Pregnancy Clinical Trial
Official title:
The Impact of Early Embryos Incubation on Pregnancy Rate in IVF
Frozen- thawed embryos obtained by IVF treatments are transferred to the uterus immediately following thawing or after incubation for additional 24-72 hours. The two methods are routine in IVF laboratories. In this study the investigators would like to compare between these two methods in terms of implantation rate, pregnancy rate and delivery.
It has been common practice to cryopreserve surplus embryos achieved during IVF treatment or
in other situation that embryos are to be preserved for other situations such as suspected
ovarian hyper stimulation syndrome, fertility preservation or patient request.
Embryos are usually frozen on day 2, 3 or day 5-6 at the Blastocyst stage. At the time that
thawing is planned, patients' cycle is synchronized and prepared either with hormonal
treatment or at the natural cycle.
Not all embryos will always survive the thawing and sometimes they will all degenerate.
Embryos that survive the thawing procedure are assessed and replaced on the day of the thaw
or left overnight for better selection and will be replaced only if they continue to divide
in vitro.
The advantage of embryo transfer on the day of thaw is that embryo exposure in culture is
shortened and embryo selection will be occurring in the womb. On the other hand, overnight
incubation may avoid transferring embryos that potentially are not able to divide and are
biologically not viable.
Although both attitudes are practiced in different IVF centers, at present there are no
prospective randomized studies that have been conducted to advise which intervention is
better in terms of pregnancy rates.
The purpose of the present study is to assess which technique will result in better
pregnancy rates.
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Observational Model: Cohort, Time Perspective: Prospective
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