Development and integration of an extended embryo culture program

Abstract

Objective: To study and evaluate a sequential, extended embryo culture system.

Design: Prospective study.

Setting: University-affiliated IVF clinic.

Patient(s): All couples who were treated between October 1997 and July 1998.

Intervention(s): A standard human tubal fluid plus 10% serum substitute supplement (SSS) culture medium was used. The embryos were transferred to extended culture medium (S2 or G2) on day 3.

Main outcome measure(s): Blastocyst formation and implantation and pregnancy rates.

Result(s): Forty percent of the 20 donated cryopreserved embryos progressed to the blastocyst stage by day 6. Clinically, 7 (5.6%) of the 125 cycles did not result in a transfer. Blastocyst formation rates ranged from 33%-63% in the five study groups. Implantation rates ranged from 15%-52% and pregnancy rates ranged from 37%-75%.

Conclusion(s): Extended culture to day 5 or 6 results in acceptable blastocyst formation rates, implantation rates, and pregnancy rates.