Al Hadi Laboratory and Medical Centre, Beirut, Lebanon
| | | | - Fadi Fakih
- Al Hadi Laboratory and Medical Centre, Beirut, Lebanon
| | - Chadi Fakih
- Al Hadi Laboratory and Medical Centre, Beirut, Lebanon
| | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia.
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Ali ZE, Liperis G, Mincheva M, Serdarogullari M, Uraji J, Ammar OF, Fraire-Zamora JJ. From stress to success: exploring methods addressing psychosocial stress in couples trying to conceive. Hum Reprod 2023; 38:2277-2279. [PMID: 37558266 DOI: 10.1093/humrep/dead159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/11/2023] Open
Affiliation(s)
- Zoya E Ali
- Research & Development Department, Hertility Health Limited, London, UK
| | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
| | | | - Munevver Serdarogullari
- Department of Histology and Embryology, Faculty of Medicine, Cyprus International University, Nicosia, Northern Cyprus via Mersin 10, Turkey
| | - Julia Uraji
- IVF Laboratory, TFP Düsseldorf GmbH, Düsseldorf, Germany
| | - Omar F Ammar
- Biomaterials Cluster, Bernal Institute, University of Limerick, Limerick, Ireland
- School of Engineering, Faculty of Science and Engineering, University of Limerick, Limerick, Ireland
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Massarotti C, Ammar OF, Liperis G, Uraji J, Drakopoulos P, Labarta E, Maheshwari A, Cheong Y, Makieva S, Fraire-Zamora JJ. Progesterone in HRT-FET cycles: a game of hide and seek. Hum Reprod 2023; 38:2039-2043. [PMID: 37528050 DOI: 10.1093/humrep/dead153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/03/2023] Open
Affiliation(s)
- Claudia Massarotti
- DINOGMI Department, University of Genoa, Academic Unit of Obstetrics and Gynecology, Genoa, Italy
- Physiopathology of Human Reproduction Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Omar F Ammar
- Biomaterials Cluster, Bernal Institute, University of Limerick, Limerick, Ireland
- School of Engineering, Faculty of Science and Engineering, University of Limerick, Limerick, Ireland
| | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
| | - Julia Uraji
- IVF Laboratory, TFP Düsseldorf GmbH, Düsseldorf, Germany
| | - Panagiotis Drakopoulos
- Brussels IVF, Universitair Ziekenhuis Brussel, Brussels, Belgium
- Institute of Life, IVF Unit, Athens, Greece
| | - Elena Labarta
- Human Reproduction Department, IVI RMA, Valencia, Spain
| | - Abha Maheshwari
- Aberdeen Fertility Centre, NHS Grampian, Aberdeen, Scotland, UK
| | - Ying Cheong
- Complete Fertility Centre, Southampton, England, UK
- Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, England, UK
| | - Sofia Makieva
- Kinderwunschzentrum, Department of Reproductive Endocrinology, University Hospital of Zurich, Zurich, Switzerland
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Mincheva M, Fraire-Zamora JJ, Liperis G, Ammar OF, Duffin K, Kanbar M, Mitchell RT, Moura-Ramos M, Massarotti C. Going back to the start: do cancer and haematological disorders affect germ cells in prepubertal boys? Hum Reprod 2023; 38:1856-1860. [PMID: 37328443 DOI: 10.1093/humrep/dead128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/18/2023] Open
Affiliation(s)
| | | | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
| | - Omar F Ammar
- Biomaterials Cluster, Bernal Institute, University of Limerick, Limerick, Ireland
- School of Engineering, Faculty of Science and Engineering, University of Limerick, Limerick, Ireland
| | | | - Marc Kanbar
- Andrology Lab, Pôle de recherche en Physiopathologie de la Reproduction (REPR), Institut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain, Brussels, Belgium
- Department of Gynecology-Andrology, Cliniques Universitaires Saint-Luc, Brussels, Belgium
| | - Rod T Mitchell
- MRC Centre for Reproductive Health, The Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, UK
| | - Mariana Moura-Ramos
- Clinical Psychology Unit, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
- Center for Research in Neuropsychology and Cognitive Behavioral Intervention, University of Coimbra, Coimbra, Portugal
| | - Claudia Massarotti
- Academic Unit of Obstetrics and Gynecology, DINOGMI Department, University of Genoa, Genoa, Italy
- Physiopathology of Human Reproduction Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
