Optimal Timing for Oocyte Denudation and Intracytoplasmic Sperm Injection

Objectives. To analyze the impact of oocyte denudation and microinjection timings on intracytoplasmic sperm injection (ICSI) outcomes. Study Design. We included ICSI cycles with the following parameters: rank 1 or 2, female age <36 years, male factor infertility, long protocol using GnRH agonist...

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Main Authors: Catherine Patrat, Aida Kaffel, Lucie Delaroche, Juliette Guibert, Pierre Jouannet, Sylvie Epelboin, Dominique De Ziegler, Jean-Philippe Wolf, Patricia Fauque
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2012/403531
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author Catherine Patrat
Aida Kaffel
Lucie Delaroche
Juliette Guibert
Pierre Jouannet
Sylvie Epelboin
Dominique De Ziegler
Jean-Philippe Wolf
Patricia Fauque
author_facet Catherine Patrat
Aida Kaffel
Lucie Delaroche
Juliette Guibert
Pierre Jouannet
Sylvie Epelboin
Dominique De Ziegler
Jean-Philippe Wolf
Patricia Fauque
author_sort Catherine Patrat
collection DOAJ
description Objectives. To analyze the impact of oocyte denudation and microinjection timings on intracytoplasmic sperm injection (ICSI) outcomes. Study Design. We included ICSI cycles with the following parameters: rank 1 or 2, female age <36 years, male factor infertility, long protocol using GnRH agonist and rFSH for ovarian stimulation, and use of freshly ejaculated sperm (𝑛=110). Several ICSI parameters were analyzed according to the time between oocyte retrieval and denudation (𝑇1) and the time between denudation and ICSI (𝑇2) using a statistical logistic regression analysis. Results. Neither 𝑇1 nor 𝑇2 had a significant influence on the Metaphase II (MII) rate but the fertilisation rate (FR) showed a significant improvement when 𝑇1 was longer (optimal results at 𝑇1=3 hours) while FR significantly decreased with the increase of 𝑇2. Optimal implantation (IR) and pregnancy (PR) rates were obtained when 𝑇1 was around 2 hours. Conclusion. Incubation of oocytes around 2 hours between retrieval and denudation may not increase MII rate but appears to lead to the optimal combination of FR and IR.
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spelling doaj-art-dc970a4f6a9745889376f2ff73a2efbc2025-02-03T05:58:55ZengWileyObstetrics and Gynecology International1687-95891687-95972012-01-01201210.1155/2012/403531403531Optimal Timing for Oocyte Denudation and Intracytoplasmic Sperm InjectionCatherine Patrat0Aida Kaffel1Lucie Delaroche2Juliette Guibert3Pierre Jouannet4Sylvie Epelboin5Dominique De Ziegler6Jean-Philippe Wolf7Patricia Fauque8Laboratoire de Biologie de la Reproduction, AP-HP, Hôpital Bichat Université Paris Diderot, 46 Rue Henri Huchard, 75018 Paris, FranceLaboratoire de Biologie de la Reproduction, AP-HP, Hôpital Cochin, 75014 Paris, FranceLaboratoire de Biologie de la Reproduction, AP-HP, Hôpital Bichat Université Paris Diderot, 46 Rue Henri Huchard, 75018 Paris, FranceService de Gynécologie-Obstétrique, Institut Mutualiste Monstsouris, 75014 Paris, FranceLaboratoire de Biologie de la Reproduction, AP-HP, Hôpital Cochin, 75014 Paris, FranceService de Gynécologie-Obstétrique II, AP-HP, Hôpital Bichat, 75018 Paris, FranceService de Gynécologie-Obstétrique II, AP-HP, Hôpital Cochin, Université Paris Descartes, 75005 Paris, FranceLaboratoire de Biologie de la Reproduction, AP-HP, Hôpital Cochin, 75014 Paris, FranceLaboratoire de Biologie de la reproduction CECOS, CHU de Dijon, Université de Bourgogne, Dijon, FranceObjectives. To analyze the impact of oocyte denudation and microinjection timings on intracytoplasmic sperm injection (ICSI) outcomes. Study Design. We included ICSI cycles with the following parameters: rank 1 or 2, female age <36 years, male factor infertility, long protocol using GnRH agonist and rFSH for ovarian stimulation, and use of freshly ejaculated sperm (𝑛=110). Several ICSI parameters were analyzed according to the time between oocyte retrieval and denudation (𝑇1) and the time between denudation and ICSI (𝑇2) using a statistical logistic regression analysis. Results. Neither 𝑇1 nor 𝑇2 had a significant influence on the Metaphase II (MII) rate but the fertilisation rate (FR) showed a significant improvement when 𝑇1 was longer (optimal results at 𝑇1=3 hours) while FR significantly decreased with the increase of 𝑇2. Optimal implantation (IR) and pregnancy (PR) rates were obtained when 𝑇1 was around 2 hours. Conclusion. Incubation of oocytes around 2 hours between retrieval and denudation may not increase MII rate but appears to lead to the optimal combination of FR and IR.http://dx.doi.org/10.1155/2012/403531
spellingShingle Catherine Patrat
Aida Kaffel
Lucie Delaroche
Juliette Guibert
Pierre Jouannet
Sylvie Epelboin
Dominique De Ziegler
Jean-Philippe Wolf
Patricia Fauque
Optimal Timing for Oocyte Denudation and Intracytoplasmic Sperm Injection
Obstetrics and Gynecology International
title Optimal Timing for Oocyte Denudation and Intracytoplasmic Sperm Injection
title_full Optimal Timing for Oocyte Denudation and Intracytoplasmic Sperm Injection
title_fullStr Optimal Timing for Oocyte Denudation and Intracytoplasmic Sperm Injection
title_full_unstemmed Optimal Timing for Oocyte Denudation and Intracytoplasmic Sperm Injection
title_short Optimal Timing for Oocyte Denudation and Intracytoplasmic Sperm Injection
title_sort optimal timing for oocyte denudation and intracytoplasmic sperm injection
url http://dx.doi.org/10.1155/2012/403531
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