The interval between oocyte retrieval and frozen-thawed blastocyst transfer does not affect the live birth rate and obstetrical outcomes

The 'Freeze all' strategy, which consists of cryopreservation of all embryos after the ovarian stimulation has undergone extensive development in the past decade. The time required for the endometrium to revert to a prestimulation state after ovarian stimulation and thus the optimal time t...

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Veröffentlicht in:PloS one 2018-10, Vol.13 (10), p.e0206067-e0206067
Hauptverfasser: Bourdon, Mathilde, Santulli, Pietro, Maignien, Chloé, Pocate-Cheriet, Khaled, Alwohaibi, Asim, Marcellin, Louis, Blais, Sarah, Chapron, Charles
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container_end_page e0206067
container_issue 10
container_start_page e0206067
container_title PloS one
container_volume 13
creator Bourdon, Mathilde
Santulli, Pietro
Maignien, Chloé
Pocate-Cheriet, Khaled
Alwohaibi, Asim
Marcellin, Louis
Blais, Sarah
Chapron, Charles
description The 'Freeze all' strategy, which consists of cryopreservation of all embryos after the ovarian stimulation has undergone extensive development in the past decade. The time required for the endometrium to revert to a prestimulation state after ovarian stimulation and thus the optimal time to perform a deferred embryo transfer after the stimulation has not been determined yet. To investigate the impact of the time from oocyte retrieval to frozen-thawed blastocyst transfer (FBT) on live birth rate (LBR), obstetrical and neonatal outcomes, in 'Freeze-all' cycle. We conducted a large observational cohort study in a tertiary care university hospital including four hundred and seventy-four first autologous FBT performed after ovarian stimulation in 'freeze all' cycles. Reproductive outcomes were compared between FBT performed within the first menstrual cycle after the oocyte retrieval ('cycle 1' group) or delayed FBT ('cycle ≥ 2' group). The main Outcome Measure was the Live birth rate. A total of 188 FBT were included in the analysis in the 'cycle 1' group and 286 in the 'cycle ≥ 2' group. No significant differences were found between FBT performed within the first menstrual cycle after oocyte retrieval (the 'cycle 1' group) and delayed FBT (the 'cycle ≥ 2' group) in terms of the live birth rate [59/188 (31.38%) vs. 85/286 (29.72%); p = 0.696] and the miscarriage rate [20/82 (24.39%) vs. 37/125 (29.60%), respectively; p = 0.413]. The obstetrical and neonatal outcomes were also not significantly different between the two groups. Our study did not detect statistically significant differences in the LBR for FBT performed within the first menstrual cycle after oocyte retrieval versus FBT following subsequent cycles. Embryo-endometrium interaction after a FBT does not appear to be impaired by potential adverse effects of COS whatever the number of cycle between oocyte retrieval and embryo transfer.
doi_str_mv 10.1371/journal.pone.0206067
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The time required for the endometrium to revert to a prestimulation state after ovarian stimulation and thus the optimal time to perform a deferred embryo transfer after the stimulation has not been determined yet. To investigate the impact of the time from oocyte retrieval to frozen-thawed blastocyst transfer (FBT) on live birth rate (LBR), obstetrical and neonatal outcomes, in 'Freeze-all' cycle. We conducted a large observational cohort study in a tertiary care university hospital including four hundred and seventy-four first autologous FBT performed after ovarian stimulation in 'freeze all' cycles. Reproductive outcomes were compared between FBT performed within the first menstrual cycle after the oocyte retrieval ('cycle 1' group) or delayed FBT ('cycle ≥ 2' group). The main Outcome Measure was the Live birth rate. A total of 188 FBT were included in the analysis in the 'cycle 1' group and 286 in the 'cycle ≥ 2' group. No significant differences were found between FBT performed within the first menstrual cycle after oocyte retrieval (the 'cycle 1' group) and delayed FBT (the 'cycle ≥ 2' group) in terms of the live birth rate [59/188 (31.38%) vs. 85/286 (29.72%); p = 0.696] and the miscarriage rate [20/82 (24.39%) vs. 37/125 (29.60%), respectively; p = 0.413]. The obstetrical and neonatal outcomes were also not significantly different between the two groups. Our study did not detect statistically significant differences in the LBR for FBT performed within the first menstrual cycle after oocyte retrieval versus FBT following subsequent cycles. Embryo-endometrium interaction after a FBT does not appear to be impaired by potential adverse effects of COS whatever the number of cycle between oocyte retrieval and embryo transfer.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30339700</pmid><doi>10.1371/journal.pone.0206067</doi><tpages>e0206067</tpages><orcidid>https://orcid.org/0000-0002-4985-7326</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry
subjects Adult
Analysis
Biology and Life Sciences
Birth Rate
Birth rates
Births
Childbirth & labor
Cryopreservation
Delivery, Obstetric
Embryo Transfer
Embryos
Endometrium
Female
Freezing
Gynecology
Health aspects
Humans
In vitro fertilization
Infant, Newborn
Jargon
Live Birth - epidemiology
Logistic Models
Medicine
Medicine and Health Sciences
Menstrual cycle
Miscarriage
Neonates
Newborn infants
Observational studies
Obstetrics
Oocyte Retrieval
Outcome and process assessment (Medical care)
Pregnancy
Pregnancy Outcome - epidemiology
Reproductive health
Reproductive technologies
Reproductive technology
Retrieval
Risk Factors
Statistical analysis
Stimulation
SWOT analysis
Terminology
Time Factors
Ultrasonic imaging
title The interval between oocyte retrieval and frozen-thawed blastocyst transfer does not affect the live birth rate and obstetrical outcomes
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