RESUMO
PURPOSE: To identify the correlation between different cycles, patient factors and blastocyst characteristics. METHODS: The study included 420 patients undergoing ICSI cycles and 2781 graded blastocysts, which took into account the blastocyst quality. The correlations between the blastocyst parameters and the patient and cycle characteristics were assessed. RESULTS: The blastocyst development was negatively correlated with the maternal age, BMI and dose of FSH. The ICM was negatively correlated with the FSH dose, whereas the TE quality was influenced by the FSH dose, the maternal age and the number of retrieved oocytes. The embryo morphology on days two and three may predict the blastocyst developmental competence. CONCLUSIONS: Older patients and patients with high BMI should not be included in extended embryo culture programmes. The extended culture may not favour embryos with poor morphology on days two and three of development. Additionally, a lower ovarian stimulation and decreased oocyte yields may lead to the development of high-quality blastocysts.
Assuntos
Técnicas de Cultura Embrionária/métodos , Transferência Embrionária , Desenvolvimento Embrionário , Fertilização in vitro , Blastocisto/citologia , Feminino , Humanos , Idade Materna , Oócitos/citologia , Indução da Ovulação , Seleção de Pacientes , Gravidez , Injeções de Esperma IntracitoplásmicasRESUMO
Morphologic abnormalities in the oocyte are relevant for determining its developmental fate and could be related to controlled ovarian stimulation protocols and ovarian response. The contributing factors of oocyte dysmorphism incidence and its effects on fertilization potential and embryo development are the object of discussion in this study.