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Ammar OF, Sharma K, Liperis G, Fraire-Zamora JJ, Serdarogullari M, Ali ZE, Ramasamy R, Laurentino S, Watkins A, Mincheva M. Balancing the scales: the interplay of diet, exercise, GLP-1 receptor agonists, and obesity in shaping male reproductive health. Hum Reprod 2023:dead126. [PMID: 37344147 DOI: 10.1093/humrep/dead126] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/23/2023] Open
Affiliation(s)
- Omar F Ammar
- Biomaterials Cluster, Bernal Institute, University of Limerick, Limerick, Ireland
- School of Engineering, Faculty of Science and Engineering, University of Limerick, Limerick, Ireland
| | - Kashish Sharma
- HealthPlus Fertility Center, HealthPlus Network of Specialty Centers, Abu Dhabi, United Arab Emirates
| | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
| | | | - Munevver Serdarogullari
- Department of Histology and Embryology, Faculty of Medicine, Cyprus International University, Northern Cyprus, Nicosia, Turkey
| | - Zoya E Ali
- Research & Development Department, Hertility Health Limited, London, UK
| | - Ranjith Ramasamy
- Desai Sethi Urology Institute, Miller School of Medicine, University of Miami, Miami, Florida, USA
| | - Sandra Laurentino
- Centre of Reproduction and Andrology, Institute of Reproductive and Regenerative Biology, University of Münster, Münster, Germany
| | - Adam Watkins
- Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, UK
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Fraire-Zamora JJ, Sharma K, Ammar OF, Massarotti C, Ali ZE, Telfer EE, Williams S, Ata B, Liperis G. Mind the gap: deciphering the role of anti-Müllerian hormone in follicular development-from animal studies toward clinical application. Hum Reprod 2023:7131353. [PMID: 37075310 DOI: 10.1093/humrep/dead075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Indexed: 04/21/2023] Open
Affiliation(s)
| | - Kashish Sharma
- HealthPlus Fertility and Women's Health Centre, Abu Dhabi, UAE
| | - Omar F Ammar
- Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK
| | - Claudia Massarotti
- Academic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genova, Italy
- DINOGMI Department, University of Genova, Genova, Italy
| | - Zoya E Ali
- Research & Development Department, Hertility Health Limited, London, UK
| | - Evelyn E Telfer
- University of Edinburgh Institute of Cell Biology, Edinburgh, UK
| | - Suzannah Williams
- Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK
| | - Baris Ata
- Obstetrics and Gynecology Department, Koc University, Istanbul, Turkey
- ART Fertility Clinics, Dubai, United Arab Emirates
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13
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Fraire-Zamora JJ, Serdarogullari M, Sharma K, Ammar OF, Mincheva M, Macklon N, Pujol A, Capalbo A, Meseguer M, Liperis G. Better late than never: the clinical value of Day 7 blastocysts. Hum Reprod 2023; 38:520-524. [PMID: 36610458 DOI: 10.1093/humrep/deac269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 12/12/2022] [Indexed: 01/09/2023] Open
Affiliation(s)
| | - Munevver Serdarogullari
- Department of Histology and Embryology, Faculty of Medicine, Cyprus International University, Northern Cyprus via Mersin 10, Turkey
| | - Kashish Sharma
- ART Fertility Clinics LLC, Abu Dhabi, United Arab Emirates
| | - Omar Farhan Ammar
- Nuffield Department of Women's & Reproductive Health, University of Oxford, Oxford, UK
| | - Mina Mincheva
- Biomathematics Research Centre, University of Canterbury, Christchurch, New Zealand
| | | | - Aïda Pujol
- Centro de Infertilidad y Reproducción Humana (CIRH)-Eugin Group, Barcelona, Spain
| | | | - Marcos Meseguer
- IVF Laboratory, IVI Valencia, Valencia, Spain.,Health Research Institute la Fe, Valencia, Spain
| | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
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14
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Makieva S, Fraire-Zamora JJ, Mincheva M, Uraji J, Ali ZE, Ammar OF, Liperis G, Serdarogullari M, Bianchi E, Pettitt J, Sermon K, Bhattacharya S, Massarotti C. #ESHREjc report: failed fertilization: is genetic incompatibility the elephant in the room? Hum Reprod 2023; 38:324-327. [PMID: 36583604 DOI: 10.1093/humrep/deac265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2022] [Revised: 12/08/2022] [Indexed: 12/31/2022] Open
