Evidence map›Paper›PMID 32087702›Full record

ArticleReproductive biology and endocrinology : RB&E2020

Cumulative live birth rates according to the number of oocytes retrieved following the "freeze-all" strategy.

Zhonghua Zhao, Hao Shi, Jing Li, Yile Zhang, Caihong Chen, Yihong Guo

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In one paragraph

Article in Reproductive biology and endocrinology : RB&E, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

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10citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. When to Transfer Embryos if There Is Only 1 or 2?Life (Basel, Switzerland) · 2023
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Zhonghua ZhaoCenter of Reproductive Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, People's Republic of China.
Hao ShiCenter of Reproductive Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, People's Republic of China.
Jing LiCenter of Reproductive Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, People's Republic of China.
Yile ZhangCenter of Reproductive Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, People's Republic of China.
Caihong ChenCenter of Reproductive Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, People's Republic of China.
Yihong GuoCenter of Reproductive Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, People's Republic of China. 13613863710@163.com.ORCID http://orcid.org/0000-0003-3705-8065

Funding

Henan Medical Science and Technology Research Project, China 201701005
6 · The paper itself

Abstract

backgroundIn recent years, some studies have shown that there is a positive association between the number of oocytes retrieved and the cumulative live birth rate (CLBR) after fresh and frozen cycles of one oocyte retrieval. However, almost no studies have examined the association between the number of oocytes retrieved and the CLBR when using the "freeze-all" strategy. We performed this study to investigate the effects of an extreme oocyte yield during the first "freeze-all" cycle on the cumulative live birth rate among patients younger than 35 years old.

methodsThis was a retrospective cohort study performed in a university-affiliated reproductive medicine centre. Data obtained from 3276 women aged younger than 35 years who underwent their first "freeze-all" cycle (IVF/ICSI) were collected between January 2009 and December 2016. In all, 5025 frozen cycles took place during the follow-up period from January 2009 to December 2018. Patients were divided into five groups according to oocytes retrieved (group 1: 4-10 oocytes; group 2: 11-20 oocytes; group 3: 21-30 oocytes; group 4: 31-40 oocytes; group 5: > 40 oocytes). The primary outcome was the cumulative live birth rate.

resultsUnadjusted results showed that the cumulative live birth rate significantly increased as the number of oocytes retrieved increased and reached up to 93.82% in cases with yields of 21-30 oocytes (P < 0.05), after which it did not have a significant increase (P > 0.05). After adjusting for confounders, our results showed that the number of oocytes retrieved is an independent positive predictor of cumulative live birth rate when using a "freeze-all" strategy. (P < 0.001). In addition, the fertilization rate and the gonadotropin dose also influenced the cumulative live birth rate (P<0.05).

conclusionsAmong women younger than 35 years old who underwent the "freeze-all" strategy, the number of oocytes retrieved positively correlated with the cumulative live birth rate. Taking both efficacy and safety into account, ovarian stimulation should be rational, and the upper limit of the oocyte yield should be no more than 30.

Indexed as

Birth RateAdultCryopreservationEmbryo TransferFemaleFertilization in VitroGonadotropinsHumansOocyte RetrievalOocytesOvulation InductionPregnancyPregnancy RateRetrospective StudiesSperm Injections, IntracytoplasmicGonadotropinsCumulative live birth rate. Ovarian hyperstimulation syndrome. “Freeze-all” strategy. Oocyte number. In vitro fertilization

Identifiers

PMID32087702
PMCPMC7035702

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