Sequential culture media were introduced in order to meet the changing requirements of the developing embryo in vitro. However, there has been renewed interest in the use of single-step media, which allow the embryo itself to choose the necessary nutrients while maintaining a more stable culture environment. Previous studies suggest that sequential media do not appear superior to single-step media.
Sequential culture media were introduced in order to meet the changing requirements of the developing embryo in vitro. However, there has been renewed interest in the use of single-step media, which allow the embryo itself to choose the necessary nutrients while maintaining a more stable culture environment. Previous studies suggest that sequential media do not appear superior to single-step media. The current study will include 2 RCTs: RCT 1: Random allocation of sibling oocytes to compare embryo development and blastocyst formation rates in the two culture media compared. RCT2: Random allocation of patients in either Global or Origio media, to evaluate pregnancy rates.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
131
Eugonia Assisted Reproduction Unit
Athens, Attica, Greece
Implantation rate per embryo transferred
Number of fetal sacs with positive heart beat at 7 weeks of gestation
Time frame: 7 weeks
Blastocyst formation rate
Embryos reaching the blastocyst stage on Day 5 post oocyte retrieval
Time frame: Day 5
Good quality blastocysts
Good quality blastocysts are considered at least full blastocysts (stage 3 and above) with grade A or grade B inner-cell mass and trophectoderm respectively.
Time frame: Day 5
Positive hCG rates
Pregnancy test as assessed by detection of hCG using blood test
Time frame: 14 days
Ongoing pregnancy rates
Pregnancy reaching 12 weeks of gestation
Time frame: 12 weeks
Early pregnancy loss
Miscarriage per positive hCG test up to 12 weeks of gestation
Time frame: 12 weeks
Clinical pregnancy
Pregnancy reaching 7 weeks of gestation
Time frame: 7 weeks
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