Affiliation(s)
- Sofia Makieva
- Kinderwunschzentrum, Klinik für Reproduktions-Endokrinologie, Universitätsspital Zürich, Zurich, Switzerland
| | | | | | | | - Zoya E Ali
- Research & Development Department, Hertility Health Limited, London, UK
| | - Omar F Ammar
- Nuffield Department of Women's & Reproductive Health, University of Oxford, Oxford, UK
| | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
| | - Munevver Serdarogullari
- Department of Histology and Embryology, Faculty of Medicine Cyprus International University, Northern Cyprus via Mersin 10, Turkey
| | - Enrica Bianchi
- Department of Biology, Hull York Medical School, York Biomedical Research Institute, University of York, York, UK
| | - Jonathan Pettitt
- Institute of Medical Sciences, University of Aberdeen, Aberdeen, UK
| | - Karen Sermon
- Research Group Reproduction and Genetics, Vrije Universiteit Brussel, Brussels, Belgium
| | - Siladitya Bhattacharya
- School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK
| | - Claudia Massarotti
- Academic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genova, Italy.,DINOGMI Department, University of Genova, Genova, Italy
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15
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Sharma K, Uraji J, Ammar OF, Ali ZE, Liperis G, Modi D, Ojosnegros S, Shahbazi MN, Fraire-Zamora JJ. #ESHREjc report: renewing the old: novel stem cell research for unsolved ART problems. Hum Reprod 2022; 37:2224-2227. [PMID: 35881064 DOI: 10.1093/humrep/deac163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Indexed: 11/15/2022] Open
Affiliation(s)
- Kashish Sharma
- ART Fertility Clinics LLC, Abu Dhabi, United Arab Emirates
| | - Julia Uraji
- IVF Laboratory, MVZ TFP Düsseldorf, Düsseldorf, Germany
| | - Omar Farhan Ammar
- Nuffield Department of Women's & Reproductive Health, University of Oxford, Oxford, UK
| | - Zoya E Ali
- Research & Development Department, Hertility Health Limited, London, UK
| | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
| | - Deepak Modi
- Molecular and Cellular Biology Laboratory, ICMR-National Institute for Research in Reproductive and Child Health, Mumbai, India
| | - Samuel Ojosnegros
- Bioengineering in Reproductive Health, Institute for Bioengineering of Catalonia (IBEC), The Barcelona Institute of Science and Technology (BIST), Barcelona 08028, Spain
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Liperis G, Sharma K, Ammar OF, Fraire-Zamora JJ, Martins da Silva S, Thomson A, Pini T, Mincheva M. #ESHREjc report: are sperm selection techniques a panacea? Indications for the use of physiological intracytoplasmic sperm injection (PICSI) in medically assisted reproduction. Hum Reprod 2022; 37:2492-2496. [PMID: 35962973 DOI: 10.1093/humrep/deac182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Indexed: 11/14/2022] Open
Affiliation(s)
- George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
| | - Kashish Sharma
- ART Fertility Clinics LLC, Abu Dhabi, United Arab Emirates
| | - Omar Farhan Ammar
- Nuffield Department of Women's & Reproductive Health, University of Oxford, Oxford, UK
| | | | - Sarah Martins da Silva
- Reproductive Medicine Research Group, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK
| | - Andrew Thomson
- Centre for Reproduction and Gynaecology Wales, Llantrisant, UK
| | - Taylor Pini
- School of Veterinary Science, The University of Queensland, Gatton, Australia
| | - Mina Mincheva
- Centre for Tumour Microenvironment, Barts Cancer Institute, Queen Mary University of London, London, UK
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17
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Liperis G, Ibrahim H, Crittenden J, Atkinson M, Sjoblom C. P-164 COVID-19 vaccination does not impair fertilisation outcomes in IVF or ICSI cycles. A retrospective cohort study of patients’ cycle outcomes before and after vaccination. Hum Reprod 2022. [PMCID: PMC9384414 DOI: 10.1093/humrep/deac107.159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Study question
Does vaccination against Covid-19 affect fertilisation outcomes for patients returning for further IVF/ICSI cycle following vaccination?
