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In Vitro Fertilization: A Practical Approach

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Dear IVF.net subscriber,
Welcome to the latest issue of IVF News.
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IVF News
News: IVF News Update
'Capsule' could cut costs and time of IVF, Scientists argue for freedom to develop sperm and eggs from stem cells, Outgoing Italian health minister revises IVF guidelines, 'No early menopause' through IVF.
IVFPODCASTS.COM
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Announcement: Hudson Valley Fertility opens State of the Art IVF and Fertility Center
Hudson Valley Fertility has opened a state of the art IVF and Fertility Center at 841 Route 52 in Fishkill, in the beautiful Hudson Valley. The Center offers cutting edge technology combined with sensitivity and compassion. The practice also incoporates acupuncture, stress reduction and other complementary strategies as part of a complete wellness approach to the treatment of infertilty and other reproductive issues.
Daniel Levine, MD
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News: IVF does not lead to early menopause
A group of researchers at the Bourn Hall Clinic, Queensland University of Technology and the Weill Medical College of Cornell University, New York, have concluded that IVF treatment does not hasten the onset of the menopause or the severity of symptoms, having investigated the first generation of IVF patients.
Katy Sinclair
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IVF Jobs
<< Add your jobs here >>
| # |
Position |
Closing Date |
Hits |
| 1 |
Embryologist [ Featured ]
London Female and Male Fertility Centre
LONDON, United Kingdom
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08. 06. 2008 |
913 |
| 2 |
Consultant Gynaecologist with Fertility Training
The Kilkenny Clinic
Kilkenny, Ireland
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94 |
| 3 |
Senior Embryologist/ laboratory manager
Fertility Unit
Southampton, United Kingdom
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Friday 16th May 2008 |
280 |
| 4 |
Research Nurse (Gynae Ultrasonography) - (One full-time post or two part-time posts)
Human Resources Department
Nottingham, United Kingdom
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23 May 2008 |
112 |
| 5 |
Senior Clinical Embryologist
Assisted Conception Unit
Edgbaston, United Kingdom
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Monday 2nd June 2008 |
237 |
| 6 |
IVF lab clinical embryologist
Dr Erfanian IVF Clinic
mashhad, Iran
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270 |
| 7 |
CLINICAL EMBRYOLOGIST
St. Mary's Hospital
Manchester, United Kingdom
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Closing date: 22nd May 2008. |
233 |
| 8 |
LABORATORY MANAGER
South East Fertility Clinic
Tunbridge Wells, United Kingdom
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1st June 2008 |
228 |
| 9 |
Clinical Research Fellow
Midland Fertility Services
Court Parade, Aldridge, United Kingdom
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16 May 2008 |
222 |
| 10 |
short term locum
The Agora Gynae and Fertility Unit
Hove, United Kingdom
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June |
434 |
| 11 |
Embriologist
Sergey Yakovenko
Moscow, Russian Federation
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526 |
| 12 |
Embryologist
The Kilkenny Clinic
Kilkenny, Ireland
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478 |
| 13 |
full time embryologist
McGill Reproductive Centre
montreal, Canada
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30 june 08 |
983 |
| 14 |
Consultant Gynaecologist with Specialist Infertility Training
The Kilkenny Clinic
Kilkenny, Ireland
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586 |
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IVFMail
<< Add your questions here >>
| # |
Title |
Date Added |
Hits |
Replies |
| 1 |
Overnight IVF insemination concentration
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05 May 2008 |
62 |
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| I would like to ask "What is the maximum concentration of sperms added in the overnight IVF culture?" 0.1 million motile sperms or above?
Wendy |
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2 polar bodies in oocyte before ICSI?
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05 May 2008 |
67 |
1
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| When the oocyte appears one polar body/fragmented polar body, that is MII so that we can do ICSI for it. But if I observe 2 distinct polar bodies (likely) in oocyte, should I do ICSI for it? Will it be a normal embryo too?
