[Microorganism contamination in in vitro fertilization-embryo transfer system and their sources]

Gui-jin Zhu1, Yu-lan Wei, Juan Hu

  • 1Reproductive Center, Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

Abstract

Insights

Microorganism contamination in in vitro fertilization-embryo transfer (IVF-ET) occurred in 0.51% of cycles, primarily due to Escherichia coli and fungi. Semen samples were identified as a potential source of contamination in the IVF culture system.

Area of Science:

  • Reproductive Medicine
  • Microbiology
  • In Vitro Fertilization

Background:

  • Microorganism contamination poses a risk to the success of in vitro fertilization-embryo transfer (IVF-ET) procedures.
  • Identifying the sources of contamination is crucial for improving IVF success rates.

Purpose of the Study:

  • To determine the incidence of microorganism contamination in IVF-ET cycles.
  • To identify the primary sources of microorganisms contributing to IVF contamination.

Main Methods:

  • Retrospective analysis of 2,174 IVF-ET cycles from January 1999 to June 2003.
  • Bacterial cultures performed on 61 semen samples from healthy men.
  • Bacterial cultures performed on 34 follicle fluid samples from infertile women.

Main Results:

  • Microorganisms were detected in 11 cases, with an overall contamination incidence of 0.51% in the IVF culture system.
  • Escherichia coli and fungi were the most frequently identified microorganisms.
  • High detection rates of microorganisms were observed in unprocessed semen (97%), with lower rates in processed semen (10%) and follicle fluid (9%).

Conclusions:

  • The incidence of microorganism contamination in IVF-ET is 0.51%, with Escherichia coli and fungi being the predominant contaminants.
  • Semen, particularly unprocessed samples, represents a significant potential source of contamination for IVF culture systems.
  • Implementing stringent protocols for semen processing and handling may reduce contamination risks in IVF.