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Embryos are exposed to a significant drop in temperature during the embryo transfer procedure: a pilot study
Nick Macklon1, Olga Delikari2, Giuseppina Lamanna2
1London Women's Clinic, 113-115 Harley Street, London W1G 6AP, UK; Reprohealth, Zealand University Hospital, Sygehusvej 10, Roskilde 4000, Denmark.
Research Question:
During the embryo transfer procedure, to what degree of temperature drop are embryos exposed to between loading the transfer catheter and placing it into the uterus?
Design:
Twenty-nine simulated embryo transfer procedures were carried out across five clinics. A thermocouple probe was used for standardized measurements inside the embryo transfer catheter to investigate the change in temperature that occurred in the time period between loading and placing the catheter in the uterus.
Results:
In all cases, the temperature at the loaded catheter tip fell rapidly to ambient temperature during transit from the embryo transfer workstation in the laboratory to the procedure room, even though embryo transfer procedures, ambient temperatures and embryo transfer catheter temperatures at loading varied between clinics.
Conclusions:
Given the sensitivity of the pre-implantation embryo to its immediate environment, the rapid and profound drop in temperature observed at the catheter tip that houses the embryo during transit from laboratory to the uterus may affect embryo viability and health. This issue should be addressed to ensure that the tight temperature control aimed for by IVF laboratories continues throughout the embryo transfer procedure, and could improve clinical outcomes.
