Projects / Programmes
Role of oocyte freezing in the treatment of infertile couple
Code |
Science |
Field |
Subfield |
3.05.00 |
Medical sciences |
Human reproduction |
|
Code |
Science |
Field |
B450 |
Biomedical sciences |
Development biology, teratology, ontogeny, embryology (human) |
B570 |
Biomedical sciences |
Obstetrics, gynaecology, andrology, reproduction, sexuality |
human oocytes, freezing, thawing, ICSI, fertilization, pregnancy
Researchers (13)
Organisations (1)
Abstract
In programme of assissted reproduction, we will introduce the method of oocyte freezing and thawing. After hormonal ovarian stimulation or in natural cycle we will retrieve and freeze oocytes in women with first symptoms of ovarian function failure (pre-mature menopause) and before oncotherapy (chemotherapy, radiotherapy). Oocytes will be long-term stored and in this way the reproductive function of women will be kept. In the future in vitro fertilization of her owen oocytes will be performed, and the need for donnor oocytes will be decreased. Oocytes will be frozen also in couples included in the programme of in vitro fertilization. In couples with no semen obtained because of male psychological and physiological troubles on the day of in vitro fertilization all oocytes will be frozen and fertilization will be performed on thawed oocytes after semen retrieval. Similarly, all oocytes will be frozen on the day of in vitro fertilization if no spermatozoa will be found in semen or testicular tissue. After male treatment and retrieval of ejaculate, testicular, or epididymal spermatozoa, oocytes will be thawed and in vitro fertilization performed. The possibility of oocyte cryopreservation and in vitro fertilization on thawed oocytes will be offered to elderly women (> 36 years) and to women with more than 15 retrieved oocytes to improve the cummulative success (fertilization, achievement of pregnancy) of in vitro fertilization. In all cases, oocytes will be frozen slow, automatically (programmatic) or quick by vitrification. On frozen-thawed oocytes intracytoplasmic sperm injection (ICSI) will be performed. Embryos will be tested genetically by preimplantation genetic diagnosis and transfered to the uterus in a natural cycle or after mild hormonal preparation. We will try to improve the implantation potential of embryos by the method of "assisted hatching". We will compare the results of in vitro fertilization obtained by fresh or frozen-thawed oocytes (fertilization, achievement of pregnancy), and evaluate the cummulative success of in vitro fertilization progrmme. We will evaluate the biological quality of thawed oocytes (mitotic spindle) in comparison with fresh oocytes. We will evaluate factors affecting the success of oocyte freezing and thawing progrmme (female age, indications of infertility, ovarian stimulation). The project is scientifically original and very important for the clinical practice.