A prospective study of prognostic factors in in vitro fertilization and embryo transfer.

Abstract:

:Multiple factors influence the outcome of in vitro fertilization and embryo transfer (IVF-ET). This prospective study was designed to assess their relative importance, in order to improve prognostic ability and treatment success. Prior to IVF-ET, couples were divided into "good" (GP) and "poor" (PP) prognosis groups according to female age, semen quality, previous response to stimulation, and embryo quality. The data obtained from 716 consecutive treatment cycles then were evaluated using univariate statistics and logistic regression, a technique designed to assess the relative contribution of significant factors. The pregnancy rate per GP cycle was 14.7%, compared with 5.4% per PP cycle (chi 1(2) = 12.7, P less than 0.001). The most important prognostic factors were female age, the pregnancy rate showing a linear decline after the age of 25, and previous failed fertilization due to abnormal sperm. The rate of pregnancy also declined after 14 or more follicles were aspirated and/or nine oocytes were retrieved. A formula for the probability of pregnancy, derived from the logistic regression, provides patients with a more accurate prognosis before treatment.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Hughes EG,King C,Wood EC

doi

10.1016/s0015-0282(16)60676-3

subject

Has Abstract

pub_date

1989-05-01 00:00:00

pages

838-44

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)60676-3

journal_volume

51

pub_type

杂志文章
  • Pronuclear stage cryopreservation after intracytoplasmic sperm injection and conventional IVF: implications for timing of the freeze.

    abstract:OBJECTIVE:To compare clinical outcomes of frozen embryo transfers using cryopreserved pronuclear stage oocytes that had undergone either intracytoplasmic sperm injection (ICSI) or conventional IVF. DESIGN:Observational. SETTING:A tertiary referral reproductive medicine unit. PATIENT(S):Couples undergoing either ICSI...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0015-0282(99)00444-6

    authors: Damario MA,Hammitt DG,Galanits TM,Session DR,Dumesic DA

    更新日期:1999-12-01 00:00:00

  • Adhesion formation from release of dermoid contents in the peritoneal cavity and effect of copious lavage: a prospective, randomized, blinded, controlled study in a rabbit model.

    abstract:OBJECTIVES:To determine, in a rabbit model, whether peritoneal exposure to dermoid cyst material produces inflammation and adhesions above control levels and whether saline lavage reduces the degree of peritoneal reaction. DESIGN:A prospective, randomized, blinded, controlled study of adhesion formation. Thirty New Ze...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)58225-9

    authors: Fielder EP,Guzick DS,Guido R,Kanbour-Shakir A,Krasnow JS

    更新日期:1996-04-01 00:00:00

  • Anti-annexin V antibodies in patients with early pregnancy loss or implantation failures.

    abstract:OBJECTIVE:To describe the prevalence of annexin V antibodies (aANX) in women with early recurrent pregnancy losses (RPLs) or recurrent IVF-ET failure. DESIGN:Retrospective data analysis. SETTING:Tokai University Hospital, Kanagawa, Japan. PATIENT(S):Two hundred thirty-eight patients with RPLs, 48 patients with recur...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(01)02009-x

    authors: Matsubayashi H,Arai T,Izumi S,Sugi T,McIntyre JA,Makino T

    更新日期:2001-10-01 00:00:00

  • Hyaluronic acid binding and acrosin activity are decreased in sperm from men with spinal cord injury.

    abstract::In this study, acrosin activity and hyaluronic acid binding were compared in sperm from men with spinal cord injury versus sperm from healthy controls. The results showed statistically significantly lower acrosin activity and statistically significantly lower hyaluronic acid binding in spinal cord injured patients com...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2010.01.015

    authors: Iremashvili V,Brackett NL,Ibrahim E,Aballa TC,Bruck D,Lynne CM

    更新日期:2010-10-01 00:00:00

  • A simple and sensitive nonradioactive method for the detection of urinary human chorionic gonadotropin and diagnosis of early human pregnancy. II. Single-unit test.

