Routine laser assisted hatching results in significantly increased clincal pregnancies.

Abstract:

PURPOSE:To elucidate the appropriateness of current indications for assisted hatching (AH) in cleavage stage human embryos and to confirm our preliminary findings that only young patients (about 67%) benefit from AH. METHODS:Prior to transfer, 2 of 3 embryos selected for ET were subjected to laser assisted hatching (LAH). Control group consisted of patients matched by similar characteristics and protocol except LAH was not performed. RESULTS:The clinical pregnancy rate in women < or = 36 years was 64.9% (24/37) for embryos subjected to LAH but was significantly lower (p = 0.029) in the control (33.3%; 10/30). The implantation rate in women < or = 36 years in the test group was 38.1% (40/105) that was significantly higher than that of the control group (17.5%, 14/80; p = 0.0039). CONCLUSIONS:LAH is beneficial for women < or = 36 years but not for women > or = 37 years, for embryos with thin zonae (< or = 16 micron) but not with thick zonae (> or = 17 micron), and for those with repeated failures (37-50%).

journal_name

J Assist Reprod Genet

authors

Ali J,Rahbar S,Burjaq H,Sultan AM,Al Flamerzi M,Shahata MA

doi

10.1023/a:1023665909123

keywords:

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

177-81

issue

5

eissn

1058-0468

issn

1573-7330

journal_volume

20

pub_type

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