Embryoman

Embryoman Reporting on the latest IVF research, in simple terms, on Remembryo.

***๐…๐จ๐ซ ๐ฅ๐ข๐ง๐ค๐ฌ ๐ญ๐จ ๐ฆ๐ฒ ๐œ๐จ๐ง๐ญ๐ž๐ง๐ญ, ๐ฏ๐ข๐ฌ๐ข๐ญ ๐ฆ๐ฒ ๐‹๐ˆ๐๐Š ๐ˆ๐ ๐๐ˆ๐Ž: https://lnk.bio/embryoman***

How can fibroids prevent embryo implantation?Fibroids are benign tumors that grow in the uterus and can vary in number, ...
03/01/2025

How can fibroids prevent embryo implantation?

Fibroids are benign tumors that grow in the uterus and can vary in number, size and location. Larger fibroids can distort the uterine cavity and lead to poor fertility outcomes, but even smaller fibroids can have negative effects.

For a pregnancy to happen, the embryo needs to attach to the uterine lining during the "window of implantation." During this time, the endometrium changes at the cellular level and its blood vessels are remodeled to create the optimal conditions for the embryo to implant.

A 2024 study by Ping Sun and colleagues reviewed the ways fibroids can compromise the endometrium and prevent embryo implantation:

โžก๏ธ Altering the uterus' structure and blood flow.
โžก๏ธ Causing irregular uterine contractions.
โžก๏ธ Changing immune cell types in the endometrium.
โžก๏ธ Modifying the endometrial microbiome.
โžก๏ธ Disrupting gene expression and hormonal signals.

Surgical removal of fibroids may improve outcomes, although there isn't much high quality data that reports on this.

๐–๐ก๐š๐ญ'๐ฌ ๐ฒ๐จ๐ฎ๐ซ ๐ž๐ฑ๐ฉ๐ž๐ซ๐ข๐ž๐ง๐œ๐ž ๐›๐ž๐ž๐ง ๐ฅ๐ข๐ค๐ž ๐ฐ๐ข๐ญ๐ก ๐Ÿ๐ข๐›๐ซ๐จ๐ข๐๐ฌ ๐š๐ง๐ ๐ˆ๐•๐…?

More details and citations on Remembryo (link in the comments). Want to stay up to date on new IVF research and news? Send me a DM with your email and I'll sign you up to my weekly newsletter!

Time for the weekly IVF research brief! This one actually covers 2 weeks because I took last week off.Here, I take a bri...
30/12/2024

Time for the weekly IVF research brief! This one actually covers 2 weeks because I took last week off.

Here, I take a brief look at 3 of the top new IVF studies from last week that I think are most helpful for patients.

๐’๐ญ๐ฎ๐๐ฒ ๐Ÿ. This study investigated the effects of adding antioxidants to the culture media used in growing embryos in the IVF lab. It found that fertilization and early embryo development improved with antioxidant use, along with higher rates of implantation and live births, particularly in older patients.

๐’๐ญ๐ฎ๐๐ฒ ๐Ÿ. This randomized clinical trial explored the potential of probiotics in correcting immunological imbalances, specifically the Th1 to Th2 cytokine ratio, to improve outcomes in women with recurrent implantation failure. Results showed that probiotic treatment adjusted immune responses and increased clinical pregnancy rates among RIF patients.

๐’๐ญ๐ฎ๐๐ฒ ๐Ÿ‘. This study used mathematical models to show that there are high rates of chromosomal errors in embryos, predicting that less than 1% of blastocysts are completely euploid after PGT-A.

Iโ€™m short on time and canโ€™t review all these studies, so let me know which one you'd like to learn more about in detail and I can feature it next week on my IVF research news website, Remembryo.

๐–๐ก๐ข๐œ๐ก ๐ฌ๐ญ๐ฎ๐๐ฒ ๐ฐ๐จ๐ฎ๐ฅ๐ ๐ฒ๐จ๐ฎ ๐ฅ๐ข๐ค๐ž ๐ญ๐จ ๐ฅ๐ž๐š๐ซ๐ง ๐ฆ๐จ๐ซ๐ž ๐š๐›๐จ๐ฎ๐ญ?

Check out more research briefs and links to all the studies on Remembryo, link is in the comments. Want to stay up to date on new IVF research? Send me a DM with your email and I'll sign you up to my weekly newsletter.