    abstract::A simple, sensitive, and reliable single-unit nonradioactive method for the detection of human chorionic gonadotropin (hCG) in concentrated urine and the diagnosis of early pregnancy is reported. This unit, presently termed the Ayerst pregnancy test kit (APTK), consists of four components: a sampler-filter paper cone,...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)44299-8

    authors: Banik UK,Hirsch MA,Irvine DS,Krupey J,Hurwitz A,Singh K,Wetzel J,Givner ML

    更新日期:1979-10-01 00:00:00

  • Effect of a phosphodiesterase type 3 inhibitor in oocyte maturation medium on subsequent mouse embryo development.

    abstract:OBJECTIVE:To investigate the effect of a phosphodiesterase type 3 inhibitor in oocyte maturation medium on subsequent embryo development. DESIGN:Animal study. SETTING:University laboratory. ANIMAL(S):CD-1 mice. INTERVENTION(S):Immature oocytes were arrested meiotically in medium containing a specific phosphodiester...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2008.03.041

    authors: Jee BC,Chen HY,Chian RC

    更新日期:2009-05-01 00:00:00

  • Videolaseroscopy for the treatment of endometriosis associated with infertility.

    abstract::Recent advances in laparoscopic surgery have enabled the gynecologic surgeon to treat an increased number of diseases of the reproductive organs by using the laser through the laparoscope. This article reviews the results of 243 patients with infertility associated with endometriosis ranging in severity from mild to e...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)60483-1

    authors: Nezhat C,Crowgey S,Nezhat F

    更新日期:1989-02-01 00:00:00

  • A new concept for anastomosis of the fallopian tube: tissue reconstruction with nonpenetrating, arcuate, legged clips in the rat model.

    abstract:OBJECTIVE:To evaluate the titanium Kirsch-Zhu microclip microsurgical reanastomoses of the fallopian tubes. DESIGN:Compare the reanastomoses of the rat uterine horn between Kirsch-Zhu clips (Cushman Engineering, Albuquerque, NM) (group A) and conventional suture microsurgical techniques (group B). SETTING:Microsurger...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)56955-6

    authors: Tredway DR,Kirsch WM,Zhu YH,Weber K,Norburg M,Saukel GW,Seraj I

    更新日期:1994-09-01 00:00:00

  • Occurrence of a spontaneous luteinizing hormone surge in superovulated cycles--predictive value of serum progesterone.

    abstract::A preovulatory increase in serum progesterone (P) precedes the occurrence of an endogenous luteinizing hormone (LH) surge in a majority of women. This study evaluates whether a single daily measurement of serum P could reliably identify a spontaneous LH surge in women undergoing controlled ovarian hyperstimulation. Ei...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)59654-x

    authors: Serafini P,Stone B,Kerin J,Batzofin J,Quinn P,Marrs RP

    更新日期:1988-01-01 00:00:00

  • Undetectable serum anti-Müllerian hormone levels and occurrence of ongoing pregnancy.

    abstract:OBJECTIVE:To discuss, on the basis of the experience of two clinical cases and extensive literature review, the significance of extremely low levels of anti-Müllerian hormone (AMH), also known as Müllerian-inhibiting substance, in infertile women. DESIGN:Case report. SETTING:University-based infertility clinic at a m...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,评审

    doi:10.1016/j.fertnstert.2007.03.084

    authors: Fraisse T,Ibecheole V,Streuli I,Bischof P,de Ziegler D

    更新日期:2008-03-01 00:00:00

  • The effect of preimplantation culture conditions on murine embryo implantation and fetal development.

