Hum. Reprod. Advance Access originally published online on August 6, 2004
Human Reproduction 2004 19(11):2550-2554; doi:10.1093/humrep/deh447
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Should we advise patients undergoing IVF to start a cycle leading to a day 3 or a day 5 transfer?
Centre for Reproductive Medicine, Dutch-Speaking Brussels Free University, Laarbeeklaan 101, 1090 Brussels, Belgium
1 To whom correspondence should be addressed. Email: stratis{at}easynet.be
BACKGROUND: The aim of this study was to compare ongoing pregnancy rates per started cycle between patients randomized at consultation to have embryo transfer either on day 3 or on day 5 of in-vitro culture. METHODS: All patients <43 years of age for whom IVF was indicated were allowed to participate in the study (day 3 group, 234 patients; day 5 group, 226 patients). Ovarian stimulation was performed either using GnRH antagonists/recombinant FSH (rFSH) (day 3, 70.1% of patients; day 5, 72.6% of patients) or using the long GnRH agonist protocol/urinary gonadotropins (day 3, 29.9% of patients; day 5 27.4% of patients). RESULTS: The random decision to initiate a cycle leading to day 5 as compared with a day 3 transfer was associated with a significantly lower chance of embryo cryopreservation (day 3, 61.5%; day 5, 50.4%; P<0.02). Ongoing pregnancy rate per started cycle did not differ between the two groups compared [day 3, 32.1%, 95% confidence interval (CI) 26.438.2%; day 5, 33.2%, 95% CI 27.339.5%]. CONCLUSIONS: Advising patients at consultation to initiate an IVF cycle leading to a day 5 as compared with a day 3 transfer does not appear to increase the probability of ongoing pregnancy, and is associated with a significantly lower probability of obtaining cryopreserved embryos.
Key words: blastocyst transfer/day 3 transfer/GnRH antagonists/ongoing pregnancy rate/recombinant FSH
![]()
CiteULike
Connotea
Del.icio.us What's this?
This article has been cited by other articles:
![]() |
A. De Vos, C. Staessen, M. De Rycke, W. Verpoest, P. Haentjens, P. Devroey, I. Liebaers, and H. Van de Velde Impact of cleavage-stage embryo biopsy in view of PGD on human blastocyst implantation: a prospective cohort of single embryo transfers Hum. Reprod., December 1, 2009; 24(12): 2988 - 2996. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. Verpoest, P. Haentjens, M. De Rycke, C. Staessen, K. Sermon, M. Bonduelle, P. Devroey, and I. Liebaers Cumulative reproductive outcome after preimplantation genetic diagnosis: a report on 1498 couples Hum. Reprod., November 1, 2009; 24(11): 2951 - 2959. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Staessen, W. Verpoest, P. Donoso, P. Haentjens, J. Van der Elst, I. Liebaers, and P. Devroey Preimplantation genetic screening does not improve delivery rate in women under the age of 36 following single-embryo transfer Hum. Reprod., December 1, 2008; 23(12): 2818 - 2825. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. Belva, S. Henriet, E. Van den Abbeel, M. Camus, P. Devroey, J. Van der Elst, I. Liebaers, P. Haentjens, and M. Bonduelle Neonatal outcome of 937 children born after transfer of cryopreserved embryos obtained by ICSI and IVF and comparison with outcome data of fresh ICSI and IVF cycles Hum. Reprod., October 1, 2008; 23(10): 2227 - 2238. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. De Vos, L. Van Landuyt, H. Van Ranst, A. Vandermonde, V. D'Haese, J. Sterckx, P. Haentjens, P. Devroey, and J. Van der Elst Randomized sibling-oocyte study using recombinant human hyaluronidase versus bovine-derived Sigma hyaluronidase in ICSI patients Hum. Reprod., August 1, 2008; 23(8): 1815 - 1819. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. Verpoest, M. De Rademaeker, K. Sermon, M. De Rycke, S. Seneca, E. Papanikolaou, C. Spits, L. Van Landuyt, J. Van der Elst, P. Haentjens, et al. Real and expected delivery rates of patients with myotonic dystrophy undergoing intracytoplasmic sperm injection and preimplantation genetic diagnosis Hum. Reprod., July 1, 2008; 23(7): 1654 - 1660. [Abstract] [Full Text] [PDF] |
||||
![]() |
V. Goossens, M. De Rycke, A. De Vos, C. Staessen, A. Michiels, W. Verpoest, A. Van Steirteghem, C. Bertrand, I. Liebaers, P. Devroey, et al. Diagnostic efficiency, embryonic development and clinical outcome after the biopsy of one or two blastomeres for preimplantation genetic diagnosis Hum. Reprod., March 1, 2008; 23(3): 481 - 492. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. G. Papanikolaou, E. M. Kolibianakis, H. Tournaye, C. A Venetis, H. Fatemi, B. Tarlatzis, and P. Devroey Live birth rates after transfer of equal number of blastocysts or cleavage-stage embryos in IVF. A systematic review and meta-analysis Hum. Reprod., January 1, 2008; 23(1): 91 - 99. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. Van den Abbeel, U. Schneider, J. Liu, Y. Agca, J. K Critser, and A. Van Steirteghem Osmotic responses and tolerance limits to changes in external osmolalities, and oolemma permeability characteristics, of human in vitro matured MII oocytes Hum. Reprod., July 1, 2007; 22(7): 1959 - 1972. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Donoso, C. Staessen, B.C.J.M. Fauser, and P. Devroey Current value of preimplantation genetic aneuploidy screening in IVF Hum. Reprod. Update, January 1, 2007; 13(1): 15 - 25. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Gianaroli, M.C. Magli, A.P. Ferraretti, M. Lappi, E. Borghi, and B. Ermini Oocyte euploidy, pronuclear zygote morphology and embryo chromosomal complement Hum. Reprod., January 1, 2007; 22(1): 241 - 249. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. G. Papanikolaou, E. D'haeseleer, G. Verheyen, H. Van de Velde, M. Camus, A. Van Steirteghem, P. Devroey, and H. Tournaye Live birth rate is significantly higher after blastocyst transfer than after cleavage-stage embryo transfer when at least four embryos are available on day 3 of embryo culture. A randomized prospective study Hum. Reprod., November 1, 2005; 20(11): 3198 - 3203. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. Van den Abbeel, M. Camus, G. Verheyen, L. Van Waesberghe, P. Devroey, and A. Van Steirteghem Slow controlled-rate freezing of sequentially cultured human blastocysts: an evaluation of two freezing strategies Hum. Reprod., October 1, 2005; 20(10): 2939 - 2945. [Abstract] [Full Text] [PDF] |
||||

