Blastocyst-stage transfer of poor-quality cleavage-stage embryos results in higher implantation rates.
Fertil Steril
; 75(3): 514-8, 2001 Mar.
Article
in En
| MEDLINE
| ID: mdl-11239534
ABSTRACT
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 <.001). The clinical pregnancy rate per embryo transfer was 27.2% and 33.5% in the two groups, respectively (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.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Embryo Implantation
/
Blastocyst
/
Cleavage Stage, Ovum
/
Embryo, Mammalian
/
Embryo Transfer
Limits:
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Fertil Steril
Year:
2001
Document type:
Article
Affiliation country:
Turkey
Country of publication:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA