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This study will compare two alternative embryo culture systems. Embryos from each patient will be randomly assigned to one of two systems. One group will be cultured conventionally in oil-covered droplets in dishes. The other group will be assigned to an enclosed system.
Qualifying and consenting IVF patients will have approximately half of their developing embryos cultured in droplets covered with oil. The other approximate half of their embryos will be cultured in small enclosed containers. Embryo assignments will be at random. Regardless of culture system, all embryos will be cultured from the bipronuclear stage to the blastocyst stage in the same (Global) media, without the usual refreshing of media on day 3.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional embryo culture | Active Comparator | Conventional embryo culture in dishes, in droplets under oil. |
|
| Alternative embryo culture | Experimental | Embryo culture in system using small enclosed containers |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional embryo culture | Other |
| ||
| Enclosed embryo culture |
| Measure | Description | Time Frame |
|---|---|---|
| Blastulation rate | Proportion of cultured embryos that form blastocysts. | 5 days (sixth day of embryo development) |
| Measure | Description | Time Frame |
|---|---|---|
| Blastocyst morphology | Inner cell mass size, number of trophectoderm cells, blastocyst diameter | 5 days (sixth day of development) |
| IVF outcome | The result of the IVF cycle as no pregnancy, early pregnancy loss, or ongoing pregnancy at 10 weeks gestation (about 7 weeks post-transfer). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bruce Shapiro, MD, PhD | Fertility Center of Las Vegas | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fertility Center of Las Vegas | Las Vegas | Nevada | 89117 | United States |
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| ID | Term |
|---|---|
| D007246 | Infertility |
| ID | Term |
|---|---|
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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| Other |
|
| 7 weeks post-transfer |