Are poor responders patients at higher risk for producing aneuploid embryos in vitro?

Purpose To test the hypothesis that aged women with poor ovarian response express an increase on embryo chromosomal alterations when compared to aged women who presented normal response. Methods Couples undergoing intracytoplasmic sperm injection cycles with preimplantation genetic screening, were s...

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Veröffentlicht in:Journal of assisted reproduction and genetics 2011-05, Vol.28 (5), p.399-404
Hauptverfasser: Setti, Amanda Souza, Braga, Daniela Paes de Almeida Ferreira, Figueira, Rita de Cássia Savio, Azevedo, Matheus de Castro, Iaconelli, Assumpto, Borges, Edson
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container_end_page 404
container_issue 5
container_start_page 399
container_title Journal of assisted reproduction and genetics
container_volume 28
creator Setti, Amanda Souza
Braga, Daniela Paes de Almeida Ferreira
Figueira, Rita de Cássia Savio
Azevedo, Matheus de Castro
Iaconelli, Assumpto
Borges, Edson
description Purpose To test the hypothesis that aged women with poor ovarian response express an increase on embryo chromosomal alterations when compared to aged women who presented normal response. Methods Couples undergoing intracytoplasmic sperm injection cycles with preimplantation genetic screening, were subdivided into two groups: Poor Responder group ( n  = 34), patients who produced ≤4 oocytes; and Normoresponder group ( n  = 50), patients who produced ≥5 oocytes. Groups were compared regarding cycles’ outcomes and aneuploidy frequency. Results There were no significant differences between and groups regarding the fertilization rate ( p  = 0.6861), clinical pregnancy ( p  = 0.9208), implantation ( p  = 0.6863), miscarriage ( p  = 0.6788) and the percentage of aneuploid embryos ( p  = 0.270). Embryo transfer rate was significantly lower on poor responder group ( p  = 0.0128) and logistic regression confirmed the influence of poor response on the chance of embryo transfer ( p  = 0.016). Conclusions Aged females responding poorly to gonadotrophins are not at a higher risk for producing aneuploid embryos in vitro.
doi_str_mv 10.1007/s10815-010-9516-2
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Methods Couples undergoing intracytoplasmic sperm injection cycles with preimplantation genetic screening, were subdivided into two groups: Poor Responder group ( n  = 34), patients who produced ≤4 oocytes; and Normoresponder group ( n  = 50), patients who produced ≥5 oocytes. Groups were compared regarding cycles’ outcomes and aneuploidy frequency. Results There were no significant differences between and groups regarding the fertilization rate ( p  = 0.6861), clinical pregnancy ( p  = 0.9208), implantation ( p  = 0.6863), miscarriage ( p  = 0.6788) and the percentage of aneuploid embryos ( p  = 0.270). Embryo transfer rate was significantly lower on poor responder group ( p  = 0.0128) and logistic regression confirmed the influence of poor response on the chance of embryo transfer ( p  = 0.016). Conclusions Aged females responding poorly to gonadotrophins are not at a higher risk for producing aneuploid embryos in vitro.</description><identifier>ISSN: 1058-0468</identifier><identifier>EISSN: 1573-7330</identifier><identifier>DOI: 10.1007/s10815-010-9516-2</identifier><identifier>PMID: 21110079</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adult ; Age ; Age Factors ; Aneuploidy ; Assisted Reproduction Technologies ; Embryo Implantation ; Embryo Transfer ; Embryos ; Female ; Fertility ; Gynecology ; Human Genetics ; Humans ; In Situ Hybridization, Fluorescence ; In vitro fertilization ; Lasers ; Male ; Medicine ; Medicine &amp; Public Health ; Mineral oils ; Oocytes - cytology ; Ovaries ; Pregnancy ; Pregnancy Rate ; Reproductive Medicine ; Reproductive technologies ; Sperm ; Sperm Injections, Intracytoplasmic</subject><ispartof>Journal of assisted reproduction and genetics, 2011-05, Vol.28 (5), p.399-404</ispartof><rights>Springer Science+Business Media, LLC 2010</rights><rights>Springer Science+Business Media, LLC 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-88155758db2dfacde6de78d09e48a4eaf7a7fc191fe8a05fb03f96becb4469763</citedby><cites>FETCH-LOGICAL-c500t-88155758db2dfacde6de78d09e48a4eaf7a7fc191fe8a05fb03f96becb4469763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3151354/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3151354/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21110079$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Setti, Amanda Souza</creatorcontrib><creatorcontrib>Braga, Daniela Paes de Almeida Ferreira</creatorcontrib><creatorcontrib>Figueira, Rita de Cássia Savio</creatorcontrib><creatorcontrib>Azevedo, Matheus de Castro</creatorcontrib><creatorcontrib>Iaconelli, Assumpto</creatorcontrib><creatorcontrib>Borges, Edson</creatorcontrib><title>Are poor responders patients at higher risk for producing aneuploid embryos in vitro?</title><title>Journal of assisted reproduction and genetics</title><addtitle>J Assist Reprod Genet</addtitle><addtitle>J Assist Reprod Genet</addtitle><description>Purpose To test the hypothesis that aged women with poor ovarian response express an increase on embryo chromosomal alterations when compared to aged women who presented normal response. Methods Couples undergoing intracytoplasmic sperm injection cycles with preimplantation genetic screening, were subdivided into two groups: Poor Responder group ( n  = 34), patients who produced ≤4 oocytes; and Normoresponder group ( n  = 50), patients who produced ≥5 oocytes. Groups were compared regarding cycles’ outcomes and aneuploidy frequency. Results There were no significant differences between and groups regarding the fertilization rate ( p  = 0.6861), clinical pregnancy ( p  = 0.9208), implantation ( p  = 0.6863), miscarriage ( p  = 0.6788) and the percentage of aneuploid embryos ( p  = 0.270). Embryo transfer rate was significantly lower on poor responder group ( p  = 0.0128) and logistic regression confirmed the influence of poor response on the chance of embryo transfer ( p  = 0.016). 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Methods Couples undergoing intracytoplasmic sperm injection cycles with preimplantation genetic screening, were subdivided into two groups: Poor Responder group ( n  = 34), patients who produced ≤4 oocytes; and Normoresponder group ( n  = 50), patients who produced ≥5 oocytes. Groups were compared regarding cycles’ outcomes and aneuploidy frequency. Results There were no significant differences between and groups regarding the fertilization rate ( p  = 0.6861), clinical pregnancy ( p  = 0.9208), implantation ( p  = 0.6863), miscarriage ( p  = 0.6788) and the percentage of aneuploid embryos ( p  = 0.270). Embryo transfer rate was significantly lower on poor responder group ( p  = 0.0128) and logistic regression confirmed the influence of poor response on the chance of embryo transfer ( p  = 0.016). Conclusions Aged females responding poorly to gonadotrophins are not at a higher risk for producing aneuploid embryos in vitro.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>21110079</pmid><doi>10.1007/s10815-010-9516-2</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Adult
Age
Age Factors
Aneuploidy
Assisted Reproduction Technologies
Embryo Implantation
Embryo Transfer
Embryos
Female
Fertility
Gynecology
Human Genetics
Humans
In Situ Hybridization, Fluorescence
In vitro fertilization
Lasers
Male
Medicine
Medicine & Public Health
Mineral oils
Oocytes - cytology
Ovaries
Pregnancy
Pregnancy Rate
Reproductive Medicine
Reproductive technologies
Sperm
Sperm Injections, Intracytoplasmic
title Are poor responders patients at higher risk for producing aneuploid embryos in vitro?
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