Blastocyst Disintegration
Conditions
Keywords
vitrification, blastocysts, home-made media
Brief summary
This study was conducted to evaluate and compare cryo-survival, re-expansion, and implantation rates of Day 5/6 human blastocysts that were vitrified with home-made media (HM) according to (Shady grove protocol) and warmed with gradual Thawing HM according to (Kuwayama protocol)with Global Fast Freeze/Thaw Kits (LifeGlobal, Canada).
Detailed description
Group 1 blastocysts were vitrified with the Vit HM according to shady grove protocol using open system on cryotopvit. device and thawed with gradual thawing technique using HM according to Kuwayama protocol. Group 2 blastocysts were cryopreserved with the Global Fast Freeze Kitusing open system on cryotopvit. device and thawed using Gobal fast thaw kit. Blastocysts were subsequently cultured for 6-8 h, assessed for survival and expansion, then transferred and the percentages of Positive hCG, clinical pregnancy, implantation, multiple pregnancy and abortion were recorded.
Interventions
home made vitrification was made and prepared for vitrification of blastocysts then thawing with a prepared thawed media too
commercially available vitrification & thawing kit were made and prepared for vitrification of blastocysts then thawing with a prepared thawed media too
Sponsors
Study design
Masking description
only the investigator knew the procedure and the media provided for each case
Intervention model description
Group 1 blastocysts were vitrified with the Vit (home made) HM according to shady grove protocol using open system on cryotop vit. device and thawed with gradual thawing technique using HM thawing media according to Kuwayama protocol. Group 2 blastocysts were cryopreserved with the Global Fast Freeze Kit using open system on cryotop vit. device and thawed using Global fast thaw kit. Blastocysts were assessed immediately for survival, subsequently cultured for 6-8 h, assessed for survival and expansion, then transferred and the percentages of Positive hCG, clinical pregnancy, implantation, multiple pregnancy and abortion were recorded.
Eligibility
Inclusion criteria
* age of the patients 22-37 * All vitrified & thawed blastocyst. * unexplained cases or ovarian factors for infertility.
Exclusion criteria
* extremes of age * cases of uterine factor * endometriosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| blastocyst immediate survival | 0 hour at time of thawing | The effect of Vitrification protocol on the blastocyst immediate survival |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pregnancy rate | 2 weeks after transfer | clinical pregnancy rate in these cases |
| live birth rate | 9 months | live birth rate of positive pregnancy cases |
| Blastocyst survival at 6 hours | 6 hours after thawing | The effect of Vitrification protocol on the blastocyst survival after 6 hours |