Clin Exp Reprod Med.  2012 Sep;39(3):114-117. 10.5653/cerm.2012.39.3.114.

Blastocyst transfer in frozen-thawed cycles

Affiliations
  • 1Department of Obstetrics and Gynecology, Kyungpook National University Hospital, Daegu, Korea.
  • 2Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea. novak21c@yahoo.co.kr
  • 3Laboratory of Reproductive Biology and Infertility, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea.

Abstract


OBJECTIVE
It is well known that fresh blastocyst transfer results in better pregnancy outcomes with a smaller number of transferred embryos compared with cleavage stage embryo transfer. However, in terms of frozen-thawed blastocyst transfer, only a few studies are available. We aimed to evaluate clinical outcomes of frozen-thawed embryo transfer (FET) with blastocysts.
METHODS
Retrospective analysis of FET cycles with blastocysts (B-FET) between Jan 2007 and June 2009 was performed. Age-matched FET cycles with cleavage stage embryos (C-FET) during the same period were collected as controls. A total of 58 B-FET cycles were compared with 172 C-FET cycles and also compared with those of post-thaw extended culture blastocysts from frozen pronuclear stage embryos (22 cycles).
RESULTS
There was no difference in the patient characteristics of each group. The embryos' survival rates after thawing were comparable (>90%) and there was no difference in the implantation rate or clinical and ongoing pregnancy rate among the three groups.
CONCLUSION
In FET, blastocyst transfers may not present better pregnancy outcomes than cleavage stage embryo transfers. A further large-scale prospective study is needed.

Keyword

Frozen-thawed embryo transfer; Blastocyst; Pregnancy outcome

MeSH Terms

Blastocyst
Embryo Transfer
Embryonic Structures
Female
Humans
Pregnancy
Pregnancy Outcome
Pregnancy Rate
Retrospective Studies
Survival Rate
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