Any drift in extracellular pH (pHe) from the intercellular pH (pHi) could alter the mechanism regulating transporters and exchangers through the plasma membrane. This could lead to difficulty in restoring the physiological level of pHi. The critical stages that lack robust mechanism of regulating the pHi are the denuded oocyte, early stage of fertilization or a thawed embryo. This, in turn, could lead to a significant effect of the perturbations on embryo development. Convincing evidence regarding the optimal pHe for culturing human embryo is, so far, scanty and mostly anecdotal. The embryo has been reported to have a compensatory mechanism to grow at pHe between 7.0-7.4. Others have recommended that embryo need a sequential pH to viably grow suggesting that the post-genomic activation stage needs a slightly alkaline range of pH. However, whether this holds true remains to be examined.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
TRIPLE
Enrollment
1,312
to investigate which pH is suitable for each stage of embryo development
Quena IVF Centre
Quena, Qena Governorate, Egypt
Banon Assiut
Asyut, Egypt
IbnSina IVF Center, IbnSina Hospital
Sohag, Egypt
Ongoing Pregnancy rate
women with continued pregnancy at week 12 of gestation
Time frame: 12 weeks
rate of usable blastocysts
number of blastocysts suitable for transfer on day 5 or 6
Time frame: 6 days of culture
Blastocyst formation rate
number of formed blastocyst per Fertilized oocyte
Time frame: 6 days of culture
Clinical pregnancy rate
number of women with ultrasound detection of sacs with heartbeat per stimulated cycle
Time frame: 3 months
Implantation rate
number of sacs with a heartbeat
Time frame: 7 weeks
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