Let's take a look at the top 5 IVF studies from 2024!These are the top 5 posts that got the most engagement on social me...
24/12/2024

Let's take a look at the top 5 IVF studies from 2024!

These are the top 5 posts that got the most engagement on social media or the most views on my website, Remembryo.

๐‚๐จ๐๐Ÿ๐ŸŽ ๐š๐ง๐ ๐จ๐ญ๐ก๐ž๐ซ ๐ฌ๐ฎ๐ฉ๐ฉ๐ฅ๐ž๐ฆ๐ž๐ง๐ญ๐ฌ ๐ข๐ฆ๐ฉ๐ซ๐จ๐ฏ๐ž ๐ˆ๐•๐… ๐จ๐ฎ๐ญ๐œ๐จ๐ฆ๐ž๐ฌ ๐ข๐ง ๐ฐ๐จ๐ฆ๐ž๐ง ๐ฐ๐ข๐ญ๐ก ๐จ๐ฏ๐š๐ซ๐ข๐š๐ง ๐š๐ ๐ข๐ง๐ . A meta-analysis combined the results of 20 trials that examined antioxidant supplement use in women with ovarian aging, finding that clinical pregnancies increased, especially CoQ10.

๐๐ž๐š๐ซ๐ฅ๐ฒ ๐ก๐š๐ฅ๐Ÿ ๐จ๐Ÿ ๐ฎ๐ง๐ž๐ฑ๐ฉ๐ฅ๐š๐ข๐ง๐ž๐ ๐ข๐ง๐Ÿ๐ž๐ซ๐ญ๐ข๐ฅ๐ข๐ญ๐ฒ ๐ฉ๐š๐ญ๐ข๐ž๐ง๐ญ๐ฌ ๐ก๐š๐ฏ๐ž ๐ž๐ง๐๐จ๐ฆ๐ž๐ญ๐ซ๐ข๐จ๐ฌ๐ข๐ฌ. A new review combined the results of 11 studies that reported on endometriosis in unexplained infertility patients that had laparoscopy, finding that 44% of them had endometriosis.

๐€๐ง๐ญ๐ข๐จ๐ฑ๐ข๐๐š๐ง๐ญ๐ฌ ๐ข๐ง ๐ˆ๐•๐… ๐œ๐ฎ๐ฅ๐ญ๐ฎ๐ซ๐ž ๐ฆ๐ž๐๐ข๐š ๐ฅ๐ž๐š๐๐ฌ ๐ญ๐จ ๐ฆ๐จ๐ซ๐ž ๐›๐ฅ๐š๐ฌ๐ญ๐จ๐œ๐ฒ๐ฌ๐ญ๐ฌ, ๐ก๐ข๐ ๐ก๐ž๐ซ ๐ฅ๐ข๐ฏ๐ž ๐›๐ข๐ซ๐ญ๐ก ๐ซ๐š๐ญ๐ž๐ฌ. Researchers showed that supplementing IVF culture media with antioxidants improved fertilization, blastocyst formation rates and live birth rates for patients aged 35-40.

๐Œ๐จ๐ซ๐ž ๐ฌ๐ž๐ง๐ฌ๐ข๐ญ๐ข๐ฏ๐ž ๐๐†๐“-๐€ ๐ญ๐ž๐ฌ๐ญ ๐ฌ๐ก๐จ๐ฐ๐ฌ ๐ญ๐ก๐š๐ญ ๐ง๐ž๐š๐ซ๐ฅ๐ฒ ๐š๐ฅ๐ฅ ๐›๐ฅ๐š๐ฌ๐ญ๐จ๐œ๐ฒ๐ฌ๐ญ๐ฌ, ๐Ÿ๐ž๐ญ๐š๐ฅ ๐ญ๐ข๐ฌ๐ฌ๐ฎ๐ž๐ฌ ๐š๐ซ๐ž ๐ฆ๐จ๐ฌ๐š๐ข๐œ. Using single-cell DNA sequencing, mosaicism was found in 100% of blastocysts, 96% of day 8-14 post-implantation embryos and 98% of fetal tissues (including brain, heart and kidney tissues from miscarriages).