Summary answer
Fertilisation outcome and selection of fertilisation method based on semen parameters are not altered after COVID-19 vaccination of both partners.
What is known already
There has been much speculation regarding the impact of the COVID-19 vaccine on fertility in both men and women. While vaccine hesitancy has been high amongst people of reproductive age, there is no current evidence that COVID-19 vaccines impact fertility. However, infection with SARS-CoV-2 virus can cause severe complications in pregnancy. Fertility may also be impacted as suggested by observation of decreased sperm count in some men, presence of SARS-CoV-2 virus in the testicles as well as invasion of SARS-CoV-2 in ovaries, uterus, vagina and placenta.
Study design, size, duration
The study included 89 returning, consenting couples undergoing IVF/ICSI in 2021 at Westmead Fertility Centre soon after receiving their COVID-19 vaccine. The fertilisation method and outcomes were compared to their most recent cycle preceding vaccination (2017-2021).
Participants/materials, setting, methods
Fertilisation method was decided based on semen parameters. Semen ejaculates on the day of oocyte retrieval were assessed according to WHO criteria (5th edition). Conventional IVF was performed for patients with normozoospermic samples above lower reference limits for concentration and motility and ICSI was done in patients falling below these criteria. Fertilisation method and outcomes for IVF and ICSI were compared to the most recent cycle performed prior to either partner receiving their COVID-19 vaccine.
Main results and the role of chance
89 couples returned for an IVF/ICSI cycle following vaccination against Covid-19. Fertilisation outcomes were not significantly different following COVID-19 vaccination (NS, p > 0.05, c2). Average fertilisation rate (2PN/MII oocyte) per couple undergoing conventional IVF post-vaccination was 71.9±1.1% compared to 68.1±1.1% in the previous cycle (NS), while average fertilisation rate per couple undergoing ICSI post-vaccination was 51.7±1.2% compared to 47.6±1.2% pre-vaccination (NS). The average age of women/men at the time of OPU post-vaccination was 36.1±0.6/38.3±0.7 years, compared to 35.3±0.6/37.5±0.7 years in the treatment prior vaccination. In the post-vaccination cycle, 55 patients had normozoospermic samples on the day and underwent conventional IVF (61.8%), while 34 patients underwent ICSI (38.2%). Vaccination against COVID-19 did not affect fertilisation method selection with 82/89 (92.1%) of couples having the same method in pre- and post-vaccination cycles. Fertilisation method was different for seven couples (7.9%), with two choosing ICSI post-vaccination, and five being driven by change in semen parameters. Four couples had ICSI in the pre-vaccination cycle and IVF in the post-vaccination cycle, while one couple had IVF in the pre-vaccination cycle and ICSI in the post-vaccination cycle, all resulting in a non-significantly different fertilisation rate per couple (70.5±3.8% post-vaccination compared to 66.7±3.6% in the pre-vaccination cycle, NS).
Limitations, reasons for caution
The results represent the experience gained from current practice and not of a prospective controlled study. The developmental potential of embryos generated and clinical outcomes were not explored.
Wider implications of the findings
IVF/ICSI fertilisation outcomes are likely not affected by both partners being vaccinated against COVID-19 when considering fertilisation rates, semen characteristics and fertilisation method. This information may assist vaccine hesitant couples of reproductive age in making their choice regarding vaccination.
