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RCOG World Congress 2023

June 12 - 14, 2023 | London, UK

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EP.0502

The impact of Primary Ciliary Dyskinesia on female and male fertility

Part of Topic

Reproductive Medicine/Assisted Reproduction

Video

The impact of Primary Ciliary Dyskinesia on male and female fertility

Primary Ciliary Dyskinesia (PCD) is a genetic condition leading to altered structure and function of motile cilia and sperm flagellum

Infertility is commonly reported but the prognosis and optimal management is unclear

To summarise the prevalence of subfertility, underlying mechanisms, and success of ART in Primary ciliary dyskinesia

•Systematic literature searches performed in Medline, Embase, Cochrane Library, and PubMed electronic databases

•781 unique publications screened by two independent reviewers
•108 publications included between 1964 and 2022 reporting fertility outcomes in men and women with PCD
•Data extraction and quality of evidence assessed

Quality of evidence

Low: consisting of case reports and small cross-sectional studies

 

Prevalence of subfertility in PCD

Reported prevalence of fertility problems varied greatly between studies and geographic populations  

 

Fertility problems reported more frequently in men with PCD compared to women

 

Underlying mechanisms

Limited evidence leads to the below proposed mechanisms

Efficacy of artificial reproductive techniques

Some men and women benefitted from artificial reproductive techniques

 

Suggests that use can be considered in this patient group 

 

Success rates including live birth rate are not known

•After diagnosis
•Counselling about potential fertility issues 
•Signposting to support
•Considering conception
•Specialist fertility and respiratory team assessment
•Genetic counselling
•
•Attempting conception
•Psychological support
•Fertility investigations
•Tailored fertility treatment if necessary

Limited evidence indicates that PCD is associated with higher risk of fertility problems and some couples may benefit from artificial reproductive techniques

 

Further studies are warranted to determine predictors of fertility and optimal management in this patient group


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