The impact of advanced paternal age on the live birth rate in patients undergoing Assisted Reproduction treatment: Findings from an analysis at a public reproductive center in Brazil.

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY Jornal Brasileiro de Reproducao Assistida Pub Date : 2024-09-10 DOI:10.5935/1518-0557.20240053
Vanessa B M Maia, Aline Q Rodrigues, Victor E T Sousa, Mariana F R Barcelos, Jair T Goulart, Fernanda Paulini, Natalia I Z Tierno
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Abstract

Objective: Human reproduction presents a challenge for our species, as evidenced by the escalating rates of infertility. This trend has prompted inquiries into diverse strategies aimed at mitigating infertility and enhancing conception rates. Despite the extensive research on advanced maternal age as a risk factor for reproductive outcomes, paternal age has historically garnered comparatively less attention. The aim of this study was to assess the impact of paternal age on embryos and its subsequent repercussions on fertilization rate, biochemical pregnancy, clinical pregnancy, and live birth rate in individuals undergoing assisted reproductive treatment in a public reproductive center located in Brazil.

Methods: This investigation adopted a retrospective cohort, cross-sectional, analytical design, utilizing the analysis of secondary data, covering the period from July 2015 to July 2021.

Results: A total of 350 couples grappling with infertility and undergoing intrauterine insemination (IUI), in vitro fertilization (IVF), and intracytoplasmic sperm injection (ICSI) were included in the analysis. Examination of age groups revealed a notable correlation between the ages of women and men (correlation coefficient R=0.12, p<0.0001). In the analysis of IVF techniques, a discernible trend towards a negative correlation with paternal age was observed, signifying that higher paternal age was linked to lower fertilization rates (p=0.004).

Conclusions: Advanced paternal age significantly impacts full-term birth rates in IVF procedures, emphasizing the need for preconception public health advisories that underscore the risks associated with delaying parenthood for both men and women, particularly among those necessitating assisted reproductive techniques.

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高龄父亲对接受辅助生殖治疗患者活产率的影响:巴西一家公立生殖中心的分析结果。
目的:人类的生殖对我们这个物种来说是一个挑战,不孕不育率的不断攀升就证明了这一点。这一趋势促使人们研究各种旨在缓解不育症和提高受孕率的策略。尽管关于高龄产妇作为生殖结果风险因素的研究非常广泛,但父亲的年龄历来较少受到关注。本研究旨在评估父方年龄对胚胎的影响,以及随后对巴西一家公立生殖中心接受辅助生殖治疗的受精率、生化妊娠、临床妊娠和活产率的影响:本次调查采用回顾性队列、横断面分析设计,利用二手数据分析,时间跨度为 2015 年 7 月至 2021 年 7 月:共有 350 对不孕不育夫妇接受了宫腔内人工授精(IUI)、体外受精(IVF)和卵胞浆内单精子显微注射(ICSI)。对年龄组的研究显示,女性和男性的年龄之间存在明显的相关性(相关系数 R=0.12,p 结论:父亲的高龄对试管婴儿程序中的足月分娩率有很大影响,这强调了孕前公共健康咨询的必要性,即强调推迟生育对男性和女性都有风险,尤其是对那些需要使用辅助生殖技术的人。
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来源期刊
CiteScore
3.30
自引率
6.70%
发文量
56
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