Document Detail


Fertilization outcome, embryo development and birth after unstimulated IVM.
MedLine Citation:
PMID:  20924665     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
METHODS: IVM oocytes were collected 36 h post hCG and matured in vitro for 28-30 h. All oocytes were inseminated by ICSI. Resulting zygotes and embryos were assessed on day-1, 2 and 3, when transfers were made.
RESULTS: The overall oocyte maturation and fertilization rates were 63% and 62%, respectively. Abnormal fertilization rate was 27%. [corrected] Ninety five and 14.6% of the 2Pn zygotes reached the 2-cell and 8-cell stage at day-2 and day-3, respectively. Embryo quality assessment on day-3 at transfer revealed that only 9% of the embryos were of very good quality. Most embryos showed developmental delay. An average of 3.29 embryos were transferred per patient resulting in implantation and clinical gestation rates of 16% and 32%, respectively. Overall 14 healthy babies were born and there is one ongoing pregnancy.
CONCLUSION: Results show a significant rate of abnormal fertilization and poor embryo quality after IVM, which is reflected in a higher than average number of embryos being transferred. However, pregnancy, implantation and birth rates are reasonably high and allow us to consider IVM a valuable approach for the treatment of infertility in PCO or PCOS patients.
Authors:
Adriana Bos-Mikich; Marcelo Ferreira; Marcos Höher; Gerta Frantz; Norma Oliveira; Caroline G Dutra; Nilo Frantz
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Publication Detail:
Type:  Journal Article     Date:  2010-10-06
Journal Detail:
Title:  Journal of assisted reproduction and genetics     Volume:  28     ISSN:  1573-7330     ISO Abbreviation:  J. Assist. Reprod. Genet.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-03-18     Completed Date:  2011-07-08     Revised Date:  2013-05-27    
Medline Journal Info:
Nlm Unique ID:  9206495     Medline TA:  J Assist Reprod Genet     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  107-10     Citation Subset:  IM    
Affiliation:
Department of Morphological Sciences, ICBS, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil, CEP: 90.050-170. adriana.bosmikich@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Embryo Implantation / physiology
Embryonic Development
Female
Fertilization in Vitro*
Humans
Infertility, Female / therapy*
Oocytes / cytology,  growth & development*
Oogenesis
Parturition*
Pregnancy
Pregnancy Rate
Sperm Injections, Intracytoplasmic
Treatment Outcome
Zygote / growth & development
Comments/Corrections
Erratum In:
J Assist Reprod Genet. 2012 Aug;29(8):857

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


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