    abstract::Ham's F-10 medium (Gibco, Grand Island, NY) and medium T6 with and without 15% fetal calf serum (FCS) were compared for their ability to support development of murine blastocysts with the capacity to implant and produce normal fetuses when transferred to pseudopregnant females. All media supported equal rates of blast...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)59545-4

    authors: Arny M,Nachtigall L,Quagliarello J

    更新日期:1987-11-01 00:00:00

  • Lack of correlation between oocyte-corona-cumulus complex morphology and nuclear maturity of oocytes collected in stimulated cycles for intracytoplasmic sperm injection.

    abstract:OBJECTIVE:To evaluate the usefulness of morphology grading of the oocyte-corona-cumulus complex (OCCC) as a marker of oocyte nuclear maturity, fertilizability, embryo cleavage, and likelihood of pregnancy. DESIGN:Prospective cohort study. SETTING:Academic fertility center. PATIENT(S):Eighty-three infertile couples u...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(99)00100-4

    authors: Rattanachaiyanont M,Leader A,Léveillé MC

    更新日期:1999-05-01 00:00:00

  • Impact of infertility treatments on the health of newborns.

    abstract:OBJECTIVE:To measure the use of infertility treatments in the general population and their association with neonatal health. DESIGN:Cross-sectional, population-based study. SETTING:Canton of Vaud, Switzerland; Etude du Developpement des Nouveau-nés (EDEN), a prospective study of chronic childhood conditions. PATIENT...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(97)00468-8

    authors: Addor V,Santos-Eggimann B,Fawer CL,Paccaud F,Calame A

    更新日期:1998-02-01 00:00:00

  • Vitrification and xenografting of human ovarian tissue.

    abstract:OBJECTIVE:To assess the efficiency of two vitrification protocols to cryopreserve human preantral follicles with the use of a xenografting model. DESIGN:Pilot study. SETTING:Gynecology research unit in a university hospital. PATIENT(S):Ovarian biopsies were obtained from seven women aged 30-41 years. INTERVENTION(S...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2012.07.1109

    authors: Amorim CA,Dolmans MM,David A,Jaeger J,Vanacker J,Camboni A,Donnez J,Van Langendonckt A

    更新日期:2012-11-01 00:00:00

  • Correlation of human menopausal gonadotropin/human chorionic gonadotropin stimulation and oocyte quality in an in vitro fertilization program.

    abstract::One hundred forty-seven cycles in normal ovulatory patients are reported. All were stimulated with human menopausal/human chorionic gonadotropin. Three estrogen responses were identified: normal, high, and low. Patients who achieved pregnancy formed a fourth category, the pregnancy group. The number of preovulatory an...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)47590-4

    authors: Acosta AA,Jones GS,Garcia JE,Sandow B,Veeck L,Mantzavinos T

    更新日期:1984-02-01 00:00:00

  • Aromatase inhibitor letrozole: a novel treatment for ectopic pregnancy.

    abstract:OBJECTIVE:To study the use of the aromatase inhibitor letrozole for treatment of ectopic pregnancy compared with methotrexate. DESIGN:Nonrandomized prospective cohort study. SETTING:University hospital. PATIENT(S):A series of 42 consecutive patients with undisturbed ectopic pregnancy. INTERVENTION(S):Counseling on ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2020.04.001

    authors: Mitwally MF,Hozayen WG,Hassanin KMA,Abdalla KA,Abdalla NK

    更新日期:2020-08-01 00:00:00

  • Expression of integrin messenger ribonucleic acid in human endometrium: a quantitative reverse transcription polymerase chain reaction study.

    abstract:OBJECTIVE:To assess the expression of selected integrin subunit's messenger RNA (mRNA) in human endometrium during the menstrual cycle. DESIGN:A prospective comparative study. SETTING:Academic research environment. PATIENT(S):Premenopausal women with histologically normal endometrium who were undergoing hysterectomy...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(98)00460-9

    authors: Dou Q,Williams RS,Chegini N

    更新日期:1999-02-01 00:00:00

  • Semen profile, testicular volume, and hormonal levels in infertile patients with varicoceles compared with fertile men with and without varicoceles.

