The Effect of GH Administration on Oocyte and Zygote Quality in Young Women With Repeated Implantation Failure After IVF

Autor: Maribel Galán-Lázaro, Cristina Conde-López, Jan Tesarik, Agnese M Chiara-Rapisarda, Raquel Mendoza-Tesarik
Jazyk: angličtina
Rok vydání: 2020
Předmět:
0301 basic medicine
Adult
Pregnancy Rate
Zygote
Endocrinology
Diabetes and Metabolism

medicine.medical_treatment
030209 endocrinology & metabolism
Fertilization in Vitro
lcsh:Diseases of the endocrine glands. Clinical endocrinology
Andrology
03 medical and health sciences
0302 clinical medicine
Implantation failure
Endocrinology
Ovulation Induction
Pregnancy
growth hormome
Medicine
Humans
Embryo Implantation
Birth Rate
implantation rate
Original Research
Retrospective Studies
In vitro fertilisation
lcsh:RC648-665
business.industry
Human Growth Hormone
Embryo
Retrospective cohort study
Oocyte
Embryo Transfer
live birth rate
030104 developmental biology
medicine.anatomical_structure
embryonic structures
Oocytes
embryo quality
Female
oocyte quality
business
Live birth
Live Birth
Embryo quality
Zdroj: Frontiers in Endocrinology, Vol 11 (2020)
Frontiers in Endocrinology
ISSN: 1664-2392
Popis: Growth hormone (GH) has been shown to improve implantation and live birth rates in women of >40 years of age treated by in vitro fertilization (IVF). This effect was initially attributed to a GH effect on oocyte quality, but later studies showed that GH can also improve uterine receptivity for embryo implantation. As to younger women with previous failures of embryo implantation after IVF, data reported in the literature are ambiguous. This retrospective study focused on this latter category of women, comparing the numbers and morphological appearance of oocytes recovered from women with two previous IVF failures, aged between 30 and 39 years and treated with GH, with a comparable group of women without GH treatment. These results were complemented with the analysis of morphological markers of zygote and embryo quality and IVF clinical outcomes in both groups. The oocytes, zygotes and embryos from women treated with GH showed better morphological scores, and their uterine transfer resulted in more implantations, pregnancies and live births, as compared with the untreated group. It is concluded that the improvement of IVF outcomes in women with previous repeated IVF failures by exogenous GH administration is, at least partly, related to an increase in oocyte developmental potential. The statistically evident improvement of oocyte and embryo quality is the main finding of this study. Its weakness is its retrospective nature.
Databáze: OpenAIRE