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Journal of Assisted Reproduction and Genetics

, Volume 29, Issue 12, pp 1353–1356 | Cite as

Comparison of the clinical outcomes between fresh blastocyst and vitrified-thawed blastocyst transfer

  • Pei-Yun Ku
  • Robert Kuo-Kuang Lee
  • Shyr-Yeu Lin
  • Ming-Huei Lin
  • Yuh-Ming Hwu
Assisted Reproduction Technologies

Abstract

Objective

To compare the clinical outcomes between fresh and vitrified-thawed day 5 blastocyst transfers.

Design

Retrospective case control study.

Setting

Tertiary referral center.

Patient(s)

Patients 38 years of age or less who underwent IVF/ICSI cycles with fresh or frozen-thawed blastocysts transferred from June 1, 2009 to November 30, 2011

Intervention(s)

Vitrification and thawing of day 5 blastocysts using the Cryotop method. (Kitazato BioPharma Co., Ltd., Fuji city, Shizuoka, Japan)

Main outcome measure(s)

Clinical pregnancy rate, implantation rate, ongoing pregnancy rate, and multiple pregnancy rates.

Results

Of the 118 cycles in the fresh transfer group, 234 blastocysts were transferred. The clinical pregnancy rate was 66.1 % and implantation rate was 50.9 %. The ongoing pregnancy rate was 56.8 % and the rates for singleton and twin pregnancies were 53.7 % and 44.8 %. Of the 59 cycles in the vitrified-thawed group, 111 blastocysts were transferred. The clinical pregnancy rate was 59.3 % and implantation rate was 43.2 %. The ongoing pregnancy rate was 47.5 % and the rates for singleton and twin pregnancies were 60.7 % and 39.3 %. The clinical pregnancy rate, implantation rate and ongoing pregnancy rate did not differ significantly between the two groups.

Conclusions

The implantation rates were not significantly different between the fresh and the vitrified-thawed groups. Thus, single embryo transfer may be considered in fresh cycles to decrease multiple pregnancy rates. The surplus embryos should be vitrified for the frozen embryo transfer to improve the cumulative pregnancy rate.

Keywords

Vitrification Blastocyst Implantation Pregnancy 

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Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Pei-Yun Ku
    • 1
  • Robert Kuo-Kuang Lee
    • 1
    • 2
    • 3
  • Shyr-Yeu Lin
    • 1
    • 2
    • 5
    • 6
  • Ming-Huei Lin
    • 1
    • 4
  • Yuh-Ming Hwu
    • 1
    • 4
    • 7
  1. 1.Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and GynecologyMackay Memorial HospitalTaipeiTaiwan
  2. 2.Department of Medical ResearchMackay Memorial HospitalTaipeiTaiwan
  3. 3.Department of Obstetrics and GynecologyTaipei Medical UniversityTaipeiTaiwan
  4. 4.Mackay MedicineNursing and Management CollegeTaipeiTaiwan
  5. 5.Department of Biomedical SciencesChung Shan Medical UniversityTaichungTaiwan
  6. 6.Department of Biological Science and TechnologyNational Chiao Tung UniversityHsinchuTaiwan
  7. 7.Department of Obstetrics and GynecologyMackay Memorial HospitalTaipeiTaiwan

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