HEALTH OF WOMAN. 2016.10(116):136–139; doi 10.15574/HW.2016.116.136 
 

The value of risk factors in infertile men in the aspect of choice of assisted reproductive technologies to renew fertility in married couples

Gurzhenko Yu. N., Kutsenko A. O.

National Medical Academy of Postgraduate Education P. L. Shupyk, Kiev

The objective: the rationalization of a personalized approach to the selection of the program art on the basis of the allocation of risk.

Patients and methods. Were analyzed 180 couples with male factor infertility, which in 2012-2015, in the Institute of reproductive medicine (IRM) (Kiev) was held the program of intracytoplasmic sperm injection (ICSI) with the aim of restoring fertility. Examination and ICSI procedure is carried out in accordance with clinical protocols.

Results. According to the results of analytical and synthetic analysis of primary documents (enhanced, adapted to the purpose of the work of the medical record) were identified risk factors (and their signs) for the development of male infertility and grouped by direction of impact. As a result, 25 of the 51 factors and their basis formed three groups: social (behavioral), biological/clinical and special medical. With the help of mathematical analysis it was determined the boundary values of the minimum and maximum of reliability of the negative result of the application of ART.

Conclusion. It was proposed the predictive map for the determination of the probability of pregnancy in couples with male infertility problems with the application of ART. Was justified the separation of three risk groups to restore fertility in couples with male factor infertility using ART. Was based the principle of personalized approach to choosing the best program of art-based stratification of men at risk groups.

Key words: male infertility, assisted reproductive technologies, risk factors, prognostic chart.

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