Autologous endometrial coculture in patients with a previous history of poor quality embryos.

Abstract:

PURPOSE:To evaluate the effect of autologous endometrial coculture in patients (less than 36 years old) with a history of a single IVF failed cycle associated with poor quality embryos. METHODS: DESIGN:Controlled clinical study. SETTING:University-based in vitro fertilization center. PATIENTS:Twenty-six patients with a history of a single prior failed IVF-ET with poor preembryo quality. INTERVENTION(S):Autologous endometrial coculture. MAIN OUTCOME MEASURES:Preembryo blastomere numbers and cytoplasmic fragmentation rates were compared between the treatment and previous cycle. Clinical pregnancy rates were analyzed. RESULTS:Twenty-six women with an average age of 32.8 +/- 2.9 years underwent treatment. On Day 3 the overall mean number of blastomeres per preembryo on coculture compared to conventional medium in a previous cycle was 6.1 +/- 1.8 vs. 5.1 +/- 1.3 (P = 0.01; Wilcoxon test). The average percentage of cytoplasmic fragments on coculture compared to the conventional medium in a previous cycle was 14% +/- 10 vs. 22% +/- 13 (P = 0.003; Wilcoxon test). At transfer the mean number of blastomeres per preembryo on coculture was 7.4 +/- 1.8 compared to 6.7 +/- 1.5 on conventional medium in a previous cycle (P = 0.02; Wilcoxon test). The clinical pregnancy rate (positive fetal cardiac activity) per patient was 88.5%. The delivery rate was 73.1% (19/26). CONCLUSIONS:There was an improvement in the preembryo quality for preembryos on autologous endometrial coculture compared to noncocultured preembryos from the same patient in a previous cycle. An excellent delivery rate was subsequently found.

journal_name

J Assist Reprod Genet

authors

Spandorfer SD,Barmat L,Navarro J,Burmeister L,Veeck L,Clarke R,Liu HC,Rosenwaks Z

doi

10.1023/a:1016062508127

keywords:

subject

Has Abstract

pub_date

2002-07-01 00:00:00

pages

309-12

issue

7

eissn

1058-0468

issn

1573-7330

journal_volume

19

pub_type

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