Analyze the effect of preincubation time of oocyte on the results of ICSI in a oocyte donation model.
There is an intense communication inside the follicular structure. Bidirectional information between the oocyte and the granulosa cells is needed for a normal follicular development and oocyte competence. There are conflicting results on the effect of pre-incubation time in ICSI. It is not clear the proper time to denudate the oocyte from the somatic cells prior to ICSI, and some authors describe a negative impact of the premature cummulus removal on the ICSI results. The aim of this study is to investigate wheter a preincubation time between oocyte retireval and injection has any effect on the ICSI ( intracytoplasmatic sperm injection) results .
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
QUADRUPLE
Enrollment
375
Donated oocytes were randomly allocated to two groups concerning the time of cumulus corona removal. The first group: After oocyte retrieval, cumulus cells were immediately removed and then ICSI was performed; in the second group, the oocyte-cumulus complexes were incubated for 4 hours. Afterwards, the granulosa cells were removedand ICSI was immediately performed.
Hospital Italiano de Buenos Aires
Ciudad de Buenos Aires, Buenos Aires, Argentina
Number of M2 oocytes at injection
Asessment of the number of M2 oocytes was made after the oocyte denudation and ICSI
Time frame: four hours after oocyte retrieval
Number of normal fertilized oocytes after ICSI
Asessment of the normal fertilization rate was made 24 hours after the intervention.
Time frame: 24 hours
Number of cleaving embryos
The embryo cleavage was evaluated after 48 hours and 72 hours after the ICSI was performed.
Time frame: 72 hours
Number of TOP embryos
The embryos were morfologically classified into 4 categories . It considered TOP embryos those correctly fertilized at day 1, and with regular 6 to 8 cells at day 2 with less than 20% fragmentation and without multinuclear blastomeres.
Time frame: 72 hours
Implantation rate
The implantation rate was the ratio between the number of gestacional sacs and the number of transferred embryos.
Time frame: 14 days after embryo trasfer
Clinical pregnancy rate
Clinical pregnancy is confirmed by ultrasonography ,when one or more gestational sacs with heart activity are seen.
Time frame: 6 to 7 week
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