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Article: Preimplantation genetic testing for aneuploidy helps to achieve a live birth with fewer transfer cycles for the blastocyst FET patients with unexplained recurrent implantation failure

TitlePreimplantation genetic testing for aneuploidy helps to achieve a live birth with fewer transfer cycles for the blastocyst FET patients with unexplained recurrent implantation failure
Authors
KeywordsAneuploidy
Cumulative live birth rate
Preimplantation genetic testing
Recurrent implantation failure (RIF)
Issue Date29-May-2023
PublisherSpringer
Citation
Archives of Gynecology and Obstetrics, 2023, v. 308, n. 2, p. 599-610 How to Cite?
Abstract

Purpose

This retrospective cohort study aimed to investigate the value of preimplantation genetic testing for aneuploidy (PGT-A) as a screening test for patients suffering from unexplained recurrent implantation failure (RIF).

Methods

After screening patients in one reproductive medicine center, twenty-nine, forty-nine and thirty-eight women (< 40 years old) who had suffered unexplained RIF with PGT-A, or RIF without PGT-A, or no RIF with PGT-A were included. The clinical pregnancy rate and live birth rate per transfer, the conservative and optimal cumulative clinical pregnancy rates (CCPR) and live birth rates (CLBR) after three blastocyst FETs were analyzed.

Results

The live birth rate per transfer was significantly higher in the RIF + PGT-A group than that in the RIF + NO PGT-A group (47.6% vs. 24.6%, p = 0.014). After 3 cycles of FET, RIF + PGT-A group had significantly higher conservative CLBR and optimal CLBR compared to the RIF + NO PGT-A group (69.0% vs. 32.7%, p = 0.002 and 73.7% vs. 57.5%, p = 0.016), but had similar conservative and optimal CLBRs compared to the NO RIF + PGT-A group. The number of FET cycles required when half women achieved a live birth was 1 in the PGT-A group and 3 in RIF + NO PGT-A group. The miscarriage rates were not different between the RIF + PGT-A and RIF + NO PGT-A, RIF + PGT-A and NO RIF + PGT-A groups.

Conclusion

PGT-A did be superior in reducing the number of transfer cycles required to achieve a similar live birth rate. Further studies to identify the RIF patients who would benefit most from PGT-A are necessary.


Persistent Identifierhttp://hdl.handle.net/10722/340645
ISSN
2023 Impact Factor: 2.1
2023 SCImago Journal Rankings: 0.782
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWang, Sidong-
dc.contributor.authorLiu, Luochuan-
dc.contributor.authorMa, Minyue-
dc.contributor.authorWang, Hui-
dc.contributor.authorHan, Yibing-
dc.contributor.authorGuo, Xinmeng-
dc.contributor.authorYeung, William S B-
dc.contributor.authorCheng, Yanfei-
dc.contributor.authorZhang, Huiting-
dc.contributor.authorDong, Fengming-
dc.contributor.authorZhang, Bolun-
dc.contributor.authorTian, Ye-
dc.contributor.authorSong, Jiangnan-
dc.contributor.authorPeng, Hongmei-
dc.contributor.authorYao, Yuanqing-
dc.date.accessioned2024-03-11T10:46:06Z-
dc.date.available2024-03-11T10:46:06Z-
dc.date.issued2023-05-29-
dc.identifier.citationArchives of Gynecology and Obstetrics, 2023, v. 308, n. 2, p. 599-610-
dc.identifier.issn0932-0067-
dc.identifier.urihttp://hdl.handle.net/10722/340645-
dc.description.abstract<h3>Purpose</h3><p>This retrospective cohort study aimed to investigate the value of preimplantation genetic testing for aneuploidy (PGT-A) as a screening test for patients suffering from unexplained recurrent implantation failure (RIF).</p><h3>Methods</h3><p>After screening patients in one reproductive medicine center, twenty-nine, forty-nine and thirty-eight women (< 40 years old) who had suffered unexplained RIF with PGT-A, or RIF without PGT-A, or no RIF with PGT-A were included. The clinical pregnancy rate and live birth rate per transfer, the conservative and optimal cumulative clinical pregnancy rates (CCPR) and live birth rates (CLBR) after three blastocyst FETs were analyzed.</p><h3>Results</h3><p>The live birth rate per transfer was significantly higher in the RIF + PGT-A group than that in the RIF + NO PGT-A group (47.6% vs. 24.6%, <em>p</em> = 0.014). After 3 cycles of FET, RIF + PGT-A group had significantly higher conservative CLBR and optimal CLBR compared to the RIF + NO PGT-A group (69.0% vs. 32.7%, <em>p</em> = 0.002 and 73.7% vs. 57.5%, <em>p</em> = 0.016), but had similar conservative and optimal CLBRs compared to the NO RIF + PGT-A group. The number of FET cycles required when half women achieved a live birth was 1 in the PGT-A group and 3 in RIF + NO PGT-A group. The miscarriage rates were not different between the RIF + PGT-A and RIF + NO PGT-A, RIF + PGT-A and NO RIF + PGT-A groups.</p><h3>Conclusion</h3><p>PGT-A did be superior in reducing the number of transfer cycles required to achieve a similar live birth rate. Further studies to identify the RIF patients who would benefit most from PGT-A are necessary.</p>-
dc.languageeng-
dc.publisherSpringer-
dc.relation.ispartofArchives of Gynecology and Obstetrics-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectAneuploidy-
dc.subjectCumulative live birth rate-
dc.subjectPreimplantation genetic testing-
dc.subjectRecurrent implantation failure (RIF)-
dc.titlePreimplantation genetic testing for aneuploidy helps to achieve a live birth with fewer transfer cycles for the blastocyst FET patients with unexplained recurrent implantation failure-
dc.typeArticle-
dc.identifier.doi10.1007/s00404-023-07041-5-
dc.identifier.scopuseid_2-s2.0-85160451178-
dc.identifier.volume308-
dc.identifier.issue2-
dc.identifier.spage599-
dc.identifier.epage610-
dc.identifier.eissn1432-0711-
dc.identifier.isiWOS:000996081500001-
dc.identifier.issnl0932-0067-

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