Storage time does not influence pregnancy and neonatal outcomes for first single vitrified high-quality blastocyst transfer cycle

Does blastocyst storage time have an impact on pregnancy and neonatal outcomes following the first single vitrified/warmed high-quality blastocyst transfer cycle for young women? Retrospective cohort study in a university-affiliated reproductive medical centre. A total of 2938 patients undergoing their first frozen embryo transfer (FET) cycle with a single high-quality blastocyst (Day 5: 3BB and above; Day 6: 4BB and above) transferred were divided into five groups: Group A with storage time ≤3 months (n = 1621), Group B with storage time of 4–6 months (n = 657), Group C with storage time of 7–12 months (n = 225), Group D with storage time of 13–24 months (n = 104), and Group E with storage time of 25–98 months (n = 331). After adjusting for confounding factors by multivariate logistic regression, there were no significant differences in live birth rate [Group A as reference; Group B: adjusted odds ratio (aOR) 0.954 (95% CI 0.791– 1.151); Group C: aOR 0.905 (95% CI 0.674–1.214); Group D: aOR 0.727 (95% CI 0.474–1.114); Group E: aOR 1.185 (955 CI 0.873–1.608)], β-human-chorionic-gonadotropin-positive rate, clinical pregnancy rate and miscarriage rate between Group A and the other groups. Among all singletons born after FET, there were no significant differences with regards to gestational age, preterm birth, birthweight, low birthweight, high birthweight and macrosomia. Long-term cryostorage of human vitrified high-quality blastocysts does not affect pregnancy or neonatal outcomes.