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孕激素峰值在触发日影响胚胎发育形态动力学? 一个回顾性研究研究
D Baldini1, V M Bartoli2, A Mastrorocco2
1MOMO' FertiLIFE, IVF Clinic, Bisceglie, 76011, Italy. dbaldini@libero.it.
Journal of ovarian research
|November 6, 2024
概括
在hCG触发日早产激素升高 (PPR) 超过1.5ng/ml,在ICSI周期中不会损害胚胎发育. 相反,它与更快的初始胚胎发育和更高档的胚胎细胞相关.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 辅助生殖技术 辅助生殖技术
- 胚胎学 胚胎学
背景情况:
- 早发性孕激素升高 (PPR) 被定义为接近hCG触发的血清孕激素水平升高.
- 关于PPR对细胞内精子注射 (ICSI) 结果的影响仍然是调查的主题.
研究的目的:
- 评估孕激素水平≥1.5ng/ml在hCG触发日对胚胎形态动力学的影响.
- 在PPR的背景下,确定ICSI周期成功的潜在预测生物标志物.
主要方法:
- 对116个ICSI周期 (2020-2023) 的回顾性研究,将58名孕激素≥1.5ng/ml的患者 (研究组) 与58名孕激素<1.5ng/ml的对照患者进行比较.
- 收集了患者的基线特征 (年龄,BMI,AFC,AMH,FSH) 和ICSI周期数据 (取回的卵子,受精的卵子,胚芽细胞).
- 利用时间缩短技术评估胚胎形态动力学和胚胎细胞质量.
主要成果:
- 孕激素水平升高 (≥1.5 ng/ml) 与较高的腹膜毛囊数量有关,导致更多的取回卵子,成熟卵子,受精卵子和胚芽细胞.
- 形态动力学分析显示,研究小组的初始胚胎分裂时间更快.
- 在孕激素升高的患者中,观察到显著更多的高等级芽细胞瘤.
结论:
- 在hCG触发日的孕水平≥1.5ng/ml在ICSI周期中不会对胚胎形态动力学参数产生负面影响.
- 孕激素升高可能与更快的早期胚胎发育有关.
- 较高的孕激素水平可能与改善的胚胎细胞质量和数量相关.
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