ClinicalTrials.gg
Status unknownNCT04608864VaricoceleUpdated Oct 29, 2020

Varicocele Repair for Men Undergoing IVF/ICSI

An interventional study of varicocelectomy in Infertility, Male, sponsored by Al-Yasmeen Fertility and Gynecology Center. Status unknown. Open to male participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2020-10-29.

Sponsored by Al-Yasmeen Fertility and Gynecology Center · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Oct 2020), so the status shown — last known as Not yet recruiting — may be out of date.

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Phase
Not applicable
Study type
Interventional
Enrollment
2,000
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
Male
01

Study summary

For infertile men undergoing intracytoplasmic sperm injection (ICSI), data from retrospective studies suggested that varicocele repair may be beneficial and associated with improved livebirth and pregnancy rates, however, its role remains uncertain and disputed. To date, the investigators are not aware of published randomized controlled trail (RCT) that have evaluated whether varicocele repair would improve ICSI outcomes on patients with male-factor infertility.

Read the detailed description

Varicocele repair in the era of assisted reproductive technology (ART) has been a point of dispute. The American Society for Reproductive Medicine (ASRM) Practice Committee recommended has considered ART as a primary treatment for female factor, regardless of the presence of varicocele and abnormal semen parameters.

A systematic review of 7 studies involving 1,241 men with a clinical varicocele and abnormal semen parameters showed improved livebirth and pregnancy rates after varicocelectomy in infertile men undergoing IVF/ICSI. Studies included in this systematic review were retrospective nature with a considerable heterogeneity. Evidence to support varicocelectomy for men with abnormal semen analysis undergoing IVF/ICSI has therefore remained inconclusive.

02

Conditions studied

  • Infertility, Male

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03

In context

Infertility, Male

282 studies on the registry are indexed under Infertility, Male; 65 are open to participants now.

This study's planned enrollment of 2,000 is above the median of 80 across 187 interventional studies indexed under Infertility, Male.

Browse Infertility, Male studies →

Lead sponsor

Al-Yasmeen Fertility and Gynecology Center is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Couples able to provide .
  2. Couples with at least 12 months of infertility
  3. Couples with male-factor infertility
  4. Couples counseled for ICSI procedure by reproductive specialist.
  5. Couples undergoing their first ICSI cycle or their second ICSI cycle after a previously successful treatment.
  6. Female: age between 18-43; (BMI) between 19.0-35.0 kg/m2; FSH level 3.0-20.0 miU/mL and/or AMH ≥1.5 pmol/L; with regular menstrual cycles (defined as 25 to 35 days in duration), evidence of ovulation (by biphasic basal body temperature, ovulation predictor kits, or luteal serum progesterone level ≥3 ng/mL), have no uterine abnormality by ultrasound; anticipated normal responder (≥5 antral follicle count or ≥5.4 pmol/L Anti- mullerian hormone (AMH).
  7. Male: age: 18-55; able to produce freshly ejaculated sperm for the treatment cycle; diagnosed with clearly palpable varicocele; have at least one abnormal semen parameter on a semen analysis in the preceding 3 months: sperm concentration ≤15 million/mL (oligospermia), total motility≤40% (asthenospermia), or normal morphology ≤4% (teratospermia); normal hormonal profile

Exclusion criteria

Exclusion Criteria:

  1. Patients who willing to undergo ICSI with preimplantation genetic diagnosis.
  2. Female: have previous two cycles of implantation failure at fresh transfer; with unilateral oophorectomy; PCOs; have any uterine pathology (myomas, adenomyosis, endocrinopathies, thrombophilia, chronic pathologies, acquired or congenital uterine abnormalities); have severe endometriosis; have uni- or bilateral hydrosalpinx; have history of recurrent pregnancy loss, takes any medical condition that affect fertility.
  3. Male: have varicocele associated with hydrocele or inguinal hernia; secondary and recurrent varicocele, varicocele complicated by thrombophlebitis; varicocele with infertility due to other causes (demonstrated by andrologists), if they have a sperm concentration \<1 million/mL on the screening semen analysis or if they were taking fertility medication or testosterone. Men are required to refrain from taking any medications for 4 weeks before randomization.
  4. Abnormal karyotyping for female or male partners.
  5. Uncontrolled diabetes, liver or renal disease, history of or borderline pathology of male or female partners.
  6. Previous participation in the trial.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2,000 participants (estimated)

Study arms

  • Experimental
    varicocelectomy arm

    The varicocelectomy procedure will be performed three months before ICSI for men with with male-factor infertility and were diagnosed clinically with varicocele