๐Œ๐จ๐ฌ๐š๐ข๐œ ๐ž๐ฆ๐›๐ซ๐ฒ๐จ๐ฌ ๐ฌ๐ก๐จ๐ฐ ๐ง๐จ๐ซ๐ฆ๐š๐ฅ ๐จ๐›๐ฌ๐ญ๐ž๐ญ๐ซ๐ข๐œ ๐จ๐ฎ๐ญ๐œ๐จ๐ฆ๐ž๐ฌ, ๐ก๐ž๐š๐ฅ๐ญ๐ก๐ฒ ๐œ๐ก๐ข๐ฅ๐๐ซ๐ž๐ง ๐ฎ๐ฉ ๐ญ๐จ ๐Ÿ‘ ๐ฒ๐ž๐š๐ซ๐ฌ ๐จ๐ฅ๐. Researchers found no health problems in children born from mosaic embryos transfers, and no differences in obstetric outcomes between mosaic and euploid transfers.

๐“๐ก๐ข๐ฌ ๐ฐ๐ข๐ฅ๐ฅ ๐›๐ž ๐ฆ๐ฒ ๐ฅ๐š๐ฌ๐ญ ๐ฉ๐จ๐ฌ๐ญ ๐Ÿ๐จ๐ซ ๐Ÿ๐ŸŽ๐Ÿ4, ๐ฌ๐จ ๐š๐ฅ๐ฅ ๐ญ๐ก๐ž ๐›๐ž๐ฌ๐ญ ๐ญ๐จ ๐ž๐ฏ๐ž๐ซ๐ฒ๐จ๐ง๐ž ๐จ๐ฎ๐ญ ๐ญ๐ก๐ž๐ซ๐ž ๐š๐ง๐ ๐ˆ ๐ฐ๐ข๐ฌ๐ก ๐ฒ๐จ๐ฎ ๐ญ๐ก๐ž ๐ก๐š๐ฉ๐ฉ๐ข๐ž๐ฌ๐ญ ๐จ๐Ÿ ๐ก๐จ๐ฅ๐ข๐๐š๐ฒ๐ฌ!

More details and citations on Remembryo (link in the comments). Want to stay up to date on new IVF research and news? Send me a DM with your email and I'll sign you up to my weekly newsletter!

(Sponsored post)Check out the IVF Abroad - Patient's Guide 2024, showcasing the best countries for IVF treatment abroad!...
24/12/2024

(Sponsored post)

Check out the IVF Abroad - Patient's Guide 2024, showcasing the best countries for IVF treatment abroad! With this guide you can check clinic popularity, success rates, IVF treatment costs and legislation. The guide is comprehensive and includes 110 pages with 12 of the most popular countries, without ads.

Link in the comments.

How does age affect the uterus and pregnancy outcomes after IVF?While itโ€™s well-known that egg quality decreases with ag...
19/12/2024

How does age affect the uterus and pregnancy outcomes after IVF?

While itโ€™s well-known that egg quality decreases with age, the effect of aging on the uterus and endometrium is less clear.

One way to study this is by looking at embryo transfers with euploid embryos or donor eggs in younger and older women. This can help reduce the effect of egg quality to focus on how aging affects the uterus and endometrium.

A new meta-analysis, by Diana Marti-Garcia and colleagues, did just this and combined the results of 142 studies.

Some of the results showed that with older age there was a thinner endometrium, lower pregnancy rates (but no change in live births), and less diversity in the uterine microbiome.

The authors explain that this may be due to changes in hormone levels with age, which make the uterine lining thinner. Changes in blood vessel formation and structure in the endometrium can also cause implantation problems.

Other reviews on this topic have generally found no clear impact of age on the uterus, although the authors state that this may be related to sample size or other factors.

More details and a full citation for this research are available on Remembryo (link in the comments). Want to stay up to date on new IVF research and news? Send me a DM with your email and I'll sign you up to my weekly newsletter!

The worldโ€™s first birth using a special type of in vitro maturation, involving the use of ovarian support cells, has bee...
18/12/2024

The worldโ€™s first birth using a special type of in vitro maturation, involving the use of ovarian support cells, has been reported.

In vitro maturation (IVM) is an experimental procedure where immature eggs are retrieved and matured in a lab for fertilization.

One of the newer ways to perform IVM involves the use of ovarian support cells, or OSCs. OSCs are derived from stem cells and are similar to cells in the follicle that can help the egg grow.

