Blastocyst-stage transfer of poor-quality cleavage-stage embryos results in higher implantation rates
| Autor: | Cengiz Alatas, Bulent Urman, Ramazan Mercan, Basak Balaban, Senai Aksoy, Aycan Isiklar |
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| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
animal structures Cleavage Stage Ovum Biology Pregnancy Culture Techniques medicine Humans Embryo Implantation Blastocyst Gynecology Obstetrics and Gynecology Embryo culture Embryo Embryo Transfer Embryo Mammalian medicine.disease Embryo transfer Abortion Spontaneous Pregnancy rate medicine.anatomical_structure Reproductive Medicine embryonic structures Gestation Female Pregnancy Multiple Embryo quality |
| Zdroj: | Fertility and Sterility. 75:514-518 |
| ISSN: | 0015-0282 |
| Popis: | Objective: To determine the feasibility and success of blastocyst-stage embryo transfers in patients having only fair and poor quality cleavage-stage embryos on day 3. Design: Prospective case study with historic controls. Setting: Tertiary care private hospital IVF center. Patient(s): A total of 158 day 5 embryo transfer cycles in patients with grade 3 and grade 4 cleavage-stage embryos. Control group consisted of 162 day 3 transfer cycles performed with embryos of similar quality. Intervention(s): In vitro culture of embryos up to the blastocyst stage. Main Outcome Measure(s): The percentage of cycles that culminated in the transfer of at least one blastocyst and implantation and pregnancy rate related to the day of transfer. Result(s): In the day 3 transfer group, a mean of 5.2 embryos were replaced per patient. This was significantly more than the mean of 2.4 embryos that could be replaced on day 5 ( P P >.05). The implantation rate per embryo was significantly higher in the day 5 transfer group (15% vs. 5.9%). The multiple pregnancy and abortion rates were similar between the groups. Conclusion(s): Transfer of fair and poor quality embryos at the blastocyst stage is feasible and is associated with higher implantation rates as compared to transfer of similar quality embryos on day 3. |
| Databáze: | OpenAIRE |
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