Abstract

In this study, we aimed to investigate the efficacy of FSH treatment in idiopathic patients who are candidates for ART (assisted reproductive techniques)

2 oligosoospermic, 10 oligoasthenosoospermic, 11 oligoteratosoospermic and 38 oligoasthenoteratosoospermic, 61 patients received FSH treatment. 45 patients were selected as control groups. All patients received 150 iü FSH 3 times a week for 2 months. In 2 patients at the time of treatment and in 1 patient after treatment, totally in 3 patients pregnancy occurred spontaneously. The remaining 58 patients went to IUI (intrauterine insemination) and ICSI (intracytoplasmic sperm injection) at GATA Obstetrics and Gynecology Department IVF Unit.

In all patients, after FSH treatment, sperm parameters have been improved. These improvements are significant in sperm count and morphology. After FSH treatment in 15 of 61 patients occurred pregnancy 3 of which were spontaneous. In 12 patients pregnancy occurred by ART. Only 1 pregnancy occurred in severe oligosoospermic patients and this resulted with abortion. In the groups which pregnancy occurred or not, sperm parameters improved. In control group, 7 pregnancies occurred with ART and 2 of which resulted with abortion. When compared the pregnancy rate between the patients who received treatment or did not, the results were meaningful.

FSH treatment increases sperm count and morphology. According to our results, FSH treatment may be useful in fertilizing effect of sperm and increasing rates by ART. Our results also show that ART success rates are lower in patients who have poor sperm parameters.