Gameto, a biotechnology company, recently announced the worldโ€™s first live human birth using its OSC technology, Fertilo.

According to their site, a typical Fertilo cycle involves about 3 days of ovarian stimulation to obtain immature eggs, which are then matured outside the body using OSCs and then fertilized.

There isn't much data on the technique, but this could potentially change the way IVF is done if it's shown to be safe and effective compared to standard ovarian stimulation. Provided that it's affordable, of course!

Gameto has secured regulatory clearance in a number of countries, including Australia and Mexico. Phase 3 clinical trials are currently underway in the US.

๐‡๐จ๐ฐ ๐ฐ๐จ๐ฎ๐ฅ๐ ๐ฒ๐จ๐ฎ ๐Ÿ๐ž๐ž๐ฅ ๐š๐›๐จ๐ฎ๐ญ ๐š ๐Ÿ‘-๐๐š๐ฒ ๐ฌ๐ญ๐ข๐ฆ๐ฎ๐ฅ๐š๐ญ๐ข๐จ๐ง ๐ฎ๐ฌ๐ข๐ง๐  ๐Ž๐’๐‚๐ฌ ๐ข๐ง๐ฌ๐ญ๐ž๐š๐ ๐จ๐Ÿ ๐ญ๐ก๐ž ๐ญ๐ซ๐š๐๐ข๐ญ๐ข๐จ๐ง๐š๐ฅ ๐Ÿ๐ŸŽ+ ๐๐š๐ฒ๐ฌ ๐ง๐ž๐ž๐๐ž๐ ๐Ÿ๐จ๐ซ ๐œ๐จ๐ง๐ฏ๐ž๐ง๐ญ๐ข๐จ๐ง๐š๐ฅ ๐ฌ๐ญ๐ข๐ฆ๐ฎ๐ฅ๐š๐ญ๐ข๐จ๐ง?

Check out all the details on Remembryo, link in the comments. Want to stay up to date on new IVF research and news? Send me a DM with your email and I'll sign you up to my weekly newsletter!

Follicular flushing can increase the number of eggs retrieved.During an egg retrieval, each follicle is drained by aspir...
17/12/2024

Follicular flushing can increase the number of eggs retrieved.

During an egg retrieval, each follicle is drained by aspiration to obtain the egg inside. The egg might be retrieved with a single aspiration, but sometimes it isnโ€™t, and the doctor can try to retrieve it by flushing the follicle with multiple aspirations.

Researchers from Eugonia IVF (Greece) recently published a study in 2023 that compared a single aspiration to follicular flushing, where follicles were flushed multiple times.

In the graph you can see some of their results. From 7 follicles, patients with follicular flushing got more eggs, resulting in more mature eggs, more fertilized eggs and more good quality embryos.

Check out all the details on Remembryo, link in the comments. Want to stay up to date on new IVF research and news? Send me a DM with your email and I'll sign you up to my weekly newsletter!

Time for the weekly IVF research brief! Here, I take a brief look at 3 of the top new IVF studies from last week that I ...
16/12/2024

Time for the weekly IVF research brief!

Here, I take a brief look at 3 of the top new IVF studies from last week that I think are most helpful for patients.

๐’๐ญ๐ฎ๐๐ฒ ๐Ÿ. This study investigated the impact of age and the number of eggs retrieved on the cumulative live birth rate in women with poor ovarian response. It found that both age and the number of eggs independently affect the cumulative live birth rate, with each additional egg retrieved significantly increasing the chances of a successful live birth, particularly in younger women compared to those aged 43-45.

๐’๐ญ๐ฎ๐๐ฒ ๐Ÿ. This study compared PGT-A outcomes for women 38 years or older with 3 or fewer eggs retrieved. They found that PGT-A cycles were at higher risk of cancellation, but resulted in a higher chance of pregnancy and live birth per transfer. While there were differences per transfer, there were no differences per cycle.

๐’๐ญ๐ฎ๐๐ฒ ๐Ÿ‘. This review examines how fibroids, particularly submucosal and some intramural types, influence endometrial receptivity and pregnancy outcomes through mechanisms such as cytokine secretion, altered blood flow and angiogenesis, impacts on endometrial peristalsis, and changes in the uterine microenvironment.

