Impact of Post-Thaw Incubation Time of Frozen Embryos on Clinical Pregnancy Rate

Background: Vitrification of embryos following a single-controlled ovarian stimulation has been the strategy practised now in many in vitro fertilisation clinics to minimise the risk of early ovarian hyper stimulation syndrome, to reduce multiple pregnancy rates and to improve cumulative pregnancy r...

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Main Authors: G. Geovin Ranji, Kundavi Shankar, Yamini Asokan, Geetha Veerasigamani, Rashmi Gingade Vittal, Nithya M. Naaram, KR Hema Niveda
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Human Reproductive Sciences
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Online Access:https://journals.lww.com/10.4103/jhrs.jhrs_180_22
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author G. Geovin Ranji
Kundavi Shankar
Yamini Asokan
Geetha Veerasigamani
Rashmi Gingade Vittal
Nithya M. Naaram
KR Hema Niveda
author_facet G. Geovin Ranji
Kundavi Shankar
Yamini Asokan
Geetha Veerasigamani
Rashmi Gingade Vittal
Nithya M. Naaram
KR Hema Niveda
author_sort G. Geovin Ranji
collection DOAJ
description Background: Vitrification of embryos following a single-controlled ovarian stimulation has been the strategy practised now in many in vitro fertilisation clinics to minimise the risk of early ovarian hyper stimulation syndrome, to reduce multiple pregnancy rates and to improve cumulative pregnancy rates. In recent years, advances in vitrification techniques and improved culture conditions have led to good post-thaw embryo survival rates, thereby increasing pregnancy rates of frozen embryo transfer (FET) cycles. Aim: The aim of this study was to analyse the effect of post-thaw incubation time of frozen embryos on the clinical pregnancy rates (CPRs) of frozen embryo transfer (FET) cycles. Settings and Design: This was a retrospective, comparative study done at a teaching hospital in assisted reproductive treatment. Materials and Methods: Three hundred and ten FET cycles were analysed, of which 125 had day 2 freezing and 185 had day 3 freezing. Depending upon the day of thawing and day of transfer, FET cycles were divided into six groups: Group 1 (day 2 thawing and day 3 transfer), Group 2 (day 2 thawing and day 4 transfer), Group 3 (day 2 thawing and day 5 transfer), Group 4 (day 3 thawing and day 3 transfer), Group 5 (day 3 thawing and day 4 transfer) and Group 6 (day 3 thawing and day 5 transfer). Statistical Analysis Used: Statistical analysis was performed using version 14 R software version 4.0.1 (2020-06-06) (R foundation for Statistical Computing, Vienna, Austria). A P < 0.05 is taken as significant. Results: The CPR of Group 4 was 42.4% which was more than that of the other groups but it did not reach statistical significance. Conclusions: Short incubation time of 2–4 h is as effective as an extended incubation time in terms of CPRs of FET cycles.
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spelling doaj-art-89b8730e7b3c4a9ca5cb9fba2bb390dd2025-02-10T07:39:28ZengWolters Kluwer Medknow PublicationsJournal of Human Reproductive Sciences0974-12081998-47662023-01-01161646910.4103/jhrs.jhrs_180_22Impact of Post-Thaw Incubation Time of Frozen Embryos on Clinical Pregnancy RateG. Geovin RanjiKundavi ShankarYamini AsokanGeetha VeerasigamaniRashmi Gingade VittalNithya M. NaaramKR Hema NivedaBackground: Vitrification of embryos following a single-controlled ovarian stimulation has been the strategy practised now in many in vitro fertilisation clinics to minimise the risk of early ovarian hyper stimulation syndrome, to reduce multiple pregnancy rates and to improve cumulative pregnancy rates. In recent years, advances in vitrification techniques and improved culture conditions have led to good post-thaw embryo survival rates, thereby increasing pregnancy rates of frozen embryo transfer (FET) cycles. Aim: The aim of this study was to analyse the effect of post-thaw incubation time of frozen embryos on the clinical pregnancy rates (CPRs) of frozen embryo transfer (FET) cycles. Settings and Design: This was a retrospective, comparative study done at a teaching hospital in assisted reproductive treatment. Materials and Methods: Three hundred and ten FET cycles were analysed, of which 125 had day 2 freezing and 185 had day 3 freezing. Depending upon the day of thawing and day of transfer, FET cycles were divided into six groups: Group 1 (day 2 thawing and day 3 transfer), Group 2 (day 2 thawing and day 4 transfer), Group 3 (day 2 thawing and day 5 transfer), Group 4 (day 3 thawing and day 3 transfer), Group 5 (day 3 thawing and day 4 transfer) and Group 6 (day 3 thawing and day 5 transfer). Statistical Analysis Used: Statistical analysis was performed using version 14 R software version 4.0.1 (2020-06-06) (R foundation for Statistical Computing, Vienna, Austria). A P < 0.05 is taken as significant. Results: The CPR of Group 4 was 42.4% which was more than that of the other groups but it did not reach statistical significance. Conclusions: Short incubation time of 2–4 h is as effective as an extended incubation time in terms of CPRs of FET cycles.https://journals.lww.com/10.4103/jhrs.jhrs_180_22clinical pregnancy rateembryo culturefrozen embryo transfervitrification
spellingShingle G. Geovin Ranji
Kundavi Shankar
Yamini Asokan
Geetha Veerasigamani
Rashmi Gingade Vittal
Nithya M. Naaram
KR Hema Niveda
Impact of Post-Thaw Incubation Time of Frozen Embryos on Clinical Pregnancy Rate
Journal of Human Reproductive Sciences
clinical pregnancy rate
embryo culture
frozen embryo transfer
vitrification
title Impact of Post-Thaw Incubation Time of Frozen Embryos on Clinical Pregnancy Rate
title_full Impact of Post-Thaw Incubation Time of Frozen Embryos on Clinical Pregnancy Rate
title_fullStr Impact of Post-Thaw Incubation Time of Frozen Embryos on Clinical Pregnancy Rate
title_full_unstemmed Impact of Post-Thaw Incubation Time of Frozen Embryos on Clinical Pregnancy Rate
title_short Impact of Post-Thaw Incubation Time of Frozen Embryos on Clinical Pregnancy Rate
title_sort impact of post thaw incubation time of frozen embryos on clinical pregnancy rate
topic clinical pregnancy rate
embryo culture
frozen embryo transfer
vitrification
url https://journals.lww.com/10.4103/jhrs.jhrs_180_22
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AT geethaveerasigamani impactofpostthawincubationtimeoffrozenembryosonclinicalpregnancyrate
AT rashmigingadevittal impactofpostthawincubationtimeoffrozenembryosonclinicalpregnancyrate
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