Oocyte and Embryo Quality in Patients with Excessive Ovarian Response During In Vitro Fertilization Treatment
Purpose: This study examined oocyte and embryo quality in patients having excessive ovarian responses during assisted reproduction treatment.
Methods: Two hundred and Seventy-eight women of age <40 years using a long protocol of pituitary downregulation in their first intracytoplasmic sperm injection cycle indicated for severe male factors were retrospectively evaluated. Those with serum estradiol concentration on the day of HCG <10,000, 10,000–20,000, and >20,000 pmol/L were classified into Group A, Group B, and Group C, respectively.
Results: The percentage of metaphase II oocytes (85%), fertilization rate (60–66%), and distribution of blastomere number per embryo were similar among the three groups. The proportion of transferable embryos was not reduced in Group C when compared to those of Groups A and B.
Conclusion: Excessive ovarian response does not compromise oocyte and embryo quality in humans. Freezing of all embryos is recommended in these patients in view of associated impaired endometrial receptivity.
Embryo quality estradiol excessive ovarian responses oocyte quality
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