Infertility Clinical Trial
Official title:
A Prospective Comparison Between Conventional IVF Embryo Grading and Polscope Based Grading
Selecting one or two IVF embryos with the highest potential to implant is extremely
important for the success of the treatment- obtaining pregnancies and avoiding multi-fetal
gestations. The currently used IVF embryo grading method is based solely on embryo
morphology (cleavage rate and fragmentation) just before the transfer, which is not very
well correlated with the implantation potential of each embryo. Oocyte quality and adequacy
are the most important factors determining the biological quality and implantation potential
of the embryo. It impossible to grade oocytes using plain optical systems, other than
maturity and gross anomalies.
Polscope systems allow to visualize intra ooplasmic structures and determine their
retardance, as well as that of the Zona Pellucida. The investigators hypothesize that
grading embryos using the oocyte's parameters as visualized by polscope is superior to
conventional morphology and correlates better with their implantation potential.
Here the investigators will perform a prospective randomized controlled trial to examine
this hypothesis.
Each embryo will be graded in accordance to polscope based parameters; the presence of a
spindle in the oocyte, its retardance, the distance between the spindle and the PB, and the
thickness and retardance of the ZP.
In the experimental group the embryos for transfer will be selected based on these
parameters, whereas in the control group they will be selected based on conventional
morphologic criteria.
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label
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