Pregnancy Rates with Recombinant versus Urinary Human Chorionic Gonadotropin in In Vitro Fertilization: An Observational Study

Randomized clinical trials (RCTs) demonstrated the equal efficacy of urinary human chorionic gonadotropin (uhCG) and recombinant hCG (rhCG) products in in vitro fertilisation (IVF). However, limitations inherent with RCTs necessitate the reinforcement of RCT results in real-life. We retrospectively analyzed pregnancies after treatment with rhCG and uhCG products (n = 391, and 96, resp.). We found that laboratory-verified pregnancy occurred more frequently in rhCG patients than in those on uhCG (43% versus 30%, P = 0.02). The association remains significant (P = 0.002) after its adjustment for clinical characteristics. The prevalence of laboratory-verified pregnancies was higher with GnRH agonist use (P = 0.012) and BMI under 30 kg/m2 (P = 0.053) while decreased the age (P = 0.014) and the number of previous failed attempts (P = 0.08). Similar (but not significant) trends were observed with rates of pregnancy filled the 24th week. These results reinforce RCTs supporting the notion that rhCG is more efficient as uhCG during IVF

Freezing of Oocytes and Its Effect on the Displacement of the Meiotic Spindle: Short Communication

Our investigations focused on spindle dynamics/displacement in frozen-thawed human oocytes. In each oocyte, prior to freezing and after thawing and culturing, the presence/location of the spindle was determined with the Polscope technique. A total of 259 oocytes have been thawed with a survival rate of 81.1%. From the 210 survived oocytes, 165 were fertilized (78.6%) and 89.1% of them cleaved. A total of 143 embryos were transferred into 63 patients resulting in 11 clinical pregnancies (17.5%), 7 of which resulted in live birth of 8 babies (1 twin pregnancy). We were able to detect the spindle in 221 of 259 oocytes (85.3%). After thawing and culturing the oocytes, we were able to visualize the spindle in 177 of 210 oocytes (84.3%). In 83 of these 177 oocytes, the spindle was observed to be in the same location as it was before cryopreservation (46.9%). However, in 94 of these 177 oocytes (53.1%), the spindle reformed in a different position/location relative to the polar body. Our results show that after thawing and culture in half of the spindle-positive oocytes the spindle was detected in a new location, indicating that the spindle and the polar body move relative to each other

Cryopreservation of Embryos and Oocytes in Human Assisted Reproduction

Both sperm and embryo cryopreservation have become routine procedures in human assisted reproduction and oocyte cryopreservation is being introduced into clinical practice and is getting more and more widely used. Embryo cryopreservation has decreased the number of fresh embryo transfers and maximized the effectiveness of the IVF cycle. The data shows that women who had transfers of fresh and frozen embryos obtained 8% additional births by using their cryopreserved embryos. Oocyte cryopreservation offers more advantages compared to embryo freezing, such as fertility preservation in women at risk of losing fertility due to oncological treatment or chronic disease, egg donation, and postponing childbirth, and eliminates religious and/or other ethical, legal, and moral concerns of embryo freezing. In this review, the basic principles, methodology, and practical experiences as well as safety and other aspects concerning slow cooling and ultrarapid cooling (vitrification) of human embryos and oocytes are summarized

Vitrification of cleavage stage mouse embryos by the cryoloop procedure

By decreasing the volume of the cryoprotective solution it is possible to increase dramatically the freezing speed and — at the same time — reduce the toxicity and osmotic side effects of cryoprotectants (CPA). The objective of our study was to vitrify Day-3 cleavage stage mouse embryos (n = 229) with the cryoloop technology using a new composition of vitrification media. Embryos were exposed to a 2-step loading of CPA, ethylene glycol (EG) and propylene glycol (PG), before being placed on the surface of a thin filmy layer formed from the vitrification solution in a small nylon loop, then they were rapidly submerged into liquid nitrogen. After warming, the CPA was diluted out from the embryos by a 3-step procedure. Survival of embryos was based on morphological appearance after thawing and continued development to expanded blastocysts upon subsequent 48-hour culture. Embryos of the two control groups were either treated likewise except that they were not vitrified, or cultured in vitro without any treatment. Our data show that a high percentage of embryos survived (92.7%) vitrification in the mixture of EG and PG combined with cryoloop carrier and developed normally (89.1%) in vitro after thawing. To our knowledge this is the first report of the successful vitrification of cleavage stage mouse embryos using VitroLoop vitrification procedure

Characterization of the sub-continental lithospheric mantle beneath the Cameroon volcanic line inferred from alkaline basalt hosted peridotite xenoliths from Barombi Mbo and Nyos Lakes

We carried out detailed petrographic, major and trace element geochemical, microstructural and FTIR analyses on eight characteristic ultramafic xenoliths from Nyos and Barombi Mbo Lakes in the continental sector of the Cameroon Volcanic Line (CVL). The studied xenoliths are spinel lherzolites showing lithologies similar to the other xenoliths reported previously along the CVL. They have protogranular and porphyroclastic textures. One of the Barombi xenolith contains amphibole, which had not been previously reported in this locality. Amphibole is common in the Nyos xenoliths suite. Peridotite xenoliths from both localities show some chemical heterogeneity, but Barombi xenoliths generally are less depleted in basaltic elements with respect to Nyos xenoliths. Trace element compositions of Nyos spinel lherzolites show a moderately depleted initial (premetasomatic) composition and variable enrichment in REE. Evidence for both modal and cryptic metasomatism is present in Nyos xenoliths. Rare earth element patterns of clinopyroxene suggest that interaction between mafic melts and the upper mantle occurred beneath the Nyos locality. Barombi Mbo xenoliths, on the other hand, record a small degree of partial melting. The Barombi Mbo xenoliths have weak, dominantly orthorhombic olivine crystal preferred orientations, whereas Nyos ones have strong axial-[010] patterns, which may have formed in response to transpression. Nominally anhydrous mantle minerals (NAMs) of the Barombi Mbo xenoliths show generally higher bulk concentrations of ‘water’ (70e127 ppm) than Nyos xenoliths (32e81 ppm). The Barombi Mbo xenoliths could originate from a juvenile segment of the lithospheric mantle, which had been originally part of the asthenosphere. It became a part of the lithosphere in response to thermal relaxation following the extension, forming a weakly deformed lower lithospheric mantle region along the CVL. The Nyos xenoliths, however, represent a shallow lithospheric mantle bearing imprints of several depletion and enrichment events probably prior or following the extension (at ~30 Ma)