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Investigating Outcomes of Gamete Donation in Assisted Reproductive Technology: A Retrospective Study
Sofia Soares1, Carla Leal1,2,3, Márcia Barreiro1,2,3
1ICBAS - School of Medicine and Biomedical Sciences, UMIB - Unit for Multidisciplinary Research in Biomedicine, University of Porto, Porto, Portugal.
JBRA Assisted Reproduction
|October 30, 2025
Summary
Assisted Reproductive Technology (ART) using gamete donation leads to high rates of preterm birth and low birth weight, especially with multiple gestations. Single embryo transfer is recommended to improve obstetric and neonatal outcomes in ART cycles.
Area of Science:
- Reproductive Medicine
- Obstetrics
- Neonatalogy
Background:
- Assisted Reproductive Technology (ART) plays a crucial role in managing infertility.
- Gamete donation is a key component of ART, enabling conception for individuals and couples facing gamete-related challenges.
- Evaluating outcomes of gamete donation cycles is essential for optimizing patient care and success rates.
Purpose of the Study:
- To evaluate and characterize Assisted Reproductive Technology (ART) cycles utilizing gamete donation.
- To analyze the associated obstetric and neonatal outcomes in pregnancies resulting from gamete donation.
- To identify factors influencing ART cycle success and associated risks.
Main Methods:
- Retrospective analysis of 238 gamete donation cycles from 2011-2021.
- Collection of variables including recipient demographics, infertility factors, ART techniques, and pregnancy outcomes.
- Statistical analysis using IBM SPSS Statistics 27 (p<0.05 significance).
Main Results:
- Sperm donation: 29.4% preterm deliveries, 24.3% non-ongoing pregnancies, 47.7% cesarean sections.
- Low birth weight observed in 29.3% of singletons and 69% of twins.
- Oocyte donation: 40% preterm deliveries, 43.4% low birth weight; multiple gestations increased risks.
Conclusions:
- High incidence of multiple gestations in gamete donation ART cycles.
- Recommends single embryo transfer, especially for older oocyte recipients.
- Emphasizes patient education on risks/benefits and comprehensive maternal/fetal monitoring.
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