    abstract:OBJECTIVE:To assess semen analysis, testicular volume, and hormone levels in fertile and infertile patients with varicoceles and fertile men without varicoceles. DESIGN:Retrospective study. SETTING:Academic medical center. PATIENT(S):Patients were divided into three groups: fertile men with varicoceles (n = 79), inf...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2004.06.047

    authors: Pasqualotto FF,Lucon AM,de Góes PM,Sobreiro BP,Hallak J,Pasqualotto EB,Arap S

    更新日期:2005-01-01 00:00:00

  • Pregnancy outcomes from more than 1,800 in vitro fertilization cycles with the use of 24-chromosome single-nucleotide polymorphism-based preimplantation genetic testing for aneuploidy.

    abstract:OBJECTIVE:To measure in vitro fertilization (IVF) outcomes following 24-chromosome single‒nucleotide-polymorphism (SNP)-based preimplantation genetic testing for aneuploidy (PGT-A) and euploid embryo transfer. DESIGN:Retrospective. SETTING:Fertility clinics and laboratory. PATIENT(S):Women 20-46 years of age undergo...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2018.03.026

    authors: Simon AL,Kiehl M,Fischer E,Proctor JG,Bush MR,Givens C,Rabinowitz M,Demko ZP

    更新日期:2018-07-01 00:00:00

  • Intracytoplasmic sperm injection for treatment of infertility due to acrosomal enzyme deficiency.

    abstract:OBJECTIVE:To determine whether absence of fertilization in IVF associated with an acrosomal enzyme defect (hyaluronidase deficiency) results from a simple mechanical block to sperm penetration or from a more serious sperm abnormality. DESIGN:Nonrandomized, prospective study. SETTING:Toronto Center for Advanced Reprod...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Abdul-Aziz M,Meriano J,Casper RF

    更新日期:1996-05-01 00:00:00

  • Effective treatment of severe menstrual migraine headaches with gonadotropin-releasing hormone agonist and "add-back" therapy.

    abstract:OBJECTIVE:To determine the efficacy of treating women with severe menstrual migraine headaches with GnRH agonist (GnRH-a) therapy, alone and combined with continuous estrogen-progestin "add-back." DESIGN:Nonrandomized, prospective treatment study. SETTING:Outpatient clinic in a university medical center. PATIENT(S):...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章

    doi:10.1016/S0015-0282(97)81928-0

    authors: Murray SC,Muse KN

    更新日期:1997-02-01 00:00:00

  • Interaction between human cervical mucus and sperm surface antibodies.

    abstract::The immunobead test was used to study the immunoglobulin class of antibodies on sperm before and after penetration through a microcolumn of cervical mucus. Sixteen men with positive sperm antibodies (positive sperm immobilization test) and sperm that penetrated cervical mucus in prior tests were selected for study. Ho...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)48916-8

    authors: Wang C,Baker HW,Jennings MG,Burger HG,Lutjen P

    更新日期:1985-10-01 00:00:00

  • Prenatal hyperandrogenism and lipid profile during different age stages: an experimental study.

    abstract:OBJECTIVE:The present study investigates the effect of prenatal hyperandrogenization on lipid metabolism and oxidant/antioxidant balance. DESIGN:Experimental study. SETTING:Research institute. ANIMAL(S):Pregnant Sprague Dawley rats were subcutaneously injected with 2 mg free T between days 16 and 19 of pregnancy, an...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2012.10.017

    authors: Heber MF,Ferreira SR,Vélez LM,Motta AB

    更新日期:2013-02-01 00:00:00

  • The cofactor effect: varicocele and infertility.

    abstract::The varicocele may be a cofactor that, when potentiated by other cofactors (i.e., gonadotoxins), causes male infertility. This hypothesis could explain the unpredictable effects of the varicocele on fertility. Male rats with experimental varicoceles, sham surgery, or no surgery were treated for 30 days with the known ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Peng BC,Tomashefsky P,Nagler HM

