FERTILIZATION INVITRO OF SUPERNUMERARY OOCYTES FOLLOWING GAMETE INTRAFALLOPIAN TRANSFER (GIFT)

被引:2
作者
CRITCHLOW, JD
MATSON, PL
TROUP, SA
IBRAHIM, ZHZ
BURSLEM, RW
BUCK, P
LIEBERMAN, BA
机构
[1] Regional IVF Unit, St Mary's Hospital, Manchester M13 0JH, Whitworth Park
[2] Manchester Fertility Services Ltd, Manchester BUPA Hospital, Manchester M16 8AJ, Russell Road, Whalley Range
关键词
GIFT; IVF; Supernumerary oocytes;
D O I
10.1093/oxfordjournals.humrep.a137197
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Gamete intra-Fallopian transfer (GIFT) was performed in 130 treatment cycles over a 17-month period. In 91% (118/130) of the cycles one or more oocytes were available for insemination in vitro and only GIFT cycles with supernumerary oocytes were included in the present study. Pituitary and ovarian suppression was arhieved with buserelin followed by stimulation of multifollicular development by human menopausal gonadotrophin (HMG). Failure of supernumerary oocytes to fertilize was associated with a significantly reduced pregnancy rate (3/23; 13%) compared to cycles where fertilization occurred in vitro (35/95; 37%). These findings demonstrate that the outcome of IVF of supernumerary oocytes may be of particular diagnostic value in couples where the female partner has not conceived following treatment by GIFT after pituitary down-regulation with buserelin and ovarian stimulation with HMG. © 1990 Oxford University Press.
引用
收藏
页码:853 / 856
页数:4
相关论文
共 27 条
[11]  
Ibrahim Z., Matson P.L., Buck P., Critchlow J.D., Newman M.C., Home G., Hughes S., Lieberman B.A., Use of buserelin in an IVF programme for pituitary-ovarian suppression prior to ovarian stimulation with exogenous gonadotrophins, Hum. Reprod, 5, pp. 258-262, (1990)
[12]  
Mahadevan M.M., Trounson A.O., Leeton J.F., The relationship of tubal blockage, infertility of unknown cause, suspected male infertility and endometriosis to success of in-vitro fertilization and embryo transfer, Fertil. Steril, 40, pp. 755-762, (1983)
[13]  
Mahadevan M.M., Trounson A.O., The influence of seminal characteristics on the success rate of human in-vitro fertilization, Fertil. Steril, 42, pp. 400-405, (1984)
[14]  
Mars R.P., Saito H., Yee B., Sato F., Brown J., Effect of variation of in vitro culture techniques upon oocyte fertilization and embryo development in human in vitro fertilization procedures, Fertil. Steril, 41, (1984)
[15]  
Matson P.L., Yovich J., Spittle J., Yovich J., The in vitro fertilization of supernumerary oocytes in a gamete intrafallopian transfer program, Fertil. Steril, 47, pp. 802-807, (1987)
[16]  
Matson P.L., Troup S.A., Lowe B., Ibrahim Z., Burslem R.W., Lieberman B.A., Fertilization in vitro by spermatozoa from oligozoospermic and normospermic men, Iru, J. Androl, 12, pp. 117-123, (1989)
[17]  
Matson P.L., Ibrahim Z., Buck P., Burslem R.W., Isherwood P.J., Troup S.A., Lieberman B.A., Human in-vitro fertilization and embryo transfer following pituitary down-regulation with buserelin, J. Endocrinol, 21, (1989)
[18]  
McKenna K.M., McBain J.C., Speirs A.L., Jones G., Du Plessis Y., Johnston W., The fate of supernumerary oocytes in a gamete intrafallopian transfer (GIFT) is not predictive of a poor outcome: The effect of oocyte selection, J. In Vitro Fertil. Embryo Transfer, pp. 261-264, (1988)
[19]  
Palermo R., Amodeo G., Navot D., Rosenwaks Z., Cittadini E., Concomitant gonadotrophin-releasing hormone agonist and menotrophin treatment for the synchronized induction of multiple follicles, Fertil. Steril, 49, pp. 290-295, (1988)
[20]  
Quigley M.M., Sokoloski J.E., Withers D.M., Richards S.I., Reis J.M., Simultaneous in vitro fertilization and gamete intrafallopian transfer (GIFT), Fertil. Steril, 47, pp. 797-801, (1987)