Combination of ovarian tissue harvesting and immature oocyte collection for fertility preservation increases preservation yield

被引：50
作者：
Hourvitz, A. [1 ]
Yerushalmi, G. M.
Maman, E.
Raanani, H.
Elizur, S.
Brengauz, M.
Orvieto, R.
Dor, J.
Meirow, D.
机构：
[1] Chaim Sheba Med Ctr, Div Obstet & Gynecol, IVF Unit, IL-52621 Tel Hashomer, Israel
来源：
REPRODUCTIVE BIOMEDICINE ONLINE | 2015年 / 31卷 / 04期
关键词：
embryo freezing; fertility preservation; in-vitro maturation; oocyte cryopreservation; ovarian tissue cryopreservation;
D O I：
10.1016/j.rbmo.2015.06.025
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
The aim of this study was to evaluate the safety and efficacy of combined ovarian tissue cryopreservation and oocyte aspiration just before ovarian tissue cryobanking. A retrospective cohort study of fertility preservation patients treated in 2007-2013 in one tertiary centre was performed. A total of 255 cancer patients were admitted for fertility preservation: 142 patients underwent ovarian tissue cryopreservation only (OTC), 56 underwent OTC plus oocyte retrieval from ovarian tissue (OTIVM), nine underwent oocyte aspiration and in-vitro maturation (AIVM) and 48 underwent all three procedures. The total number of oocytes, total number of metaphase II (MII) oocytes, maturation rate, fertilization rate and total number of cryopreserved oocytes between groups were compared. The study found significantly more oocytes (P < 0.001), more MII oocytes (P < 0.001), better maturation rate (P < 0.01) and more cryopreserved oocytes (P < 0.05) with all three compared with OTIVM or OTC. No adverse outcome was observed by performing oocyte retrieval before ovarian resection for cryopreservation. In conclusion, oocyte aspiration just before ovarian tissue cryobanking is safe and gains more oocytes with a better maturation rate than ovarian tissue oocyte cryobanking alone. Better results were obtained with 3 days of stimulation before oocyte retrieval. (C) 2015 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码：497 / 505
页数：9
相关论文
共 51 条
[1]  
Cao Y., Xing Q., Zhang Z.G., Wei Z.L., Zhou P., Cong L., Cryopreservation of immature and in-vitro matured human oocytes by vitrification, Reprod. Biomed. Online, 19, pp. 369-373, (2009)
[2]  
Chian R.C., Lim J.H., Tan S.L., State of the art in in-vitro oocyte maturation, Curr. Opin. Obstet. Gynecol, 16, pp. 211-219, (2004)
[3]  
Chung K., Donnez J., Ginsburg E., Meirow D., Emergency IVF versus ovarian tissue cryopreservation: decision making in fertility preservation for female cancer patients, Fertil. Steril, 99, pp. 1534-1542, (2013)
[4]  
Cobo A., Diaz C., Clinical application of oocyte vitrification: a systematic review and meta-analysis of randomized controlled trials, Fertil. Steril, 96, pp. 277-285, (2011)
[5]  
Cobo A., Domingo J., Perez S., Crespo J., Remohi J., Pellicer A., Vitrification: an effective new approach to oocyte banking and preserving fertility in cancer patients, Clin. Transl. Oncol, 10, pp. 268-273, (2008)
[6]  
Cobo A., Meseguer M., Remohi J., Pellicer A., Use of cryo-banked oocytes in an ovum donation programme: a prospective, randomized, controlled, clinical trial, Hum. Reprod, 25, pp. 2239-2246, (2010)
[7]  
Cobo A., Garcia-Velasco J.A., Domingo J., Remohi J., Pellicer A., Is vitrification of oocytes useful for fertility preservation for age-related fertility decline and in cancer patients?, Fertil. Steril, 99, pp. 1485-1495, (2013)
[8]  
Domingo J., Guillen V., Ayllon Y., Martinez M., Munoz E., Pellicer A., Garcia-Velasco J.A., Ovarian response to controlled ovarian hyperstimulation in cancer patients is diminished even before oncological treatment, Fertil. Steril, 97, pp. 930-934, (2012)
[9]  
Donnez J., Dolmans M.M., Ovarian tissue freezing: current status, Curr. Opin. Obstet. Gynecol, 27, pp. 222-230, (2015)
[10]  
Donnez J., Dolmans M.M., Demylle D., Jadoul P., Pirard C., Squifflet J., Martinez-Madrid B., Van Langendonckt A., Livebirth after orthotopic transplantation of cryopreserved ovarian tissue, Lancet, 364, pp. 1405-1410, (2004)
123456