The impact of a poor quality embryo on the implantation chance of a good quality one when transferred together: A study on double blastocyst transfers

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dc.contributor.authorDemirel, Cem
dc.contributor.authorCelik, Hale Goksever
dc.contributor.authorTulek, Firat
dc.contributor.authorTuysuz, Gulsum
dc.contributor.authorDonmez, Ersan
dc.contributor.authorErgin, Tolga
dc.contributor.authorBuyru, Faruk
dc.date.accessioned2024-07-18T20:58:29Z
dc.date.available2024-07-18T20:58:29Z
dc.date.issued2021
dc.departmentİstanbul Bilgi Üniversitesien_US
dc.description.abstractObjective: Embryo quality assessment with morphological evaluation remains the first-line method of assessment to select the best embryo for transfer. We aimed to determine if an effect of poor quality embryos on good quality ones exists, whether by a paracrine effect or an adverse endometrial influence, when they are transferred together. Materials and methods: We included 412 couples, who underwent intracytoplasmic sperm injection (ICSI) cycles in a tertiary IVF center. Single embryo transfer with a good quality embryo and double embryo transfers with a good + poor quality embryo were evaluated. Overall pregnancy (PR) and live birth rates (LBR) were our main outcome measures. Results: When PR and LBR are compared, there was no statistical significance between single embryo transfer (SET) and double embryo transfer (DET) groups (51.7 % vs 53.7 %, p = 0.620 and 47 % vs 43.1 %, p = 0.117). When the PR and LBRs were compared between SET from poor cohort and DET group, the outcomes were better in DET group (22.1 % vs 53.7 %, p < 0.001 and 22.1 % vs 43.1 %, p < 0.001). The PR and LBRs of SET from good cohort were significantly better than those of DET (64.4 % vs 53.7 %, p < 0.001 and 57.7 % vs 43.1, p < 0.001). When the PR and LBRs of SET from good cohort and SET from poor cohort were compared, better results were obtained in SET from good cohort. Conclusion: The addition of poor quality embryo even is of benefit to the LBR, in the setting of when there is only one good quality blastocyst available for the transfer. (C) 2020 Elsevier Masson SAS. All rights reserved.en_US
dc.identifier.doi10.1016/j.jogoh.2020.101967
dc.identifier.issn2468-7847
dc.identifier.issn1773-0430
dc.identifier.issue6en_US
dc.identifier.pmid33161131en_US
dc.identifier.scopus2-s2.0-85096581221en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1016/j.jogoh.2020.101967
dc.identifier.urihttps://hdl.handle.net/11411/8982
dc.identifier.volume50en_US
dc.identifier.wosWOS:000653997500027en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Masson, Corp Offen_US
dc.relation.ispartofJournal of Gynecology Obstetrics and Human Reproductionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPoor Quality Embryoen_US
dc.subjectGood Quality Embryoen_US
dc.subjectBlastocysten_US
dc.subjectSingle Embryo Transferen_US
dc.subjectDouble Embryo Transferen_US
dc.subjectPregnancy Rateen_US
dc.subjectLive Birth Rateen_US
dc.subjectLive Birth-Rateen_US
dc.subjectIn-Vitroen_US
dc.subjectCleavage Stageen_US
dc.subjectSingleen_US
dc.subjectPregnancyen_US
dc.subjectIvfen_US
dc.titleThe impact of a poor quality embryo on the implantation chance of a good quality one when transferred together: A study on double blastocyst transfersen_US
dc.typeArticleen_US

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