Fertility-female
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Women aged 20 – 35 years with expected normal response to the standard controlled ovarian stimulation undergo ICSI for any cause of infertility.
Exclusion criteria
Exclusion criteria: 1. Cases of polycystic ovaries syndrome (PCOS). 2. Women with history of ovarian hyper-response and/or OHSS in previous ICSI cycle. 3. Women with history of poor ovarian response according to Bologna criteria. 4. Antimullerian hormone level either 4.0 ng/dl. 5. Surgically retrieved sperms. 6. Untreated hydrosalpinges. 7. Congenital uterine abnormalities.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| •Oocyte retrieval rate: the ratio of the number of cumulus–oocyte–complex (COC) retrieved to the number of follicles =15 mm present on the day of HCG priming. •Percentage of M II oocytes: metaphase II oocytes were defined by the presence of first polar body and round ooplasm. | — |
Secondary
| Measure | Time frame |
|---|---|
| • Oocyte morphological abnormalities. • Fertilization rate: defined as the mean number of two pronuclear (2PN) zygotes divided by MII-aspirated oocytes. • Blastocyst rate: defined as the number of blastocysts (day 5/6 embryos) divided by MII- aspirated oocytes. • Embryos quality & grading: cleavage stage embryo and blastocysts will be graded according to corresponding scaling systems. • Implantation rate: calculated as the number of intrauterine gestational sacs observed by transvaginal ultrasonography divided by the number of transferred embryos. • Clinical pregnancy rate: calculated by considering clinical pregnancy, determined by the visualization of a viable gestational sac within the uterine cavity by ultrasound 3– 4 weeks after embryo transfer. • Ongoing pregnancy rate: defined as pregnancy progressing beyond 12 weeks gestation. • OHSS incidence: women who will develop OHSS will be classified according to severity into mild, moderate, severe and critical OHSS. | — |
Countries
Egypt
Contacts
Assistant Professor of Reproductive endocrinology and infertility