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Genetic Counseling and ICSI
Title: Oligospermic men: the role of karyotype analysis prior to intracytoplasmic injection
Author: L. E. Haug et al.
Address:Boston, Massachusettss
Source: Fertility and Sterility 67:4 612-614 (April)
Synopsis: Intracytoplasmic sperm injection (ICSI) has made fertilization and pregnancy possible for even severe cases of male infertility. As ICSI becomes a standard treatment of care for male infertility, it is suggested that it may be instructive to examine the current genetic knowledge about oligospermic men. Studies of men with oligospermia revealed small, but clinically significant, increased rate of chromosome abnormalities. These were almost exclusively autosomal translocations rather than numeric sex chromosome aneuploidy. The risk of chromosomal abnormalities in ICSI conceptions from oligospermic men with unbalanced translocations remains unknown, although it may be significantly increased, over the risks of natural conceptions. The authors feel that men with oligospermia should be counseled about karyotype analysis before undergoing ICSI.
Comment: There appears to be a real chance of transference of infertility to male offspring of pregnancies achieved by ICSI. Karotyping alone may be insufficient to evaluate these men and speciallzed genetic studies may be needed.