Infertility
Conditions
Keywords
In vitro fertilization, IVF, Embryo culture, Blastocyst transfer
Brief summary
This study will compare two alternative embryo culture systems. Embryos from each patient will be randomly assigned to one of two systems. One group will be cultured conventionally in oil-covered droplets in dishes. The other group will be assigned to an enclosed system.
Detailed description
Qualifying and consenting IVF patients will have approximately half of their developing embryos cultured in droplets covered with oil. The other approximate half of their embryos will be cultured in small enclosed containers. Embryo assignments will be at random. Regardless of culture system, all embryos will be cultured from the bipronuclear stage to the blastocyst stage in the same (Global) media, without the usual refreshing of media on day 3.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Female age 18 to 40, seeking IVF treatment * Ability to understand English (to obtain informed consent) * Use of an oocyte donor, sperm donor, gestational carrier, and/or genetic testing (with blastocyst biopsy only) are allowed.
Exclusion criteria
* Diminished ovarian reserve as evidenced by either elevated cycle day 3 follicle stimulating hormone (FSH) level (≥10 IU/L) or low antral follicle count (\<8 antral follicles) * Fewer than five (5) bipronuclear oocytes * Day 3 embryo biopsy for any reason * No minors may enroll
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blastulation rate | 5 days (sixth day of embryo development) | Proportion of cultured embryos that form blastocysts. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Blastocyst morphology | 5 days (sixth day of development) | Inner cell mass size, number of trophectoderm cells, blastocyst diameter |
| IVF outcome | 7 weeks post-transfer | The result of the IVF cycle as no pregnancy, early pregnancy loss, or ongoing pregnancy at 10 weeks gestation (about 7 weeks post-transfer). |
Countries
United States