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- W2149812187 abstract "ObjectiveTo determine the frequency of aneuploidy in preimplantational embryos derived from advanced maternal age (AMA), recurrent pregnancy loss (RPL), spontaneous abortion (SAB) and patient request (RQ) according to the day of embryo biopsy.DesignMulticenter observational study.Materials and MethodsEmbryo biopsies on day 3 or day 5 were referred from fertility centers to the same PGD laboratory. The frequency of aneuploidy in embryos was analyzed according to the patient reason to perform array CGH test. AMA patients were ≥38 years old. Only patients≤35 years old (young women) were selected for RPL, SAB and RQ patients to avoid the influence of the age on the frequency of aneuploidy.ResultsA total of 1703 IVF/ICSI cycles were selected. Embryo biopsies were done at day 3 (1109 cycles) or day 5 (594 cycles). Average age was higher in AMA patient (40.7±2.1); RPL, SAB and RQ age were similar (32.2±2.8, 31.9±2.7 and 31.7±1.7 years old respectively). On day 3, AMA patient had 18.2% (911/5015) of euploid embryos compared to 43.7% (1158/2649) in young women (P<0.001). Euploidy rates on day 3 were lower for RPL 41.5% (350/841) and SAB 41.5% (248/597) groups compared to RQ patients 46.2% (560/1211) (P<0.05). On day 5, AMA patients had lower incidence of euploidy 33.5% (457/1363) than young women 66.7% (663/993) (P<0.001). The euploidy frequency on day 5 for RPL patients (61.1%, 151/247) was significantly lower compared to that for SAB 68.7% (154/224) and RQ 68.6% (358/522) patients (P<0.05).ConclusionThe frequency of aneuploidy is higher in day 3 than day 5 embryos, indicating some incomplete negative selection of aneuploidy embryos through extended culture. The incidence of aneuploidy embryos in patients older than 38 years old is two folds higher than in young women. Also increased was the incidence of aneuploidy in women younger than 35 years old with the indication of RPL. ObjectiveTo determine the frequency of aneuploidy in preimplantational embryos derived from advanced maternal age (AMA), recurrent pregnancy loss (RPL), spontaneous abortion (SAB) and patient request (RQ) according to the day of embryo biopsy. To determine the frequency of aneuploidy in preimplantational embryos derived from advanced maternal age (AMA), recurrent pregnancy loss (RPL), spontaneous abortion (SAB) and patient request (RQ) according to the day of embryo biopsy. DesignMulticenter observational study. Multicenter observational study. Materials and MethodsEmbryo biopsies on day 3 or day 5 were referred from fertility centers to the same PGD laboratory. The frequency of aneuploidy in embryos was analyzed according to the patient reason to perform array CGH test. AMA patients were ≥38 years old. Only patients≤35 years old (young women) were selected for RPL, SAB and RQ patients to avoid the influence of the age on the frequency of aneuploidy. Embryo biopsies on day 3 or day 5 were referred from fertility centers to the same PGD laboratory. The frequency of aneuploidy in embryos was analyzed according to the patient reason to perform array CGH test. AMA patients were ≥38 years old. Only patients≤35 years old (young women) were selected for RPL, SAB and RQ patients to avoid the influence of the age on the frequency of aneuploidy. ResultsA total of 1703 IVF/ICSI cycles were selected. Embryo biopsies were done at day 3 (1109 cycles) or day 5 (594 cycles). Average age was higher in AMA patient (40.7±2.1); RPL, SAB and RQ age were similar (32.2±2.8, 31.9±2.7 and 31.7±1.7 years old respectively). On day 3, AMA patient had 18.2% (911/5015) of euploid embryos compared to 43.7% (1158/2649) in young women (P<0.001). Euploidy rates on day 3 were lower for RPL 41.5% (350/841) and SAB 41.5% (248/597) groups compared to RQ patients 46.2% (560/1211) (P<0.05). On day 5, AMA patients had lower incidence of euploidy 33.5% (457/1363) than young women 66.7% (663/993) (P<0.001). The euploidy frequency on day 5 for RPL patients (61.1%, 151/247) was significantly lower compared to that for SAB 68.7% (154/224) and RQ 68.6% (358/522) patients (P<0.05). A total of 1703 IVF/ICSI cycles were selected. Embryo biopsies were done at day 3 (1109 cycles) or day 5 (594 cycles). Average age was higher in AMA patient (40.7±2.1); RPL, SAB and RQ age were similar (32.2±2.8, 31.9±2.7 and 31.7±1.7 years old respectively). On day 3, AMA patient had 18.2% (911/5015) of euploid embryos compared to 43.7% (1158/2649) in young women (P<0.001). Euploidy rates on day 3 were lower for RPL 41.5% (350/841) and SAB 41.5% (248/597) groups compared to RQ patients 46.2% (560/1211) (P<0.05). On day 5, AMA patients had lower incidence of euploidy 33.5% (457/1363) than young women 66.7% (663/993) (P<0.001). The euploidy frequency on day 5 for RPL patients (61.1%, 151/247) was significantly lower compared to that for SAB 68.7% (154/224) and RQ 68.6% (358/522) patients (P<0.05). ConclusionThe frequency of aneuploidy is higher in day 3 than day 5 embryos, indicating some incomplete negative selection of aneuploidy embryos through extended culture. The incidence of aneuploidy embryos in patients older than 38 years old is two folds higher than in young women. Also increased was the incidence of aneuploidy in women younger than 35 years old with the indication of RPL. The frequency of aneuploidy is higher in day 3 than day 5 embryos, indicating some incomplete negative selection of aneuploidy embryos through extended culture. The incidence of aneuploidy embryos in patients older than 38 years old is two folds higher than in young women. Also increased was the incidence of aneuploidy in women younger than 35 years old with the indication of RPL." @default.
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- W2149812187 date "2012-09-01" @default.
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- W2149812187 title "Incidence of aneuploidy is increased in patients with advanced maternal age and recurrent pregnancy loss" @default.
- W2149812187 doi "https://doi.org/10.1016/j.fertnstert.2012.07.500" @default.
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