Infertility Clinical Trial
Official title:
A New Method to Improve the Selection of Zygotes in the Context of Assisted Reproductive Medicine. A Randomized Controlled Blinded Monocenter Study
It is the aim of this trial to use a new computerized cell selection method, in addition to the current and world-wide used scoring system of fertilized oocytes implemented by Scott, to determine whether this leads to an increase in pregnancy rates in women undergoing assisted reproductive techniques.
It is the aim of this trial to use a new computerized selection method, in addition to the
current and world-wide used scoring system of fertilized oocytes (zygotes) implemented by
Scott in 1998, to determine whether this leads to an increase in pregnancy rates in women
undergoing assisted reproductive techniques. If successful this could in the future lead to
a reduction in the numbers of embryos required to achieve a pregnancy. Transferring only one
embryo means minimizing the incidence of high order multiple pregnancies.
Regularly couples gain several fertilized oocytes (zygotes) due to artificial reproductive
techniques. As a routine, these cells are archived using pictures and videos for quality and
safety reasons in different stages of development. Because it is planned to transfer only
one or two developed embryos to the uterus, investigators have to select the zygotes with
the highest potential for implantation and pregnancy. The remaining cells are preserved
using vitrification.
In the study, investigators use in addition to the established Zygote-score (Z-score) by
Scott a new selection method for one group of patients: The quality of the zygotes of all
patients is classified according to the described Scott system. Patients are randomized to
two groups. Group 1 is the control group without any further intervention. If needed for
selection, the quality of the zygotes of the patients of group 2 is additionally scored with
a new method. The pictures of the cells, already taken for quality and safety reasons, are
taken and the cells surface is analysed using a computer algorithm.
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