Table 6. Main relationships of sperm parameters with ART outcomes.
Presence of correlations ART Outcomes
Obstructive azoospermia (OAZ) vs secretory azoospermia (SAZ) Higher CPR, LBR
No association with:
FR, ECR, high quality embryos, number of embryos for ET, CPR, multiple pregnancy, ectopic pregnancy, miscarriage rate, LBR, gestational age,
birth weight, congenital malformations
Low spermatozoa concentration (< 1M/ml) Lower FR, Blastocyst rate
No association with:
high quality blastocysts, Embryo aneuploidy, IR,
ongoing pregnancy
Low spermatozoa motility (<5%) Lower FR
No association with:
blastocyst rate, embryo aneuploidy, IR, ongoing pregnancy
Normal spermatozoa motility Higher FR, IR, CPR
Spermatozoa morphology Negative correlation with:
FR, embryo euploidy, IR, CPR, LBR
Complete teratozoospermia No association with:
BPR, CPR, miscarriage rate, LBR
Oligoasthenoteratozoospermia (OAT) Lower FR
Severe OAT No association with:
Gestational age, birth weight, congenital malformations
Spermatozoa parameters No association with: CPR, LBR
Male factor vs tubar factor Higher FR, IR
No association with:
CPR, miscarriage rate
Moderate male factor No association with:
Gestational age, birth weight,
congenital malformations
Discrepancies rule the importance of sperm selection in ICSI in overcoming male factors