Comparison of ICSI and conventional IVF in patients with increased oocyte immaturity

Tyl H. Taylor, Graham Wright, Stacey Jones-Colon, Dorothy Mitchell-Leef, Hilton I. Kort, Zsolt Peter Nagy

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19 Citations (Scopus)

Abstract

Using sibling oocytes, the objective of this study was to compare the intracytoplasmic sperm injection (ICSI) fertilization rates to those achieved with conventional IVF in patients with high rates of oocyte immaturity. This study was observational in nature, and included 91 patients who were treated using split insemination techniques. The fertilization rates for the ICSI group and the IVF group were 41.1 ± 15.0% and 53.2 ± 19.8%, respectively (P < 0.0001). There was no significant difference in day-3 embryo quality between the two groups. There was a significantly higher number of embryos frozen in the IVF group than in the ICSI group: 357 (84.8%) and 297 (76.7%), respectively (P = 0.037). Furthermore, the number of embryos either transferred or frozen was significantly higher in the IVF group than the ICSI group: 459 of 1173 (39.1%) and 385 of 1268 (30.4%), respectively (P < 0.0001). These data indicate that conventional IVF results in a higher fertilization rate than ICSI. Furthermore, IVF provided more embryos available for transfer or cryopreservation when compared with ICSI, thereby optimizing the patient's cycle.

Original languageEnglish
Pages (from-to)46-52
Number of pages7
JournalReproductive biomedicine online
Volume17
Issue number1
DOIs
Publication statusPublished - Jul 2008

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Keywords

  • Conventional IVF
  • Fertilization
  • ICSI
  • Immature oocyte
  • Insemination

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology
  • Developmental Biology

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