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Hum. Reprod. Advance Access originally published online on May 18, 2007
Human Reproduction 2007 22(7):1991-1995; doi:10.1093/humrep/dem124
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© The Author 2007. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Optimal ICSI timing after the first polar body extrusion in in vitro matured human oocytes

Chang-Seop Hyun, Jung-Ho Cha, Weon-Young Son1, San-Hyun Yoon, Kyung-Ae Kim and Jin-Ho Lim

Maria Infertility Hospital, Seoul, Republic of Korea

1 Correspondence address. McGill Reproductive Center, Department of Obstetrics and Gynecology, Royal Victoria Hospital, McGill University, Montreal, Quebec, Canada H3A 1A1. Tel: +514-843-1650; Fax: +514-843-1496; E-mail: weon-young.son{at}muhc.mcgill.ca

BACKGROUND: This study was conducted to investigate the fertilization and embryo development of human oocytes injected at different time intervals after extrusion of the first polar body (PB) following in vitro maturation (IVM) in IVM cycles. Also, we evaluated whether spindle imaging could serve as a tool to determine the optimal ICSI time.

METHODS: Oocytes were collected from 43 women with polycystic ovary syndrome. Metaphase I (MI) oocytes after in vitro culture for 24 h from germinal vesicle stage were subjected to ICSI according to time after first PB extrusion. The intervals were: within 1 h (n = 38); 1–2 h (n = 30); 2–4 h (n = 26);4–6 (n = 28) and 6–8 h (n = 40). In some MI oocytes, viable spindle location was evaluated using Polscope microscopy at different time intervals after first PB extrusion.

RESULTS: Fertilization rate of the MI oocytes injected within 1 h after first PB extrusion was low (15.8; 6/38) (P < 0.01 versus all other times). In contrast, the fertilization rate was 80, 92.3, 82.1 and 85% for oocytes injected 1–2, 2–4, 4–6 and 6–8 h after first PB extrusion, respectively. Development of good-quality embryos was not significantly different among all the groups. Interestingly, all the oocytes injected within 1 h after first PB extrusion were in Telophase I.

CONCLUSIONS: Human oocytes matured in vitro needed at least 1 h after first PB extrusion to complete nuclear maturation. Use of a live spindle imaging system can help to decide the timing of ICSI for oocytes matured in vitro.

Key words: in vitro maturation/ICSI timing/first polar body/spindle imaging

Submitted on November 17, 2006; resubmitted on April 1, 2007; accepted on April 13, 2007.


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