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In Vitro Development and Implantation Rates of Fresh and Cryopreserved Sibling Zygotes

Obstetrics & Gynecology: June 1995
Articles: PDF Only

Objective To compare the developmental potential of cryopreserved human zygotes after thawing to sibling zygotes that were transferred without cryopreservation.

Methods Retrospective analysis of embryo data and pregnancy outcome for all in vitro fertilization (IVF) patients who had sufficient zygotes to allow fresh embryo transfer and cryopreservation of additional sibling zygotes for later use.

Results Zygotes survived cryopreservation at a high rate (87%). After thawing, cryopreserved zygotes developed at rates similar to those of fresh zygotes. Pregnancy occurred at similar rates after replacement of fresh embryos (27.9%) or replacement of cryopreserved-thawed zygote-derived embryos (24.3%).

Conclusions Human embryos can be cryopreserved at the pronuclear zygote stage with little loss of developmental potential. Cryopreservation allowed a reduction in the number of embryos transferred during an IVF retrieval cycle, thereby reducing the occurrence of multiple pregnancy. The total cumulative pregnancy rate per retrieval cycle doubled when pregnancies from cryopreserved-thawed zygotes were added to those originating from fresh zygotes.

Address reprint requests to: Kurt F. Miller, PhD, Department of Gynecology, A-81, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195.

© 1995 The American College of Obstetricians and Gynecologists