Trial registration number
2101-08 QA
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Affiliation(s)
- G Liperis
- Institute of Reproductive Medicine- University of Sydney, Westmead Fertility Centre , Sydney, Australia
| | - H Ibrahim
- Institute of Reproductive Medicine- University of Sydney, Westmead Fertility Centre , Sydney, Australia
| | - J Crittenden
- Institute of Reproductive Medicine- University of Sydney, Westmead Fertility Centre , Sydney, Australia
| | - M Atkinson
- Institute of Reproductive Medicine- University of Sydney, Westmead Fertility Centre , Sydney, Australia
| | - C Sjoblom
- Institute of Reproductive Medicine- University of Sydney, Westmead Fertility Centre , Sydney, Australia
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18
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Makieva S, Sharma K, Serdarogullari M, Uraji J, Ali ZE, Liperis G, Ammar OF, D’Hooghe T, Hull ML, Leonardi M, Vigano’ P, Massarotti C. #ESHREjc report: diagnosing endometriosis loosens the Gordian knot of infertility treatment. Hum Reprod 2022; 37:2219-2223. [DOI: 10.1093/humrep/deac134] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Indexed: 12/28/2022] Open
Affiliation(s)
- Sofia Makieva
- Kinderwunschzentrum, Klinik für Reproduktions-Endokrinologie, Universitätsspital Zürich , Zurich, Switzerland
| | - Kashish Sharma
- ART Fertility Clinics LLC , Abu Dhabi, United Arab Emirates
| | - Munevver Serdarogullari
- Department of Histology and Embryology, Faculty of Medicine Cyprus International University , Northern Cyprus via Mersin 10 , Turkey
| | | | - Zoya E Ali
- Research & Development Department, Hertility Health Limited , London, UK
| | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney , Westmead, NSW, Australia
| | - Omar F Ammar
- Nuffield Department of Women’s & Reproductive Health, University of Oxford , Oxford, UK
| | - Thomas D’Hooghe
- Global Medical Affairs Fertility, Research and Development, Merck Healthcare KGaA , Darmstadt, Germany
- Department of Development and Regeneration, Biomedical Sciences, University of Leuven (KU Leuven) , Leuven, Belgium
- Department of Obstetrics and Gynecology, Yale University School of Medicine , New Haven, CT, USA
| | - M Louise Hull
- The Endometriosis Group, Robinson Research Institute, University of Adelaide , Adelaide, South Australia
| | - Mathew Leonardi
- Department of Obstetrics and Gynecology, McMaster University , Hamilton, Canada
| | - Paola Vigano’
- Infertility Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico , Milano, Italy
| | - Claudia Massarotti
- Academic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino , Genova, Italy
- Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), University of Genova , Genova, Italy
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19
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Fraire-Zamora JJ, Serdarogullari M, Kohlhepp F, Sharma K, Popovic M, Pujol A, Liperis G. #ESHREjc report: Catch 22-is PGT a number game? Efficacy of PGT and the importance of counselling. Hum Reprod 2022; 37:625-627. [PMID: 34999822 DOI: 10.1093/humrep/deab286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | - Munevver Serdarogullari
- Department of Histology and Embryology, Faculty of Medicine Cyprus International University, Nicosia, North Cyprus, Turkey
| | - Florian Kohlhepp
- Global Medical Affairs Fertility, Research and Development, Merck KGaA, Darmstadt, Germany
| | - Kashish Sharma
- ART Fertility Clinics LLC, Abu Dhabi, United Arab Emirates
| | | | - Aïda Pujol
- Centro de Infertilidad y Reproducción Humana (CIRH), Barcelona, Spain
| | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
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20
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Massarotti C, Uraji J, Ali ZE, Serdarogullari M, Makieva S, Liperis G, Kohlhepp F, Fraire-Zamora JJ, Ammar OF, Barratt C, Martins da Silva S, Mincheva M. #ESHREjc live edition report: 'the forgotten Y'-advanced paternal age from a global health perspective. Hum Reprod 2021; 37:195-197. [PMID: 34751767 DOI: 10.1093/humrep/deab241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2021] [Indexed: 11/13/2022] Open
Affiliation(s)
- Claudia Massarotti
- Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics and Maternal and Child Health (DINOGMI Dept.), University of Genoa, Genoa, Italy
