It has been reported that the potential of In Vitro matured oocytes might be affected by the vitrification process. In fact, the freezing and thawing procedures routinely used in IVF laboratories, have not yet been adapted to oocytes coming from early antral follicles (normally used for In Vitro Maturation). This study aims to compare 2 existing protocols for the Vitrification of In Vitro matured oocytes.
This is a single-center non-blinded observational study. The proposed study will follow a sibling oocyte design in infertile patients. In Vitro Maturation will be performed by using the Capacitation-IVM (CAPA-IVM) methodology. All cumulus-oocyte complexes (COC) recovered from the patient will be cultured in CAPA medium for 24 hours and then matured for 30 hours (IVM). A minimum of 10 metaphase II (MII) stage oocytes are expected from each CAPA-IVM procedure. After CAPA-IVM culture, the mature oocytes (MII) will be randomly divided (50/50) into two groups to be subjected to the two vitrification protocols. In a second step (next cycle), the oocytes from each group will be thawed and fertilized by Intracytoplasmic sperm injection (ICSI). The derived embryos will be cultured to the blastocyst stage (Day 5/6). The transfer of a single embryo (the one with the best quality) will be carried out. The remaining embryos will be vitrified.
Study Type
OBSERVATIONAL
Enrollment
20
In Vitro matured oocytes will be randomly assigned to any of the two Vitrification protocols
Centro de Fertilidad y Reproducción Asistida
Lima, Peru
RECRUITINGOocyte survival rate
The survival rate will be calculated by dividing the number of oocytes that survive freezing/thawing by the number of oocytes originally frozen. Survival rate will be evaluated per patient, per vitrification protocol.
Time frame: 6 months
Oocyte maturation rate
The maturation rate will be calculated by dividing the number of oocytes that mature by the number of oocytes originally plated.
Time frame: 6 months
Fertilization rate
The fertilization rate will be calculated by dividing the number of fertilized oocytes by the number of oocytes injected by ICSI.
Time frame: 6 months
Cleavage rate
The cleavage rate will be calculated by dividing the number of cleaving embryos by the number of fertilized oocytes.
Time frame: 6 months
Rate of Blastocyst formation
The rate of blastocyst formation will be calculated by dividing the number of blastocysts by the number of fertilized oocytes.
Time frame: 6 months
Rate of Good quality blastocysts
The rate of good quality blastocysts will be calculated by dividing the number of good quality blastocysts by the number of fertilized oocytes.
Time frame: 6 months
Clinical pregnancy rate
The clinical pregnancy rate will be calculated by dividing the number of patients with clinical pregnancy by the number of patients that underwent embryo transfer procedures.
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Time frame: 15 months
Live birth rate
The live birth rate will be calculated by dividing the number of patients with a live birth by the number of patients that underwent embryo transfer procedures.
Time frame: 15 months