Wendy |
Replies
Re: multinucleated blastomeres
I have done FISH(PGD) before on the multinucleated blastomeres on day 3, they are all fragmented without any normal signal confirmed. So most probably, they are all abnormal. But in your case, you said that you saw a single nucleus/blastomere on day 2 while multinucleated on day 1. Do you mean that the multinucleated is 2? If so, maybe the blastomere haven\'t ready to divide on day 1, so that you see single when they divided into 4 cells, just purpose not sure (although it should be divided before forming nucleus). But in the early stage, mosaicism should be considered. So I prefer to freeze it for FET cycle and select the good embryo for fresh ET.
Wendy Man
Re: Fragmentation
Large amounts of fragmentation are usually due to contaminants, especially endotoxin. I would check to make sure the medium never gets above 37 C. I would never set a dry block to 39 to get it to rad near 37 as at the very bottom where the egg sits, it might be 40 C. Next, I would make sure that you have done appropriate QC bioassays for all contact materials. I would suspect syringes, dishes, plates, etc.
Kimball O Pomeroy ARMS
Re: Fragmentation
You have to check your sperm preparation. Do a second swim up and get the clean motile sperms. It seems you are doing only IVF and not ICSI. If that is the case, also check the water in the humidity chamber of your CO2 incubator. You must change the water every 10 days and the level must be maintained or else fragmentation comes. You should also know the pathology of the patient and if she is an untreated PCOS or Endometriosis, you are bound to get fertilization but embryos with fragmentation. Why don\'t you divide the oocytes, half by IVF and half by ICSI. You yourself can find the reason.
Dr.Ravindranath Visiting Senior Embryologist
Re: Fragmentation
Try culturing your embryos in microdrps with 3-5 embryos per drop under oil. Also to eliminate variation in pH and control VOCs culture a dessicator filled with a medical grade trigas mixture of 6% co2,5%o2 and balence nitrogen. pH chnges and increased VOC levels are usually responsible for fragmentation in the lab. I would next examine the stimulation protocols and do a comparitive study to see if fragmentions is occuring across the board or is seen in cases with high e2 levels before HCG.Hope you find some answers.
Lakshmi Sharma RCARC
Re: Fragmentation
PH is the magic kye on embryo quality.
strive to reach a PH between 7.22 and 7.25 and your problem will be solved, as much there is no medium contamination.
Hope this help
Orestes Prudencio
Re: Piping for CO2 to incubators
Copper works very well in IVF setting for CO2 delivery. Copper may be used in incubators for germicidal reasons but copper isn\'t volatile. It will not change state from a solid to a gas.
Antonia Gilligan Alpha Environmental, Inc
Re: QC
Have you considered an actual analysis of the carbon dioxide? A US EPA TO-15 VOC and TO-11 aldehydes will provide real information on the purity of the CO2. Also keep in mind that as the phase change occurs the composition of impurities will increase significantly
Antonia Gilligan Alpha Environmental, Inc
Re: Embryos arrested and lysed on day 3 and 4
High levels of aldehydes can cause this problem we have seen it three IVF facilities in North America
Antonia Gilligan Alpha Environmental, Inc
Re: Overnight IVF insemination concentration
I usually add approximatly 100,000 sperm per oocyte.
Sevinc Ege JinePOL
Re: thin zp
We have had a patient with very thin large zonas. They also had a large perivitiline space. We were very careful when denuding oocytes and if necessary left some cummulus cells in place. We found it also necessary to culture the embryos separatly as they can become stuck together. There are number of papers about zona free embryos.
Erin Shummly
Re: oocyte quality
Please check the patient\'s pathology whether she has Endometriosis or untreated PCOS. There is always asynchrony in the oocyte growth and the cohort shall carry similar quality, i.e the embryo quality suffers and implantation failure shall be there if there are oocytes of different quality. Of course along with her age, check her basal FSH , LH, Testosterone, insulin, may be you may catch the culprit hormone. Best of luck
Dr.Ravindranath Visiting Senior Embryologist
Re: Oocyte quality
Most of the time this event is related to one bad gonadotropin batch, provided you are sure of your lab. Can you tell us which company gonadotropin you were using with batch number.
Deepak Goenka IHR
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