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Cryopreservation of human embryos and its contribution to in vitro fertilization success rates
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Cryopreservation of human embryos is now a routine procedure in assisted reproductive technologies laboratories. There is no consensus on the superiority of any protocol, and substantial differences exist among centers in day of embryo cryopreservation, freezing method, selection criteria for which embryos to freeze, method of embryo thawing, and endometrial preparation for transfer of frozen-thawed embryos. In the past decade, the number of frozen-thawed embryo transfer cycles per started in vitro fertilization (IVF) cycle increased steadily, and at the same time the percentage of frozen-thawed embryo transfers that resulted in live births increased. Currently, cryopreservation of human embryos is more important than ever for the cumulative pregnancy rate after IVF. Interestingly, success rates after frozen-thawed embryo transfer are now nearing the success rates of fresh embryo transfer. This supports the hypothesis of so called freeze-all strategies in IVF, in which all embryos are frozen and no fresh transfer is conducted, to optimize success rates. High-quality randomized controlled trials should be pursued to find out which cryopreservation protocol is best and whether the time has come to completely abandon fresh transfers.
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Use of frozen embryo transfer in in-vitro fertilisation has increased.
“Use of frozen embryo transfer (FET) in in-vitro fertilisation (IVF) has increased.”
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Time of Implantation of the Conceptus and Loss of Pregnancy
Wilcox, A. J., Baird, D. D., & Weinberg, C. R. (1999) · New England Journal of Medicine · doi:10.1056/nejm199906103402304 · Cited by 1,081
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Ho, V. N. A., Pham, T. D., Nguyen, N. T., Wang, R., Norman, R. J., Mol, B. W., Ho, T. M., & Vuong, L. N. (2024) · The Lancet · doi:10.1016/s0140-6736(24)00756-6 · Cited by 55
Metadata
- Authors
- Wong, K. M., Mastenbroek, S., & Repping, S.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Corresponding author
- Mastenbroek, Sebastiaan
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2014-07
- Volume
- 102
- Issue
- 1
- Pages
- 19-26
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W2049812405
- Cited by
- 266
- References
- 1
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 9 · 2023: 20 · 2022: 27 · 2021: 35 · 2020: 37 · 2019: 19 · 2018: 25 · 2017: 23 · 2016: 30 · 2015: 15 · 2014: 4
- FWCI
- 3.78
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Biology and Fertility
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Assisted Reproductive Technology and Twin Pregnancy
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Keywords
- embryo cryopreservation, frozen embryo transfer, freeze-all strategy, fresh embryo transfer, embryo thawing, endometrial preparation, cumulative pregnancy rate, live birth rate
- MeSH terms
- Embryo, Mammalian, Embryo Transfer, Female, Fertility, Fertility Agents, Fertilization in Vitro, Humans, Infertility, Ovulation Induction, Embryo Implantation, Pregnancy, Risk Factors, Time Factors, Cryopreservation, Treatment Outcome, Risk Assessment, Pregnancy Rate
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