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Minerva Obstetrics and Gynecology 2021 October;73(5):632-7

DOI: 10.23736/S2724-606X.21.04759-X

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Do vitrified frozen-thawed embryos generated from successful fresh cycles have higher potential for favorable outcome?

Gilad KARAVANI 1 , Shmuel HERZBERG 1, Natali SCHACHTER-SAFRAI 1, Henry H. CHILL 1, Assaf BEN-MEIR 1, 2, Alex SIMON 1, 2

1 Department of Obstetrics and Gynecology, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel; 2 Unit of Infertility and IVF, Hadassah Hebrew University Hospital, Jerusalem, Israel



BACKGROUND: Many variables, including woman’s age, embryo quality and endometrial receptivity, influence the success rate of either fresh embryo transfer (ET) or frozen-thawed ET (FT-ET) cycles. This study aims to examine whether the results of a fresh in-vitro fertilization (IVF) cycle correlate with its frozen-thawed embryos transfer outcomes.
METHODS: A retrospective cohort study conducted in a tertiary medical center single IVF unit between 2014-2017. The study population was comprised of women who underwent fresh ET with the remaining embryos frozen using vitrification and at least one consecutive FT-ET cycle. Comparison of FT-ET cycle’s details and outcomes were assessed in relation to the outcome of preceding fresh ET cycle.
RESULTS: A total of 599 women underwent fresh ET and at least one consecutive FT-ET cycle. Significantly higher rates of successful FT-ET cycle outcomes were observed in the group of patients with a successful fresh cycle compared to the group with an unsuccessful fresh cycle (48.9% vs. 20.8%, P<0.001). Logistic regression demonstrated an adjusted OR of 5.02 for successful FT-ET after a successful fresh cycle.
CONCLUSIONS: Frozen-thawed embryos generated from successful fresh IVF cycles have higher potential to implant when compared to frozen-thawed embryos obtained in an unsuccessful fresh cycle.


KEY WORDS: Embryo transfer; Fertilization in vitro; Vitrification

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