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Traitements de l’infertilite masculine par les techniques de micromanipulations ovocytaires: Revue de la litterature

Treatment of male infertility using oocyte micromanipulation techniques: A litterature review

Abstract

During the last few years assisted reproductive technology has seen the introduction of oocyte micromanipulation and sperm microinjection as therapeutic approaches for severe male factor infertility. However, a review of the international literature has revealed that less than 100 pregnancies have been obtained using such techniques. Fertilization rates are extremely variable and influenced by the strictness of the various authors’ criteria for selecting cases. It is concluded that partial zona dissection and zona drilling are less useful than subzonal insemination and intracytoplasmic insemination.

Resume

Depuis quelques années, on assiste, dans le domaine des technologies médicalement assistées, à un engouement pour l’utilisation des micromanipulations comme thérapeutique de l’infertilité masculine. Une revue de la littérature nous a permis de constater qu’à ce jour moins de 100 grossesses ont été obtenues et que les taux de fécondation sont trés variables en fonction de la rigueur de la sélection des cas. Alors que la dissection partielle de la zone pellucide ne semble pas être un technique prometteuse, l’injection de spermatozoides dans l’espace périvitellin ou dans le cytoplasme de l’ovocyte pourrait être promise à un bel avenir.

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Demoulin, A. Traitements de l’infertilite masculine par les techniques de micromanipulations ovocytaires: Revue de la litterature. Androl. 2, 61–67 (1992). https://doi.org/10.1007/BF03034221

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Key words

  • Male infertility
  • Micromanipulation
  • Microinjection
  • PZD
  • SUZI
  • ICSI
  • IVF

Mots clés

  • Micromanipulation
  • Microinjection
  • PZD
  • SUZI
  • ICSI
  • FIVETE