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Contributing factors for the incidence of aneuploidy in older patients undergoing intracytoplasmic sperm injection cycles

  • Genetics
  • Published:
Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

Abstract

Purpose

To evaluate different factors that might affect the incidence of embryo aneuploidy in intracytoplasmic sperm injection cycles (ICSI).

Methods

One hundred and ninety ICSI cycles in conjunction with preimplantation genetic screening (PGS) were included. The influence of the following variables on the aneuploidy incidence was evaluated: (i) maternal and (ii) paternal ages, (iii) dose of FSH administered, (iv) dose of FSH per number of retrieved matured oocytes (FSH/MII), (v) serum 17β-oestradiol levels on the ovulation trigger day, (vi) aspirated follicles and (vii) retrieved oocytes.

Results

A total of 440 embryos were successfully biopsied, of which 240 were considered euploid and 200 were considered aneuploid. The paternal age (Slope: 0.2, p = 0.372), total dose of FSH (Slope: 0.2, p = 0.218), FSH/MII (Slope: 0.1, p = 0.296) and 17β-oestradiol levels (Slope: 0.2, p = 0.378) were not correlated with the presence of aneuploidy. However, the maternal age (Slope: 1.7, p < 0.01), aspirated follicles (Slope: 1.9, p < 0.01) and retrieved oocytes (Slope: 2.6, p < 0.01) were negatively correlated with the incidence of aneuploidy.

Conclusions

Even in older patients, lower oocyte yields may represent a more appropriate response to ovarian stimulation, allowing the most competent follicles and oocytes to develop and thereby reducing the occurrence of embryo aneuploidy.

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Authors and Affiliations

  1. Fertility – Assisted Fertilization Centre, Av. Brigadeiro Luis Antônio, 4545, São Paulo, SP, Brazil, Zip: 01401-002

    Daniela Paes de Almeida Ferreira Braga, Rita de Cássia S. Figueira, Assumpto Iaconelli Jr. & Edson Borges Jr.

  2. Sapientiae Institute – Educational and Research Centre in Assisted Reproduction, Rua Vieira Maciel, 62, São Paulo, SP, Brazil, Zip: 04203-040

    Daniela Paes de Almeida Ferreira Braga, Amanda S. Setti, Assumpto Iaconelli Jr. & Edson Borges Jr.

Authors
  1. Daniela Paes de Almeida Ferreira Braga
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  2. Amanda S. Setti
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  3. Rita de Cássia S. Figueira
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  4. Assumpto Iaconelli Jr.
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  5. Edson Borges Jr.
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Correspondence to Edson Borges Jr..

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Lower oocyte yields reduces the occurrence of embryo aneuploidy.

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Braga, D.P.A.F., Setti, A.S., Figueira, R.C.S. et al. Contributing factors for the incidence of aneuploidy in older patients undergoing intracytoplasmic sperm injection cycles. J Assist Reprod Genet 29, 911–916 (2012). https://doi.org/10.1007/s10815-012-9795-x

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  • DOI: https://doi.org/10.1007/s10815-012-9795-x

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