Assisted Reproduction Clinical Trial
Official title:
Effect of Trophectoderm Biopsy for Sex Selection on the Pregnancy and Miscarriage Rates of Women Undergoing IVF/ICSI
Records of women who had trophectoderm biopsy for sex selection over the last 3 years will be reviewed and its outcome will be compared to other records of women who had IVF/ICSI without embryo biopsy.
Records of women who had trophectoderm biopsy for sex selection over the last 3 years will
be reviewed. Women will be divided into 3 groups: group 1 will comprise fertile women who
had embryo biopsy for sex selection/family balancing, group 2 will comprise infertile women
who had trophectoderm biopsy and group 3 will comprise infertile women who had IVF/ICSI
without embryo biopsy.
The pregnancy and miscarriage rates of the groups will be compared. Before starting the
embryo biopsy process couples were seen by a geneticist to assess the feasibility of the
procedure for each couple. Couples were then counselled by a gynaecologist specialised in
IVF to assess their fertility status and explain the whole procedure including the expected
success rates and risks of IVF.
Women had standard pituitary down-regulation with GnRHa (Triptorelin 0.1mg, Decapeptyl®
Ferring, Germany) day 7 after ovulation of previous cycle or on day 21 of the oral
contraceptive cycles. GnRHa was continued for 2 weeks. Human menopausal gonadotrophin(HMG)
(Merional ®IBSA) 150-300 IU/day was administered until the day of HCG administration,
Transvaginal oocyte retrieval will be performed 34-36 h after the administration of HCG.
Day 5 embryos were incubated in calcium/Magnesium free culture. A laser beam was used to
produce a hole in the zona pellucida. Trophectoderm cells were collected by gentle suction
using the biopsy pipette.
Florescent in situ hybridization of the trophectoderm nuclei with probes specific to the X-
and Y-chromosomes was performed. the embryos were frozen and the cycles deferred.The embryos
were thawed in the following cycle and if possible 2 embryos of the desired sex were
transferred.
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Observational Model: Case Control, Time Perspective: Retrospective
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