    更新日期:1990-07-01 00:00:00

  • Characterization of exosomes in peritoneal fluid of endometriosis patients.

    abstract:OBJECTIVE:To demonstrate the feasibility of studying exosomes directly from peritoneal fluid, we isolated exosomes from endometriosis patient samples and from controls, and characterized their cargo. DESIGN:Case-control experimental study. SETTING:Academic clinical center. PATIENT (S):Women with and without endometr...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2019.09.032

    authors: Nazri HM,Imran M,Fischer R,Heilig R,Manek S,Dragovic RA,Kessler BM,Zondervan KT,Tapmeier TT,Becker CM

    更新日期:2020-02-01 00:00:00

  • Long-term effect of D-Trp6-luteinizing hormone-releasing hormone on testicular size and luteinizing hormone, follicle-stimulating hormone, and testosterone levels in hypothalamic hypogonadotropic males.

    abstract::Six men, ages 18 to 34 years, with hypothalamic hypogonadotropism were treated with D-Trp6-luteinizing hormone-releasing hormone (10 micrograms intramuscularly on alternate days) for a period of 6 months. They underwent an intravenous luteinizing hormone-releasing hormone (LH-RH) test (50 micrograms/sq m) before and a...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)45381-1

    authors: Laron Z,Dickerman Z,Ben Zeev Z,Prager-Lewin R,Comaru-Schally AM,Schally AV

    更新日期:1981-03-01 00:00:00

  • Follicle-stimulating hormone. IV. Study of the histology of pubertal cryptorchid and scrotal testes in relation to the secretion of gonadotropins.

    abstract::The morphologic characteristics of 85 cryptorchid and 63 contralateral (scrotal) testes showing histologic changes of puberty were studied. Spermatogenesis was not only delayed on the cryptorchid side but also hypocellular in all cases. The scrotal testes appeared hypocellular in 82.5% of the cases. Repetitive biopsie...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)46346-6

    authors: Schindler AM,Diaz P,Cuendet A,Sizonenko PC

    更新日期:1982-06-01 00:00:00

  • Detection of endometriosis with the use of plasma protein profiling by surface-enhanced laser desorption/ionization time-of-flight mass spectrometry.

    abstract::In this prospective case-control study, we determined the role of surface-enhanced laser desorption and ionization time-of-flight mass spectrometry in the detection of histologically proven endometriosis. In the plasma of the group with endometriosis, there were 20 different protein peaks, and the classifier showed a ...

    journal_title:Fertility and sterility

    pub_type: 信件

    doi:10.1016/j.fertnstert.2006.08.095

    authors: Liu H,Lang J,Zhou Q,Shan D,Li Q

    更新日期:2007-04-01 00:00:00

  • Recombinant technique and gonadotropins production: new era in reproductive medicine.

    abstract:OBJECTIVE:To review current knowledge regarding recombinant DNA technology and its safety and efficacy in relation to recombinant gonadotropin production. DATA IDENTIFICATION AND SELECTION:Studies that relate specifically to recombinant DNA technology, method of laboratory production, and the clinical aspects of using...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,评审

    doi:10.1016/s0015-0282(16)58437-4

    authors: Shoham Z,Insler V

    更新日期:1996-08-01 00:00:00

  • Minnesota Multiphasic Personality Inventory (MMPI-2) profiles in the assessment of ovum donors.

    abstract:OBJECTIVE:To examine the relationship between MMPI-2 scores and oocyte donation outcome. DESIGN:Descriptive chart review. SETTING:Two oocyte donation programs. SUBJECT(S):Five hundred anonymous oocyte donor applicants. INTERVENTION(S):None. MAIN OUTCOME MEASURE(S):Demographics, MMPI-2 scores and donation outcome. ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2009.08.064

    authors: Klock SC,Covington SN

    更新日期:2010-10-01 00:00:00