Comparison of unilateral and bilateral tubal transfer in gamete intrafallopian transfer (GIFT)

Gamete intrafallopian, transfer (GIFT) is traditionally performed by delivering gametes into the ampullary region of either one or two fallopian tubes. The choice is made by the surgeon at the time of laparoscopy based upon the patient's anatomy, the number of oocytes available, and clinical judgment. In this nonrandomized, retrospective review, 399 tubal gamete transfers were performed over a period of 18 months, 133 to a single tube and 266 to both tubes. A clinical pregnancy rate of approximately 24% was observed in each modality. The multiple pregnancy rate of 31.3% for one tube was not significantly different from the 25% seen for two tubes. Unilateral tubal transfer offers the distinct advantages of less gamete and tissue handling. This, along with the apparent same outcome parameters, makes unilateral tubal transfer the preferred method of returing gametes at GIFT. Similar content being viewed by others

Braeckmans P, Devroey P, Camus P, Kahn I, Staessen C, Smitz J, Van Vaesberghe L, Wisanto A, Van Steirteghem AC: Gamete intrafallopian transfer: Evaluation of 100 consecutive attempts. Hum Reprod 1987;2:201 Haines CJ, O'Shea RT: Unilateral gamete intrafallopian transfer: The preferred method? Fertil Steril 1989; 51:518 O'Shea RT, Haines CJ, Jones WR: Unilateral versus bilateral gamete intrafallopian transfer—A prospective randomised controlled trial. Presented at the 45th annual meeting of the American Fertility Society, San Francisco, CA, November 13–16, 1989, abstract P-220 Penzias AS, Thompson IE, Alper MM, Oskowitz SP, Berger MJ: Successful use of gamete intrafallopian transfer (GIFT) does not reverse the decline in fertility in women over 40 years of age. Obstet Gynecol 1991;77:37–39 Penzias AS, Alper MM, Oskowitz SP, Berger MJ, Thompson IE: Gamete intrafallopian transfer (GIFT): Assessment of the optimal number of oocytes to transfer. Fertil Steril 1991;55:311–313 Bates RG, Fielding PM, Lindsay KS, White NJ, Edmonds DK: Programmed gamete intrafallopian transfer (GIFT). Br J Obstet Gynecol 1988;95:1220 Yee B, Rosen GF, Chacon RR, Soubra S, Stone S: Gamete intrafallopian transfer: The effect of the number of eggs used and the depth of gamete placement on pregnancy initiation. Fertil Steril 1989;52:639–644 Author information Authors and Affiliations Rights and permissions About this article Cite this article Penzias, A.S., Alper, M.M., Oskowitz, S.P. et al. Comparison of unilateral and bilateral tubal transfer in gamete intrafallopian transfer (GIFT). J Assist Reprod Genet 8, 276–278 (1991). https://doi.org/10.1007/BF01139784 Received: Accepted: Issue date: DOI: https://doi.org/10.1007/BF01139784