Document Detail


Successful implantation of frozen sibling embryos is influenced by the outcome of the cycle from which they were derived.
MedLine Citation:
PMID:  7843428     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine if the success of frozen embryos obtained from assisted reproductive technology (ART) cycles is dependent upon the outcome of the ART cycle from which they were derived and to determine if the length of time in cryostorage affects pregnancy rates (PRs). DESIGN: Retrospective analysis of pregnancy outcome of consecutive frozen ETs compared with their corresponding "'fresh" cycles. SETTING: University-affiliated private ART program. PATIENTS: Between July 1986 and December 1992, 375 oocyte retrieval cycles had at least one subsequent frozen ET for comparison. Of the 375 patients, 94 achieved a clinical pregnancy during their fresh cycle (group A) and 281 patients did not (group B). INTERVENTIONS: Frozen ETs were performed using either natural (unstimulated) cycles (n = 79) or artificial cycles (n = 296). Transfers during natural cycles were timed with a combination of serum LH levels and ultrasound (US). These transfers were performed 2 days after ovulation. Ovarian suppression with leuprolide acetate followed by sequential estrogen and P replacement were used in the artificial cycles. These transfers were performed on the 3rd day of P administration. Clinical pregnancies were defined as the presence of a gestational sac on transvaginal US. MAIN OUTCOME MEASURES: Patients were compared based on the pregnancy outcome of their frozen ET cycle and fresh ART cycle. chi 2 analysis and Student's-tests were used to test for statistical significance. RESULTS: Twenty-three patients (24.1%) from group A achieved a pregnancy from their frozen transfers compared with only 24 patients (8.5%) in group B who achieved a pregnancy from their frozen cycle. PRs did not differ based on the method of follicle aspiration, laparoscopy versus transvaginal US retrieval. Significantly lower PRs were noted in frozen ETs done within the first 10 months after cryopreservation compared with fresh cycle PRs. CONCLUSIONS: Sibling embryos from a prior successful ART cycle are more likely to initiate a frozen pregnancy and prolonged cryostorage did not affect PRs. This higher PR probably reflects better quality in both fresh and frozen embryos. Therefore, the outcome of the initial cycle can be used to predict the success or failure of subsequent frozen transfers and oocyte-embryo quality appears to be key.
Authors:
Y P Lin; D L Cassidenti; R R Chacon; S S Soubra; G F Rosen; B Yee
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  63     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  1995 Feb 
Date Detail:
Created Date:  1995-03-09     Completed Date:  1995-03-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  262-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Long Beach Memorial Medical Center.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cryopreservation*
Embryo Implantation*
Embryo Transfer*
Estradiol / therapeutic use
Female
Fertilization in Vitro
Gamete Intrafallopian Transfer
Humans
Leuprolide / therapeutic use
Luteinizing Hormone / blood
Ovulation
Pregnancy
Progesterone / therapeutic use
Reproductive Techniques*
Retrospective Studies
Chemical
Reg. No./Substance:
50-28-2/Estradiol; 53714-56-0/Leuprolide; 57-83-0/Progesterone; 9002-67-9/Luteinizing Hormone
Comments/Corrections
Comment In:
Fertil Steril. 1995 Nov;64(5):1046   [PMID:  7589628 ]

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


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