Subfertility
Conditions
Brief summary
This monocenter academic study aims to evaluate the effectiveness and cost effectiveness of two different strategies: fresh Embryo Transfer (ET) on day 3 followed by cryopreservation of cleavage-stage (Day 3) embryos versus blastocyst-stage (Day 5) embryos. The primary outcome is the cumulative pregnancy rate after all transfers (fresh and/or frozen embryo transfer cycles which might take about 1 year), up to two sequential cycles. The secondary outcome concerns a cost analysis of both strategies from the healthcare payer's perspective.
Interventions
Supernumerary embryos after fresh transfer on Day 3 after oocyte aspiration are either vitrified on Day 3 or are kept in culture until Day 5 and vitrified on Day 5
Sponsors
Study design
Eligibility
Inclusion criteria
* subfertile women planned for the first or second oocyte retrieval for in vitro fertilisation (IVF)/Intracytoplasmic sperm injection (ICSI) treatment * who are older than 18 and less than 38 years old * who have normal Follicle Stimulating Hormone (FSH) and normal Anti-Mullerian Hormone (AMH) levels
Exclusion criteria
* treatment with donor oocytes or donor embryos * patients planned for Pre-implantation Genetic Diagnosis (PGD) * Patients with BMI\>30 * patients with endometriosis grade III-IV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| cumulative pregnancy rate | Cumulative pregnancy is measured after two consecutive IVF cycles including fresh and frozen transfers which might take about 1 year | The cumulative pregnancy rate after all transfers (fresh and/or frozen embryo transfer cycles) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| cost analysis | Cumulative pregnancy is measured after two consecutive IVF cycles including fresh and frozen transfers which might take about 1 year | cost analysis of day 3 and day 5 vitrification strategy |
Countries
Belgium