Iโ€™m short on time and canโ€™t review all these studies, so let me know which one you'd like to learn more about in detail and I can feature it next week on my IVF research news website, Remembryo. Sign up to my newsletter to make sure you donโ€™t miss it! (send me a DM with your email to be added).

๐–๐ก๐ข๐œ๐ก ๐ฌ๐ญ๐ฎ๐๐ฒ ๐ฐ๐จ๐ฎ๐ฅ๐ ๐ฒ๐จ๐ฎ ๐ฅ๐ข๐ค๐ž ๐ญ๐จ ๐ฅ๐ž๐š๐ซ๐ง ๐ฆ๐จ๐ซ๐ž ๐š๐›๐จ๐ฎ๐ญ?

Check out more research briefs and links to all the studies on Remembryo, link is in the comments. Want to stay up to date on new IVF research? Send me a DM with your email and I'll sign you up to my weekly newsletter.

A new randomized controlled trial (RCT) investigated the use of growth hormone (GH) in normal responders, finding no dif...
13/12/2024

A new randomized controlled trial (RCT) investigated the use of growth hormone (GH) in normal responders, finding no differences in IVF and pregnancy outcomes.

Women with poor ovarian responses often get fewer eggs during IVF because they have a low ovarian reserve (low AMH). Studies have shown that GH might help these poor responders by improving the number and quality of eggs retrieved.

Some people think that GH should be used in all IVF patients, not just those who respond poorly, but also in those who respond normally to ovarian stimulation. A new RCT investigated this.
Overall, they found no differences when using GH in normal responders.

For IVF outcomes, there were no differences in the number of follicles, number of eggs retrieved, fertilization rate or the number of embryos available for transfer.

For embryo transfer outcomes, there were no differences in the pregnancy, live birth or miscarriage rates.

Previous research has shown that GH can increase egg retrieval numbers and improve pregnancy outcomes in poor responders, however this study found no benefit for normal responders.

The study was designed to detect larger differences in clinical pregnancy, and it's possible that a smaller effect couldn't be identified with the number of patients included. The authors described this study as the largest performed to date in normal responders.

๐‡๐š๐ฏ๐ž ๐ฒ๐จ๐ฎ ๐ญ๐ซ๐ข๐ž๐ ๐†๐‡ ๐Ÿ๐จ๐ซ ๐š๐ง ๐ž๐ ๐  ๐ซ๐ž๐ญ๐ซ๐ข๐ž๐ฏ๐š๐ฅ? ๐ƒ๐ข๐ ๐ข๐ญ ๐ฐ๐จ๐ซ๐ค?

Check out all the details on Remembryo, link is in the comments. Want to stay up to date on new IVF research and news? Send me a DM with your email and I'll sign you up to my weekly newsletter!

A new study compared cumulative live birth rates (CLBR) for patients based on 3 criteria: age, the number of eggs retrie...
12/12/2024

A new study compared cumulative live birth rates (CLBR) for patients based on 3 criteria: age, the number of eggs retrieved and diagnosis.

In this study, women had 5 or more frozen transfers of untested embryos and the overall (cumulative) live birth rate was estimated.

Female age had the strongest impact on CLBR.

***Potentially sensitive stats below***

For women

A study published in The New England Journal of Medicine found that routine non-invasive prenatal testing (NIPT) can ina...
10/12/2024

A study published in The New England Journal of Medicine found that routine non-invasive prenatal testing (NIPT) can inadvertently detect maternal cancers.

Approximately 1 in 8000 women receive uninterpretable results from NIPT, leading researchers to start the IDENTIFY study five years ago to investigate these cases.

The study involved 107 pregnant individuals with uninterpretable NIPT results. Among them, 52 (48.5%) were diagnosed with various cancers, including lymphoma and breast cancer.

These cancers shed DNA into the bloodstream, which the NIPT test sampled, resulting in uninterpretable outcomes such as multiple chromosomal gains and losses.

While some patients already had symptoms, about half of the patients with cancer were asymptomatic and unaware of their condition until further diagnostic tests were conducted.

For patients with uninterpretable NIPT results, the researchers recommend having additional testing, like whole-body MRI scans, to rule out tumors.

Check out all the details on Nature, link is in my bio. To visit my bio, head to my profile and click the link on top. Want to stay up to date on new IVF research and news? Send me a DM with your email and I'll sign you up to my weekly newsletter!