    Procedure: varicocelectomy

  • No intervention
    Control (No varicocelectomy) arm

    Couples with male-factor infertility and males were diagnosed clinically with varicocele will undergo ICSI

Interventions

  • Procedurevaricocelectomy

    microsurgical subinguinal varicocelectomy

    Also known as: varicocele repair

06

What researchers measure

Primary outcomes

  1. Livebirth rate

    the percentage of women who underwent randomization and will have a livebirth after at least 37 completed weeks of gestation

    Time frame: up to 37 weeks

Secondary outcomes

  1. Biochemical pregnancy

    positive βhCG ≥10 IU/L at 14 days after egg retrieval

    Time frame: up to 2 weeks

  2. Clinical pregnancy

    registered sacs with a heartbeat on ultrasound \>7th week of gestation

    Time frame: up to 7 weeks

  3. Ongoing pregnancy

    Time frame: up to 20 weeks

  4. Miscarriage

    Time frame: up to 20th weeks

  5. stillbirth

    intrauterine death at \>20 weeks

    Time frame: up to 20 weeks

  6. Fertilization rate

    number of oocytes fertilized per oocytes retrieved

    Time frame: up to 16-18 hours after ICSI

  7. Top quality embryos

    number of top quality embryos at Day 3 per number of fertilized oocytes

    Time frame: up to 3 days after ICSI

  8. cryopreservation rate

    number of embryos cryopreserved per randomized woman

    Time frame: up to 3-6 days after ICSI

  9. Blastocyst formation rate

    number of blastocyst at Day 5 or 6 per number of fertilized oocytes

    Time frame: up to 5 or 6 days after ICSI

  10. implantation rate

    number of intrauterine gestational sacs detected by ultrasound over the total number of embryos transferred

    Time frame: up to 7 weeks

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Kohn TP, Kohn JR, Pastuszak AW. Varicocelectomy before assisted reproductive technology: are outcomes improved? Fertil Steril. 2017 Sep;108(3):385-391. doi: 10.1016/j.fertnstert.2017.06.033. PubMed 28865536 ↗
  • Kirby EW, Wiener LE, Rajanahally S, Crowell K, Coward RM. Undergoing varicocele repair before assisted reproduction improves pregnancy rate and live birth rate in azoospermic and oligospermic men with a varicocele: a systematic review and meta-analysis. Fertil Steril. 2016 Nov;106(6):1338-1343. doi: 10.1016/j.fertnstert.2016.07.1093. Epub 2016 Aug 12. PubMed 27526630 ↗
  • Practice Committee of the American Society for Reproductive Medicine; Society for Male Reproduction and Urology. Report on varicocele and infertility: a committee opinion. Fertil Steril. 2014 Dec;102(6):1556-60. doi: 10.1016/j.fertnstert.2014.10.007. Epub 2014 Nov 25. PubMed 25458620 ↗

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: 3-6 months

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Dec 2020; primary completion for Dec 2022, 24 months later.

Of 77 non-industry interventional studies with no phase under Infertility, Male, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 50. This study's planned 24 months is below that.

Counting every sponsor, half of 92 studies reached it within 34 months; a quarter within 17 and three quarters within 50.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 11, 2020
First posted
Oct 29, 2020
StartEst.
Dec 1, 2020
Primary completionEst.
Dec 1, 2022
CompletionEst.
Aug 1, 2023
Last update
Oct 29, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 29, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04608864
Lead sponsor
Al-Yasmeen Fertility and Gynecology Center
Collaborators
Elite Fertility and Gynecology Center, Cairo, Egypt, Banon IVF Center Assiut, Egypt, IbnSina IVF Center, Sohag, Egypt, Qena IVF Centre, Qena, Egypt, Amshaj IVF Center
Responsible party
Yasmin Magdi (Principal Investigator, Al-Yasmeen Fertility and Gynecology Center) — Principal investigator
First posted
Oct 29, 2020
Start date
Dec 1, 2020 (estimated)
Primary completion
Dec 1, 2022 (estimated)
Completion
Aug 1, 2023 (estimated)
Last update
Oct 29, 2020

Study contacts

Mohamed Fawzy, Ph.D
Contact
drfawzy001@me.com
+201011122286
Yasmin Magdi
Contact
Yas.magdi@hotmail.com
+201282313979
Mohamed Fawzy, Ph.D
study director · IbnSina IVF Center, IbnSina Hospital, Sohag

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.

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