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Hum. Reprod. Advance Access originally published online on August 6, 2004
Human Reproduction 2004 19(11):2550-2554; doi:10.1093/humrep/deh447
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Human Reproduction vol. 19 no. 11 © European Society of Human Reproduction and Embryology 2004; all rights reserved

Should we advise patients undergoing IVF to start a cycle leading to a day 3 or a day 5 transfer?

E.M. Kolibianakis1, K. Zikopoulos, W. Verpoest, M. Camus, H. Joris, A.C. Van Steirteghem and P. Devroey

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) 26.4–38.2%; day 5, 33.2%, 95% CI 27.3–39.5%]. 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


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