Azoospermic HIV-1 infected patients wishing to have children: proposed strategy to reduce HIV-1 transmission risk during sperm retrieval and intracytoplasmic sperm injection: Case Report
Author(s) -
Louis Bujan,
Myriam Daudin,
Nathalie Moinard,
Pierre Plante,
Jean Parinaud,
Christophe Pasquier
Publication year - 2007
Publication title -
human reproduction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.446
H-Index - 226
eISSN - 1460-2350
pISSN - 0268-1161
DOI - 10.1093/humrep/dem175
Subject(s) - intracytoplasmic sperm injection , sperm retrieval , sperm , human immunodeficiency virus (hiv) , sperm washing , transmission (telecommunications) , gynecology , medicine , andrology , biology , infertility , virology , pregnancy , computer science , genetics , insemination , telecommunications
To date, assisted reproductive technology (ART) with sperm washing is offered to serodiscordant couples with an human immunodeficiency virus-1 (HIV-1) infected male partner in order to have a child while reducing the risk of transmission to the woman. However, ART programmes are not possible if the man is azoospermic. We report here the first birth following intracytoplasmic sperm injection (ICSI) using frozen epididymal spermatozoa obtained after surgical sperm retrieval in a HIV-1 infected man with obstructive azoospermia. METHODS; Sperm obtained by micro-epididymal sperm aspiration was frozen after density gradient preparation and tested for HIV-RNA and DNA. ICSI with frozen sperm was performed.
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