ABSTRACT
Although early developmental markers are frequently used to select embryos for transfer in human assisted reproduction, their value as independent predictors of outcome is often unclear. In this study, the value of using early syngamy and first cleavage as predictors of implantation potential of Day 2 embryos was investigated by examining their interrelationships with subsequent development, female age and implantation. Implantation rates were higher when syngamy occurred before 23-24 h post insemination even when all embryos analysed were transferred 42 h post insemination at the 4-cell stage (25.8 v. 11.9% for the later syngamy group; P < 0.01). Although there was a significant (r = 0.682; P < 0.001) relationship between earlier entry into syngamy and female age, earlier syngamy was still associated with a significantly higher implantation rate in Day 2 embryos with four blastomeres in women under 36 years of age (31.4 v. 15.4% for the later syngamy group; P < 0.05). The ability of timing of syngamy to predict implantation independent of other variables was confirmed by multiple logistic regression analysis. Although related to both subsequent embryo development and female age, early entry into syngamy is a predictor of implantation potential independent of both correlates in human Day 2 in vitro-fertilised embryos.
