A REPORT ON 100 CYCLES OF OOCYTE DONATION - FACTORS AFFECTING THE OUTCOME

被引:71
作者
ABDALLA, HI
BABER, R
KIRKLAND, A
LEONARD, T
POWER, M
STUDD, JWW
机构
[1] Fertility and Endocrine Centre, Lister Hospital, London SW1W 8RH, Chelsea Bridge Road
关键词
INTRAFALLOPIAN TRANSFER; INTRAUTERINE TRANSFER; OOCYTE DONATION;
D O I
10.1093/oxfordjournals.humrep.a137209
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Eighty-two patients had 100 cycles of oocyte donation from 68 donors resulting in 27 clinical pregnancies. The source of donated oocytes was 42 fertile volunteers and 26 patients from the assisted conception programme. The pregnancy rate was significantly higher when intra-Fallopian transfer was performed (36%; 21/59), compared with intrauterine transfer (15%; 6/41). The pregnancy rate following fresh gamete/embryo transfer (39%; 15/39) was slightly higher than for frozen embryo transfer (20%; 12/61). The age of the recipient significantly affected the pregnancy rate. The pregnancy rate was 50% in the 25-29 years age group and steadily dropped to 9.7% in the 45-49 age group. The pregnancy rate in patients with primary ovarian failure (50%; 8/16) was significantly higher than in patients with secondary ovarian failure (18%; 9/50). The pregnancy rate was significantly greater when parous donors (33%; 23/69) were used compared with non-parous donors (13%; 4/31). The number of gametes/embryos transferred significantly affected the pregnancy rate regardless of the treatment used. If one or two gametes/embryos were transferred, the pregnancy rate was 11% compared with 33% if three to four embryos were transferred. The age of the donors did not affect the pregnancy rate. The majority of the donors were under the age of 35 years. The best results (50% per cycle) were therefore achieved using gametes from parous donors and transferring three to four oocytes fresh to the Fallopian tubes of a young recipient.
引用
收藏
页码:1018 / 1022
页数:5
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