Assisted Oocyte Activation Method (Ca ACTIVATION) Improves Fertilization in Patients with Recurrent Fertilization Failure

Ayman S. El-Dorghamy, Bahgat A. El-Fiky, Mohammed H. Sayed Ahmad

Abstract: Total fertilization failure (TFF) happens in 1–3% of total intracytoplasmic sperm injection (ICSI) cycles and may reoccur in sequent cycles. Regardless the high success rate with the applying of intracytoplasmic sperm injection (ICSI) , there's still a little  number of couples who cannot get fertilized eggs after using ICSI . Six couples experiencing recurrent TFF or low fertilization rate (<10%) afterICSI were recorded in this study. Compared with the regularICSI group and the conventional ICSI-AOA group, the new AOA method using calcium ionophore, can seriously increase the fertilization rate from less than 10% up to approximately 50% in most cases. The normal distribution ofsperm-related oocyte activation factor phospholipase C zeta (PLCz1) in the sperms ofthe cases indicated the absence of an aberrant Ca signaling activation.

AOA method using calcium (Calcium ionophore A23187)was able to effectivelyimprove the fertilization rate in the majority of patients suffering from TFF. This AOAmethod had a potential therapeutic effect on those couples experiencing TFF, even after intracytoplasmic sperm injection(ICSI), which may overcome the severe fertilization deficiencies in patients with a repeated low fertilization or TFF.

Keywords: total fertilization failure, Calcium ionophore A23187, fertilization, assisted oocyte activation.

Title: Assisted Oocyte Activation Method (Ca ACTIVATION) Improves Fertilization in Patients with Recurrent Fertilization Failure

Author: Ayman S. El-Dorghamy, Bahgat A. El-Fiky, Mohammed H. Sayed Ahmad

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Vol. 10, Issue 1, April 2022 - September 2022

Page No: 251-257

Research Publish Journals

Website: www.researchpublish.com

Published Date: 30-August-2022

DOI: https://doi.org/10.5281/zenodo.7034452

Vol. 10, Issue 1, April 2022 - September 2022

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Assisted Oocyte Activation Method (Ca ACTIVATION) Improves Fertilization in Patients with Recurrent Fertilization Failure by Ayman S. El-Dorghamy, Bahgat A. El-Fiky, Mohammed H. Sayed Ahmad