Time for the weekly IVF research brief! Here, I take a brief look at 3 of the top new IVF studies from last week that I ...
09/12/2024

Time for the weekly IVF research brief!

Here, I take a brief look at 3 of the top new IVF studies from last week that I think are most helpful for patients.

๐’๐ญ๐ฎ๐๐ฒ ๐Ÿ. This meta-analysis combined the results of 59 studies that investigated the impact of age on reproductive outcomes in women >35. They found that older women had a thinner endometrium, a reduced chance of clinical pregnancy (using donor eggs) and a higher chance of pregnancy loss.

๐’๐ญ๐ฎ๐๐ฒ ๐Ÿ. This review describes how the immune system influences the growth and condition of follicles, and how it impacts ovarian reserve and contributes to issues like premature ovarian insufficiency. This review mainly focuses on research in animal models.

๐’๐ญ๐ฎ๐๐ฒ ๐Ÿ‘. This study tested two methods, the Zymot s***m separation device and traditional density gradient centrifugation, for preparing s***m from frozen samples and their effects on embryo development. The results showed that both methods were similar in early embryo stages, but Zymot led to a higher number of better quality embryos.

Iโ€™m short on time and canโ€™t review all these studies, so let me know which one you'd like to learn more about in detail and I can feature it next week on my IVF research news website, Remembryo. Sign up to my newsletter to make sure you donโ€™t miss it! (send me a DM with your email to be added).

Check out more research briefs and links to all the studies on Remembryo, link is in the comments. Want to stay up to date on new IVF research? Send me a DM with your email and I'll sign you up to my weekly newsletter.

๐–๐ก๐ข๐œ๐ก ๐ฌ๐ญ๐ฎ๐๐ฒ ๐ฐ๐จ๐ฎ๐ฅ๐ ๐ฒ๐จ๐ฎ ๐ฅ๐ข๐ค๐ž ๐ญ๐จ ๐ฅ๐ž๐š๐ซ๐ง ๐ฆ๐จ๐ซ๐ž ๐š๐›๐จ๐ฎ๐ญ?

How are embryos ranked for transfer? This is a chart I put together that shows one way to do this, based on data from Bo...
05/12/2024

How are embryos ranked for transfer? This is a chart I put together that shows one way to do this, based on data from Bouillon et al. 2017 (DOI: 10.1016/j.rbmo.2017.04.009). This focuses on blastocyst ranking, not day 3 embryos.

Let's walk through it!

Blastocysts (day 5-7 embryos) can be graded using the Gardner system, consisting of a number (the expansion) followed by 2 letters that indicate the quality of the ICM and trophectoderm (A, B or C).

Blastocysts with a higher expansion/quality tend to have a higher chance of leading to a live birth. So in this chart, the 6AA is โ€œthe bestโ€ and the 1 is โ€œthe worst.โ€ All embryos have a chance, but some have a higher chance than others!

At the bottom of the ranking order (all the way to the right) are early blasts -- a 1 or a 2. Notice there's no letter grades? This is because the ICM/trophectoderm aren't fully developed at this stage. However, some labs are different and will grade the quality (ie. a 2BB or 1AB).

From here we go left to the poor quality blasts. These embryos have a C quality ICM or trophectoderm. The worst quality here are the CCs, then the CB/BCs, then the AC/CAs.

To the left, next are the fair quality blasts with BB quality.

To the left again, next are the good quality blasts with BA/AB. Top quality blasts are the AAs.

๐“๐ก๐ข๐ฌ ๐œ๐ก๐š๐ซ๐ญ ๐๐จ๐ž๐ฌ๐ง'๐ญ ๐ข๐ง๐œ๐ฅ๐ฎ๐๐ž ๐ก๐จ๐ฐ ๐ฅ๐จ๐ง๐  ๐ข๐ญ ๐ญ๐จ๐จ๐ค ๐ญ๐ก๐ž ๐ž๐ฆ๐›๐ซ๐ฒ๐จ ๐ญ๐จ ๐๐ž๐ฏ๐ž๐ฅ๐จ๐ฉ, ๐›๐ฎ๐ญ ๐š ๐๐š๐ฒ ๐Ÿ“ ๐ข๐ฌ ๐›๐ž๐ญ๐ญ๐ž๐ซ ๐ญ๐ก๐š๐ง ๐š ๐๐š๐ฒ ๐Ÿ”, ๐š๐ง๐ ๐š ๐๐š๐ฒ ๐Ÿ” ๐ข๐ฌ ๐›๐ž๐ญ๐ญ๐ž๐ซ ๐ญ๐ก๐š๐ง ๐š ๐๐š๐ฒ ๐Ÿ•.

