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  • Title: Effect of coasting on the implantation potential of embryos transferred after cryopreservation and thawing.
    Author: Arslan M, Bocca S, Jones E, Mayer J, Stadtmauer L, Oehninger S.
    Journal: Fertil Steril; 2005 Oct; 84(4):867-74. PubMed ID: 16213837.
    Abstract:
    OBJECTIVE: To examine the effect of withholding gonadotropins on the outcome of embryos after cryopreservation and thawing. DESIGN: Retrospective clinical evaluation of patients having cryopreserved-thawed ET trials with coasting during the corresponding ovarian stimulation cycle. SETTING: Academic tertiary clinical care unit. PATIENT(S): Patients with cryopreserved embryos having coasting in their fresh IVF cycle and age-matched controls without coasting, both groups receiving the same stimulation protocol (long GnRH agonist plus recombinant FSH). INTERVENTION(S): All patients had a cycle in which embryos were transferred fresh and a cycle of thawing of cryopreserved embryos with the aim of transferring in a steroid-supplemented cycle. MAIN OUTCOME MEASURE(S): Embryo survival, implantation, and clinical pregnancy rates. RESULT(S): Post-thawing embryo survival (66.4% vs. 73%), implantation (12.3% vs. 13.0%), and clinical pregnancy rates (31.5% vs. 38.0%) were similar in study and control groups, respectively. Patients with coasting for > or =3 days had significantly lower post-thawing embryo survival rates compared with patients having shorter duration of coasting (<3 days) and controls. Implantation and pregnancy rates, however, were similar in the three groups. CONCLUSION(S): Coasting did not seem to have a detrimental effect on oocyte and embryo quality because the implantation competence of transferred concept after cryopreservation and thawing was similar to that of controls. However, prolonged coasting (> or =3 days) had a subtle negative impact on the post-thaw survival rate.
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