Literature DB >> 25449291

Clinical outcomes from mature oocytes derived from preovulatory and antral follicles: reflections on follicle physiology and oocyte competence.

Rubens Fadini1, Giovanni Coticchio, Fausta Brambillasca, Mario Mignini Renzini, Paola V Novara, Claudio Brigante, Elena De Ponti, Mariabeatrice Dal Canto.   

Abstract

PURPOSE: The aim of this retrospective study was to compare the competence of oocytes obtained from preovulatory and antral follicles.
METHODS: Mature oocytes from preovulatory follicles were retrieved from women selected for standard IVF treatment (Group A). Mature oocytes from antral follicles were recovered from women undergoing hCG-primed in vitro maturation (IVM) treatment (Group B). Patients groups were matched for age, BMI, FSH, AMH and antral follicle count (AFC) values. In vivo matured oocytes from both groups were microinjected and resulting embryos were culture and selected on day 3 for embryo transfer.
RESULTS: Oocyte pick-ups (OPU) were 315 and 204 in Groups A and B, respectively. Fertilization rates were comparable (72.8 and 75.9 %, respectively; P = 0.137). In Group A, in which the average number of embryos transferred was higher, clinical pregnancy rates per OPU (37.5 %) and embryo transfer (38.4 %) were superior in comparison to Group B (27.0 %, P = 0.013; 29.4 %, P = 0.041; respectively). On the other hand, implantation rates (Group A, 23.7 %; Group B, 20.8 %) and proportions of babies born per transferred embryo (Group A, 19.5 %; Group B, 16.9 %) were similar (P = 0.528 and 0.332, respectively).
CONCLUSIONS: Overall, this suggests that oocyte competence is already achieved at the antral stage of follicle development.

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Year:  2014        PMID: 25449291      PMCID: PMC4354189          DOI: 10.1007/s10815-014-0386-x

Source DB:  PubMed          Journal:  J Assist Reprod Genet        ISSN: 1058-0468            Impact factor:   3.412


  25 in total

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3.  The relationship between follicular fluid aspirate volume and oocyte maturity in in-vitro fertilization cycles.

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6.  Dynamics of follicular growth in the human: a model from preliminary results.

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8.  Cumulus cell-oocyte complexes retrieved from antral follicles in IVM cycles: relationship between COCs morphology, gonadotropin priming and clinical outcome.

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9.  Effect of different gonadotrophin priming on IVM of oocytes from women with normal ovaries: a prospective randomized study.

Authors:  R Fadini; M B Dal Canto; M Mignini Renzini; F Brambillasca; R Comi; D Fumagalli; M Lain; M Merola; R Milani; E De Ponti
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1.  Morphokinetics of embryos developed from oocytes matured in vitro.

Authors:  Mariabeatrice Dal Canto; Paola V Novara; Giovanni Coticchio; Mario Mignini Renzini; Fausta Brambillasca; Claudio Brigante; Elena De Ponti; Rubens Fadini
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2.  Direct actions of androgen, estrogen and anti-Müllerian hormone on primate secondary follicle development in the absence of FSH in vitro.

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