Your lab might have their own way of ranking embryos. For example, some might consider a 5AA over a 6AA because a fully hatched blast (a 6) may be more fragile over one that's still in its zona. For the ICM vs trophectoderm, there seems to be opposite results on this from different studies and nothing conclusive as far as I know, so don't pay attention to the order for AB vs BA, or CA vs AC, etc. in this chart.

๐–๐ก๐š๐ญ ๐ค๐ข๐ง๐ ๐จ๐Ÿ ๐ ๐ซ๐š๐๐ž๐ฌ ๐๐ข๐ ๐ฒ๐จ๐ฎ๐ซ ๐ž๐ฆ๐›๐ซ๐ฒ๐จ๐ฌ ๐ ๐ž๐ญ?

You can learn more about embryo grading and success rates on Remembryo, link is in the comments. Want to stay up to date on new IVF research and news? Send me a DM with your email and I'll sign you up to my weekly newsletter!

A new meta-analysis evaluated the use of artificial oocyte activation (AOA) on IVF outcomes, finding improvements in fer...
04/12/2024

A new meta-analysis evaluated the use of artificial oocyte activation (AOA) on IVF outcomes, finding improvements in fertilization and live birth rates, but only in patients with a history of fertilization problems.

When a s***m enters an egg, calcium ions are released. These calcium ions trigger the egg's mitochondria to make energy. This is called oocyte activation and is needed for successful fertilization.

For patients with fertilization problems, a method called artificial oocyte activation (AOA) can help. This uses chemicals called "calcium ionophores" that can carry calcium into the egg to trigger oocyte activation.

AOA is sometimes also used in patients without fertilization problems, because it might prevent embryo arrest.

A recent meta-analysis combined the results of 12 studies that looked at how well AOA works on patients with or without fertilization problems.

When looking at all the data, using AOA helped increase the rates of fertilization and live birth.

However, when breaking down the studies, only patients with fertilization issues saw improvements in fertilization and live birth.

The studies also checked other results, like how well AOA helped form blastocysts. Again, only patients with fertilization problems saw improvements, and patients with normal fertilization and embryo arrest didnโ€™t see a benefit.

The authors note that AOA should be "strictly limited to patients with appropriate indications" and that any children born from this technique should be closely monitored (since there's a lack of data on long-term effects).

Check out all the details on Remembryo, link is in the comments. Want to stay up to date on new IVF research and news? Send me a DM with your email and I'll sign you up to my weekly newsletter!

๐‡๐š๐ฏ๐ž ๐ฒ๐จ๐ฎ ๐ญ๐ซ๐ข๐ž๐ ๐€๐Ž๐€? ๐ƒ๐ข๐ ๐ข๐ญ ๐ก๐ž๐ฅ๐ฉ?

A report by Bloomberg describes billionaire Greg Lindberg's "baby project," involving a network of egg donors and surrog...
03/12/2024

A report by Bloomberg describes billionaire Greg Lindberg's "baby project," involving a network of egg donors and surrogates to father multiple children.

Lindberg, previously an insurance tycoon with a net worth over $1 billion, started the baby project around 2018.

The initiative recruited at least 25 women, mostly models, through high-net-worth matchmaking services and exclusive parties on his yacht, with one model reportedly offered $1.5 million for her egg donation. Some women felt misled, thinking they would play a role in the child's life or that the child would go to another family.

While facing unrelated charges of fraud and bribery, Lindberg continued to expand his family from prison, coordinating with his fiancรฉe and other associates to manage the project.

Lindberg paused the project in 2023, influenced by his fiancรฉe's suggestion to begin focusing on raising the children. Today, Lindberg has at least 12 children, with 6 or more born through the project.

According to Bloomberg, despite its ethically questionable nature, most aspects of Lindberg's baby project were legal. While some clinics refused him, some continued to work with him for high fees.

