Zona Pellucida Bound Sperm vs. Embryologist Selected Sperm for Intracytoplasmic Sperm Injection
Infertility
About this trial
This is an interventional other trial for Infertility focused on measuring Intracytoplasmic Sperm Injection Procedure, ICSI
Eligibility Criteria
Inclusion Criteria: Undergoing their first in vitro fertilization (IVF) cycle Electing single embryo transfer Electing preimplantation genetic testing for aneuploidy (PGT-A) of their embryos Female partners age <42 years old at start of vaginal oocyte retrieval cycle, but >18 years old. Normal ovarian reserve: Antimullerian hormone level (AMH) ≥ 1.2 ng/mL Antral follicle count (AFC) ≥ 8 At least 4 mature oocytes (M2s) retrieved at the VOR procedure in order to randomize At least 1 immature oocyteretrieved at the VOR procedure to perform ZP binding co-incubation procedure Intention to transfer the morphological best quality, euploid, embryo at the frozen embryo transfer procedure Exclusion Criteria: Contraindication to IVF Clinical indication for preimplantation genetic testing (i.e., screening for single gene disorder, chromosomal translocation, or any other disorders requiring a more detailed embryo genetic analysis) Male partner with azoospermia or oligozoospermia (<100,000 total motile spermatozoa) Male partner with Y-chromosome microdeletion Male partner with any Karyotype other than 46,XY Male partner requiring surgically obtained sperm either via testicular or epididymal retrieval procedures Uncorrected hydrosalpinges that communicate with the endometrial cavity Endometrial Insufficiency, as defined by a prior cycle with maximal endometrial thickness <6mm,), or persistent endometrial fluid Donor oocyte cycles Gestational carriers
Sites / Locations
- Reproductive Medicine Associates of Northern California
Arms of the Study
Arm 1
Arm 2
Experimental
Other
ZP Bound Sperm Selection Oocyte Cohort
Routine Care: Embryologist Selected Sperm Oocyte Cohort
This is half of the patient's mature oocytes that will be inseminated via the ICSI procedure with sperm that has bound to the ZP of an immature oocyte.
This is half of the patient's mature oocytes that will be inseminated via the ICSI procedure per routine with sperm that is subjectively selected by the embryologist (based on morphology and mobility characteristics). This is the current standard of care for ICSI.