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Research Article
Irena Kratochvilova
Institute of Physics of the Czech Academy of Sciences
Corresponding Author
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This research demonstrates how a mutual position of the human oocytes meiotic spindle (MS) and the first polar body (PB) correlates with the probability of obtaining high-quality embryos (utilization rates) and high pregnancy rates after intracytoplasmic sperm injection (ICSI). The quality of optically birefringent MS and the angle (α) between MS and PB (evaluated using polarizing microscopy), were used to indicate oocyte maturation and appropriate time for fertilization. In this study, 124 patients undergoing in vitro fertilization (IVF) whose oocytes were evaluated by MS visualization had a significantly higher clinical pregnancy rate (38% vs 26%) and utilization rate (54% vs 38%) when compared to the control group, using one standard IVF cycle without MS visualization. Significantly, in group of 79 patients > 35 years old, 34% became pregnant when α was evaluated and ICSI time adjusted to achieve the full oocyte maturation, compared to only 18% in the control group. The number of high-quality embryos in the MS visualized group was significantly higher compared to the control group, increasing the probability of pregnancy. Based on this research, we propose to incorporate monitoring the mutual position of MS and PB as a valid marker of embryo quality which can significantly improve pregnancy rate.
Keywords
oocyte, meiotic spindle, polar body, IVF, embryo quality, pregnancy rate
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No competing interests reported.
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research Article
Irena Kratochvilova
Institute of Physics of the Czech Academy of Sciences
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 12 Mar, 2021
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
This research demonstrates how a mutual position of the human oocytes meiotic spindle (MS) and the first polar body (PB) correlates with the probability of obtaining high-quality embryos (utilization rates) and high pregnancy rates after intracytoplasmic sperm injection (ICSI). The quality of optically birefringent MS and the angle (α) between MS and PB (evaluated using polarizing microscopy), were used to indicate oocyte maturation and appropriate time for fertilization. In this study, 124 patients undergoing in vitro fertilization (IVF) whose oocytes were evaluated by MS visualization had a significantly higher clinical pregnancy rate (38% vs 26%) and utilization rate (54% vs 38%) when compared to the control group, using one standard IVF cycle without MS visualization. Significantly, in group of 79 patients > 35 years old, 34% became pregnant when α was evaluated and ICSI time adjusted to achieve the full oocyte maturation, compared to only 18% in the control group. The number of high-quality embryos in the MS visualized group was significantly higher compared to the control group, increasing the probability of pregnancy. Based on this research, we propose to incorporate monitoring the mutual position of MS and PB as a valid marker of embryo quality which can significantly improve pregnancy rate.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
No competing interests reported.
This is a list of supplementary files associated with this preprint. Click to download.
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