Freeze-all cycles for normal responders: Is this way forward?

Background: The freeze-all approach has gained traction in in vitro fertilization (IVF) practices, and this study explores its benefits for normal responders. Aims and Objectives: The study evaluates whether the freeze-all strategy is advantageous in normal responders, irrespective of ovarian respon...

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Main Authors: Satish Sharma, Shalaka Mhatre, Ashwini Jadhav, Nikita Lad
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:MGM Journal of Medical Sciences
Subjects:
Online Access:https://doi.org/10.4103/mgmj.mgmj_172_24
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author Satish Sharma
Shalaka Mhatre
Ashwini Jadhav
Nikita Lad
author_facet Satish Sharma
Shalaka Mhatre
Ashwini Jadhav
Nikita Lad
author_sort Satish Sharma
collection DOAJ
description Background: The freeze-all approach has gained traction in in vitro fertilization (IVF) practices, and this study explores its benefits for normal responders. Aims and Objectives: The study evaluates whether the freeze-all strategy is advantageous in normal responders, irrespective of ovarian response. Materials and Methods: A retrospective study was conducted at a private IVF center, analyzing 225 oocyte retrieval cases and 170 frozen embryo transfers performed between January 2023 and February 2024. All patients underwent controlled ovarian stimulation using a gonadotropin-releasing hormone antagonist regimen, with the freeze-all policy applied. Fresh embryo transfers were postponed, and all embryos were cryopreserved. Frozen–thawed embryo transfers (FET) were performed in subsequent cycles. Results: The implantation rate for cleavage-stage FETs was 13.79%, whereas for blastocyst-stage transfers, it was 31.61%. The clinical pregnancy rate was 43.75% for cleavage-stage and 47.40% for blastocyst-stage FETs. Conclusion: The freeze-all approach can enhance IVF outcomes. However, an individualized treatment plan is essential for optimizing results, as there are currently no noninvasive clinical methods to determine, which patients would benefit most from a freeze-all strategy.
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spelling doaj-art-8c76df1e512243a8bcbd42dba0bb469c2025-01-17T10:55:33ZengWolters Kluwer Medknow PublicationsMGM Journal of Medical Sciences2347-79462347-79622024-12-0111470871310.4103/mgmj.mgmj_172_24Freeze-all cycles for normal responders: Is this way forward?Satish SharmaShalaka MhatreAshwini JadhavNikita LadBackground: The freeze-all approach has gained traction in in vitro fertilization (IVF) practices, and this study explores its benefits for normal responders. Aims and Objectives: The study evaluates whether the freeze-all strategy is advantageous in normal responders, irrespective of ovarian response. Materials and Methods: A retrospective study was conducted at a private IVF center, analyzing 225 oocyte retrieval cases and 170 frozen embryo transfers performed between January 2023 and February 2024. All patients underwent controlled ovarian stimulation using a gonadotropin-releasing hormone antagonist regimen, with the freeze-all policy applied. Fresh embryo transfers were postponed, and all embryos were cryopreserved. Frozen–thawed embryo transfers (FET) were performed in subsequent cycles. Results: The implantation rate for cleavage-stage FETs was 13.79%, whereas for blastocyst-stage transfers, it was 31.61%. The clinical pregnancy rate was 43.75% for cleavage-stage and 47.40% for blastocyst-stage FETs. Conclusion: The freeze-all approach can enhance IVF outcomes. However, an individualized treatment plan is essential for optimizing results, as there are currently no noninvasive clinical methods to determine, which patients would benefit most from a freeze-all strategy.https://doi.org/10.4103/mgmj.mgmj_172_24embryofrozenstimulation
spellingShingle Satish Sharma
Shalaka Mhatre
Ashwini Jadhav
Nikita Lad
Freeze-all cycles for normal responders: Is this way forward?
MGM Journal of Medical Sciences
embryo
frozen
stimulation
title Freeze-all cycles for normal responders: Is this way forward?
title_full Freeze-all cycles for normal responders: Is this way forward?
title_fullStr Freeze-all cycles for normal responders: Is this way forward?
title_full_unstemmed Freeze-all cycles for normal responders: Is this way forward?
title_short Freeze-all cycles for normal responders: Is this way forward?
title_sort freeze all cycles for normal responders is this way forward
topic embryo
frozen
stimulation
url https://doi.org/10.4103/mgmj.mgmj_172_24
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AT shalakamhatre freezeallcyclesfornormalrespondersisthiswayforward
AT ashwinijadhav freezeallcyclesfornormalrespondersisthiswayforward
AT nikitalad freezeallcyclesfornormalrespondersisthiswayforward