Document Detail


Co-transfer of embryos derived from cryopreserved and fresh natural cycle oocytes: a pilot study.
MedLine Citation:
PMID:  18854108     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Italian legislation regarding reproductive medicine prohibits embryo storage while allowing cryopreservation of supernumerary oocytes. This study evaluated the effect of fresh oocytes obtained from natural unstimulated cycles on the clinical success rates derived from the use of frozen-thawed (FR-TH) oocytes obtained following ovarian stimulation. For 36 women, intracytoplasmic sperm injection was performed on FR-TH oocytes supplemented by a fresh oocyte, if available, derived from a natural cycle in which gonadotrophin-releasing hormone-antagonist was used for premature LH surge control. The retrieval rate of fresh oocytes was 61.1% and survival rate of FR-TH oocytes was 43.6%. The fertilization rate of fresh and FR-TH oocytes was 70% and 52.5%, respectively. Fifty embryos were transferred, 14 of them developed from fresh oocytes and 36 from FR-TH oocytes. Six pregnancies occurred in 10 cycles in which the embryos developed from fresh and FR-TH oocytes (pregnancy rate 60.0%) and two in 12 patients in whom the embryos were obtained from only FR-TH oocytes (pregnancy rate 16.7%) (P < 0.05). In summary, the data demonstrate that the transfer of embryos derived from oocytes cryopreserved following a previous ovarian stimulation and an embryo developed from a fresh one retrieved in natural cycle ensures an excellent clinical outcome.
Authors:
E Greco; K Litwicka; S Ferrero; F Sapienza; M G Minasi; M Iacobelli; D Zavaglia; Z P Nagy
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Reproductive biomedicine online     Volume:  17     ISSN:  1472-6491     ISO Abbreviation:  Reprod. Biomed. Online     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-15     Completed Date:  2009-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101122473     Medline TA:  Reprod Biomed Online     Country:  England    
Other Details:
Languages:  eng     Pagination:  530-6     Citation Subset:  IM    
Affiliation:
Assisted Reproduction Centre, European Hospital, Rome, Italy. ergreco1@virgilio.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Cell Count
Cryopreservation*
Embryo Transfer / methods*
Female
Humans
Infertility / therapy
Male
Menstrual Cycle / physiology
Oocyte Retrieval / methods*
Oocytes*
Pilot Projects
Pregnancy
Pregnancy Rate
Sperm Injections, Intracytoplasmic / methods*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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