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Updated: Jul 6, 2026

Human Egg Maturity Assessment and Its Clinical Application
Published on: August 19, 2019
Blastocyst formation, pregnancy, and birth derived from human oocytes cryopreserved for 5 years
Lodovico Parmegiani1, Raffaella Fabbri, Graciela Estela Cognigni
1Reproductive Medicine Unit, GynePro Medical Centers, University of Bologna, Bologna, Italy. l.parmegiani@gynepro.it
Objective:
To report a live birth after the transfer of a single blastocyst derived from a human oocyte cryopreserved for 5 years.
Design:
Case report.
Setting:
Private assisted reproduction center.
Patient(S):
A 39-year-old woman with tubal infertility and her partner with male-related infertility.
Intervention(S):
Oocyte cryopreservation (in 1.5 mol/L 1,2-propanediol and 0.3 mol/L sucrose by slow freezing-rapid thawing protocol) when the patient was 34 years old. Oocyte thawing after 5 years of cryostorage. Insemination by intracytoplasmic sperm injection of the three best surviving oocytes, according to the Italian law regulating assisted reproductive technology.
Main Outcome Measure(S):
Oocyte survival after thawing. Fertilization, cleavage, and embryo development into blastocyst stage.
Result(S):
Four of six mature (metaphase II) frozen oocytes survived after thawing. Three of them were injected: these three oocytes were fertilized, and one developed into a five-cell embryo on day 3. This embryo developed into blastocyst and was transferred on day 6. A healthy female neonate weighing 3,410 g was born.
Conclusion(S):
After 5 years of storage in liquid nitrogen, cryopreserved oocytes with a slow cooling-rapid thawing protocol can develop in vitro to blastocyst stage and produce a live birth.