โ€œThis situation is emblematic of the consumerization of IVF in America. We need more checks and balances," said Brian Levine, founding partner of the clinic CCRM Fertility of New York, in an interview with Bloomberg.

๐˜›๐˜ฉ๐˜ช๐˜ด ๐˜ด๐˜ถ๐˜ฎ๐˜ฎ๐˜ข๐˜ณ๐˜บ ๐˜ช๐˜ด ๐˜ฃ๐˜ข๐˜ด๐˜ฆ๐˜ฅ ๐˜ฐ๐˜ฏ ๐˜ข ๐˜ณ๐˜ฆ๐˜ฑ๐˜ฐ๐˜ณ๐˜ต ๐˜ฃ๐˜บ ๐˜‰๐˜ญ๐˜ฐ๐˜ฐ๐˜ฎ๐˜ฃ๐˜ฆ๐˜ณ๐˜จ ๐˜ข๐˜ฏ๐˜ฅ ๐˜ฅ๐˜ฐ๐˜ฆ๐˜ด ๐˜ฏ๐˜ฐ๐˜ต ๐˜ค๐˜ฐ๐˜ฏ๐˜ต๐˜ข๐˜ช๐˜ฏ ๐˜ข๐˜ฏ๐˜บ ๐˜ช๐˜ฏ๐˜ฅ๐˜ฆ๐˜ฑ๐˜ฆ๐˜ฏ๐˜ฅ๐˜ฆ๐˜ฏ๐˜ต ๐˜ณ๐˜ฆ๐˜ฑ๐˜ฐ๐˜ณ๐˜ต๐˜ช๐˜ฏ๐˜จ.

Check out all the details on Bloomberg, link is in my bio. Click on my profile and you'll see the link to my bio at the top. Want to stay up to date on new IVF research and news? Send me a DM with your email and I'll sign you up to my weekly newsletter!

Time for the weekly IVF research brief! Here, I take a brief look at 3 of the top new IVF studies from last week that I ...
02/12/2024

Time for the weekly IVF research brief!

Here, I take a brief look at 3 of the top new IVF studies from last week that I think are most helpful for patients.

๐’๐ญ๐ฎ๐๐ฒ ๐Ÿ. This study analyzed the composition of commercial human embryo culture media from seven suppliers, revealing significant differences among brands despite some common trends, indicating a lack of standardization in formulations.

๐’๐ญ๐ฎ๐๐ฒ ๐Ÿ. This meta-analysis combined the results of 6 randomized controlled trials (high quality studies) investigating the use of DuoStim, a strategy involving two ovarian stimulation cycles within a single menstrual cycle. They found significant increases the the total number of eggs and mature eggs retrieved, but no improvements in pregnancy and live birth rates.

๐’๐ญ๐ฎ๐๐ฒ ๐Ÿ‘. In a randomized controlled trial (high quality study), researchers investigated the use of growth hormone administered during ovarian stimulation on IVF outcomes. They found no differences in the number of follicles, retrieved eggs, mature eggs, fertilization or good quality embryo rate. There were also no differences in pregnancy outcomes.

Iโ€™m short on time and canโ€™t review all these studies, so let me know which one you'd like to learn more about in detail and I can feature it next week on my IVF research news website, Remembryo. Sign up to my newsletter to make sure you donโ€™t miss it! (send me a DM with your email to be added).

Check out more research briefs and links to all the studies on Remembryo, link is in the comments. Want to stay up to date on new IVF research? Send me a DM with your email and I'll sign you up to my weekly newsletter.

๐–๐ก๐ข๐œ๐ก ๐ฌ๐ญ๐ฎ๐๐ฒ ๐ฐ๐จ๐ฎ๐ฅ๐ ๐ฒ๐จ๐ฎ ๐ฅ๐ข๐ค๐ž ๐ญ๐จ ๐ฅ๐ž๐š๐ซ๐ง ๐ฆ๐จ๐ซ๐ž ๐š๐›๐จ๐ฎ๐ญ?

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I am Embryoman-your friendly neighborhood embryologist!

Remembryo is my blog for evidence based IVF information (www.remembryo.com). Hereโ€™s what I got so far:


  • Embryo grading and success rates (https://www.remembryo.com/embryo-grading/)

  • PGS testing (https://www.remembryo.com/pgs-testing/)

  • Mosaic embryos (https://www.remembryo.com/mosaic-embryo/)