Elsevier

Fertility and Sterility

Volume 67, Issue 1, January–June 1997, Pages 120-122
Fertility and Sterility

A simplified coculture system with luteinized granulosa cells improves embryo quality and implantation rates: A controlled study

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Objective:

To investigate the use of a simplified short-term coculture system with luteinized granulosa cells (GCs) in patients with failed IVF-ET.

Design:

Controlled clinical study.

Setting:

IVF unit, Department of Obstetrics and Gynecology, Carmel Medical Center.

Patient(s):

Patients with poor embryo quality in their previous IVF-ET cycles.

Intervention(s):

Embryos from 40 patients, in which >50% of the embryos were classified as poor quality in their previous IVF attempts, were grown on autologue GC culture system for a short period (24–48 hours) before being replaced in the uterine cavity.

Main Outcome Measure(s):

Embryo quality.

Result(s):

Significant decrease in poor quality embryos and increase in the proportion of good quality embryos were observed using a coculture system with autologue human GCs. Pregnancy rates in this groups of patients reached our standard IVF results during the same period.

Conclusion(s):

This study describes a simplified short-term coculture system with human autologue GCs. Poor quality embryos may be rescued to cleave regularly.

Key Words

Failed IVF-ET
coculture effect
embryo quality
embryo culture in vitro
granulosa cells

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