닫기
18.97.14.81
18.97.14.81
close menu
SCOPUS
자궁경부 , 난포액 및 배우자 정자에서의 제 16 형 인유두종 바이러스 감염이 체외수정시술 결과에 미치는 영향
Effect of Type 16 Human Papillomavirus Positivity in Uterine Cervix and Follicular Fluid of Infertile Women and Sperm of Their Spouses on Outcomes of In Vitro Fertilization and Embryo Transfer
김석현(Suk Hyun Kim),김은경(Eun Gyung Kim),구승엽(Seung Yeob Koo),지병철(Byung Chul Jee),서창석(Chang Suk Seo),최영민(Young Min Choi),김정구(Jung Goo Kim),문신용(Sin Yong Moon),이진용(Jin Yong Lee)
UCI I410-ECN-0102-2009-510-005329518

Objective : Human papillomavirus(HPV) infection, which is prevalent in Korea, is well known to be associated with male infertility and pregnancy wastages. This study was performed to assess the prevalence of HPV-16 infection and its effect on the outcomes of in vitro fertilization and embryo transfer.(IVF-ET) Methods : Using polymerase chain reaction(PCR), the presence of HPV-16 in uterine cervix and follicular fluid of infertile women and sperm of their spouses undergoing IVF-ET was examined. Results : Out of 52 IVF-ET patients, the positive rate of HPV-16 was 36.5%(n=19) in sperm, 55.8%(n=29) in uterine cervical smear, and 53.8%(n=28) in follicular fluid. Forty-one patients(78.8%) showed the HPV-16 positivity in at least one sample, and only 11 patients(21.2%) were HPV-16 negative in all three samples. Those with the HPV-16 positivity in all three samples were 7(13.5%), and those in whom both couples showed the HPV-16 positivity were 8(15.5%). In cervical sample group, combination group of all three samples, and combination group of both couples' samples, the mean age of HPV-16 positive patients was significantly higher, compared with each corresponding control(p<0.05, p<0.05, p<0.05, respectively). In sperm sample group, combination group of all three samples, and combination group of both couples' samples, the mean duration of infertility in HPV-16 positive patients was significantly longer(p<0.01, p<0.001, p<0.001, respectively). The HPV-16 positivity in any single samples or their combinations did not demonstrate any significant differences in the outcomes of IVF-ET. However, the pregnancy rate of sperm HPV-16 positive group was significantly lower than that of sperm HPV-16 negative group (15.8% vs. 42.4%, p<0.05). Conclusions : Infertile patients with the HPV-16 positivity were older, and had longer duration of infertility than those with the HPV-16 negativity, and the presence of HPV-16 in husband's sperm lowered the pregnancy rate of IVF-ET. Therefore, detection and management of HPV-16 in husband's sperm prior to the initiation of IVF-ET cycles may improve the prognosis of IVF-ET.

[자료제공 : 네이버학술정보]
×