Vitrification of human early cavitating and deflated expanded blastocysts: clinical outcome of 474 cycles

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Vitrifying early cavitating human blastocysts resulted in higher post-thaw survival rates compared to deflated expanded blastocysts, though implantation and pregnancy rates were similar.

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This study compared the post-thaw survival and clinical outcomes of vitrified human early cavitating blastocysts versus deflated expanded blastocysts across 474 cycles. The results demonstrated that early cavitating blastocysts had a significantly higher survival rate after thawing compared to deflated expanded blastocysts, which required invasive aspiration procedures. Despite the difference in survival rates, there was no significant difference in implantation or pregnancy rates between the two groups. The authors concluded that early cavitating blastocysts represent the ideal stage for cryopreservation due to superior survival and avoidance of additional manipulation. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

PURPOSE: The present study was undertaken to evaluate and compare the post thaw survival, implantation and pregnancy rates of vitrified human early cavitating blastocysts with deflated expanded blastocysts. MATERIAL AND METHODS: Supernumerary blastocysts were vitrified in 30% ethylene glycol-dimethyl sulphoxide based solution using cryoloop. Fully expanded blastocysts were deflated by gentle aspiration of the blastocoelic fluid using a micromanipulator until the cavity collapses prior to vitrification. RESULTS: Of the 576 vitrified blastocysts, 545 (94.61%) survived thawing in the early cavitating blastocyst group which was significantly higher than deflated expanded blastocyst group, in which only 370 survived thawing out of 459 (80.62%). However, no significant difference was observed in implantation and pregnancy rates between early cavitating and deflated expanded blastocyst groups. CONCLUSIONS: Early cavitating blastocyst would be the ideal stage for cryopreservation of human blastocysts as it has higher survival rate and avoids additional invasive procedures like deflation of the blastocoele.
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Abstract

Purpose The present study was undertaken to evaluate and compare the post thaw survival, implantation and pregnancy rates of vitrified human early cavitating blastocysts with deflated expanded blastocysts.

Material and methods

Supernumerary blastocysts were vitrified in 30% ethylene glycol-dimethyl sulphoxide based solution using cryoloop. Fully expanded blastocysts were deflated by gentle aspiration of the blastocoelic fluid using a micromanipulator until the cavity collapses prior to vitrification.

Results

Of the 576 vitrified blastocysts, 545 (94.61%) survived thawing in the early cavitating blastocyst group which was significantly higher than deflated expanded blastocyst group, in which only 370 survived thawing out of 459 (80.62%). However, no significant difference was observed in implantation and pregnancy rates between early cavitating and deflated expanded blastocyst groups.

Conclusions

Early cavitating blastocyst would be the ideal stage for cryopreservation of human blastocysts as it has higher survival rate and avoids additional invasive procedures like deflation of the blastocoele. Similar content being viewed by others

References

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Author information Authors and Affiliations Corresponding author Additional information Capsule Survival during freeze thaw is stage specific and early cavitating blastocyst is the ideal stage for vitrification. Rights and permissions About this article Cite this article Raju, G.A.R., Prakash, G.J., Krishna, K.M. et al. Vitrification of human early cavitating and deflated expanded blastocysts: clinical outcome of 474 cycles. J Assist Reprod Genet 26, 523–529 (2009). https://doi.org/10.1007/s10815-009-9356-0 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s10815-009-9356-0

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MeSH descriptors

Blastocyst Cryopreservation Embryo Implantation Pregnancy Rate Blastocyst Blastocyst Blastocyst Cryopreservation Culture Techniques Dimethyl Sulfoxide Dimethyl Sulfoxide Ethylene Glycol Ethylene Glycol Female Humans Pregnancy Survival Analysis

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