- Academic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Julia Uraji
- IVF Laboratory, TFP Kinderwunschzentrum, Düsseldorf, Germany
| | | | - Munevver Serdarogullari
- Department of Histology and Embryology, Faculty of Medicine, Cyprus International University, Northern Cyprus via Mersin 10, Turkey
| | - Sofia Makieva
- Kinderwunschzentrum, Klinik für Reproduktions-Endokrinologie, Universitätsspital Zürich, Zurich, Switzerland
| | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
| | - Florian Kohlhepp
- Global Medical Affairs Fertility, Research and Development, Merck KGaA, Darmstadt, Germany
| | | | | | - Christopher Barratt
- Reproductive Medicine Research Group, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK
| | - Sarah Martins da Silva
- Reproductive Medicine Research Group, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK
| | - Mina Mincheva
- Centre for Tumour Microenvironment, Barts Cancer Institute, Queen Mary University of London, London, UK
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21
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Liperis G, Fraire-Zamora JJ, Makieva S, Massarotti C, Ali ZE, Kohlhepp F, Ammar OF, Mathur R, Venetis C, Fincham A, Serdarogullari M. #ESHREjc report: trick or treatment-evidence based use of add-ons in ART and patient perspectives. Hum Reprod 2021; 37:386-388. [PMID: 34865048 DOI: 10.1093/humrep/deab271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 11/08/2021] [Indexed: 11/14/2022] Open
Affiliation(s)
- George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
| | | | - Sofia Makieva
- Kinderwunschzentrum, Klinik für Reproduktions-Endokrinologie, Universitätsspital Zürich, Zurich, Switzerland
| | - Claudia Massarotti
- Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics and Maternal and Child Health (DINOGMI Dept.), University of Genoa, Genoa, Italy.,Academic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | | | - Florian Kohlhepp
- Global Medical Affairs Fertility, Research and Development, Merck KGaA, Darmstadt, Germany
| | | | - Raj Mathur
- Department of Reproductive Medicine, Saint Mary's Hospital, Manchester University NHS Foundation Trust, Manchester Academic Health Sciences Centre, Manchester, UK
| | - Christos Venetis
- Centre for Big Data Research in Health & School of Women's and Children's Health, UNSW Health & Medicine, University of New South Wales, Sydney, Australia
| | | | - Munevver Serdarogullari
- Department of Histology and Embryology, Faculty of Medicine Cyprus International University, Northern Cyprus via Mersin 10, Turkey
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22
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Makieva S, Massarotti C, Uraji J, Serdarogullari M, Fraire-Zamora JJ, Ali ZE, Liperis G, Vassena R, Wang R, Bortoletto P, Ammar OF. #ESHREjc report: ovarian stimulation practice after the OPTIMIST trial and evidence-based medicine. Hum Reprod 2021; 36:2808-2810. [PMID: 34293144 DOI: 10.1093/humrep/deab176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Indexed: 11/14/2022] Open
Affiliation(s)
- Sofia Makieva
- Kinderwunschzentrum, Klinik für Reproduktions-Endokrinologie, Universitätsspital Zürich, Zurich, Switzerland
| | - Claudia Massarotti
- Academic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genova, Italy.,Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics and Maternal and Child Health (DINOGMI Dept.), University of Genova, Genova, Italy
| | | | | | | | | | - George Liperis
- Westmead Fertility Centre, Institute of Reproductive Medicine, University of Sydney, Westmead, NSW, Australia
| | | | - Rui Wang
- Department of Obstetrics and Gynaecology, Monash University, Melbourne, Australia
| | - Pietro Bortoletto
- Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medical College, New York, NY, USA
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23
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Swearman H, Liperis G, Crittenden J, Sjoblom C. Fertilization by ICSI results in significantly higher aneuploidy rates compared to IVF, in embryos analysed by next generation sequencing (NGS) or comparative genome hybridization (CGH) array. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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