scholarly journals LOW AND SLOW, SMOOTH AS SILK: EMBRYO PLACEMENT, TRANSFER VELOCITY AND AVOIDING CERVICAL TRAUMA PREDICT EMBRYO TRANSFER SUCCESS

2021 ◽  
Vol 116 (3) ◽  
pp. e62
Author(s):  
Dana B. McQueen ◽  
Chen Yeh ◽  
Magdy P. Milad ◽  
Eve C. Feinberg
2020 ◽  
Vol 37 (12) ◽  
pp. 2897-2911
Author(s):  
Giovanni Buzzaccarini ◽  
Amerigo Vitagliano ◽  
Alessandra Andrisani ◽  
Carla Mariaflavia Santarsiero ◽  
Rossana Cicinelli ◽  
...  

Abstract Purpose Chronic endometritis (CE) is a frequent hysteroscopic and histological finding which affects embryo transfer implantation during IVF-ICSI cycles. In particular, CE impairs proper decidualization and, subsequently, implantation. Although this correlation has been clearly clarified, a pathophysiological explanation assembling all the studies performed has not been elucidated yet. For this reason, we have structured a systematic review considering all the original articles that evaluated a pathological element involved in CE and implantation impairment. Methods The authors searched electronic databases and, after screening, collected 15 original articles. These were fully scanned and used to create a summary pathway. Results CE is primarily caused by infections, which lead to a specific cytokine and leukocyte pattern in order to prepare the uterus to fight the noxa. In particular, the immunosuppression requested for a proper semi-allogenic embryo transfer implantation is converted into an immunoreaction, which hampers correct embryo implantation. Moreover, endometrial vascularization is affected and both irregular vessel density and luminal thickening and thrombosis reduce what we have first identified as endometrial flow reserve. Finally, incorrect uterine wave propagation could affect embryo contact with decidua. Conclusion This is the first summary of evidence on CE pathophysiology and its relationship with infertility. Understanding the CE pathophysiology could improve our knowledge in embryo transfer success.


Author(s):  
Quetrell Heyward ◽  
Jessica R. Walter ◽  
Snigdha Alur-Gupta ◽  
Arnav Lal ◽  
Dara S. Berger ◽  
...  

1994 ◽  
Vol 59 (1) ◽  
pp. 71-86 ◽  
Author(s):  
N. R. Wray ◽  
M. E. Goddard

AbstractBreeding schemes for ivool sheep based on natural service (N), MOET (multiple ovulation and embryo transfer) in adults (A) and MOET in juveniles (J) are compared using Monte Carlo simulation allowing overlapping generations and selection across age groups. In all schemes parents can be a maximum of 6 years old when their offspring are born, and can be a minimum of 2 years in N or A schemes or 1 year in f schemes. Embryo transfer success rates follow realistic distributions (only 70% of flushes resulting in live lambs) with a mean of 2·13 or 345 6-month-old lambs per donor per flush for current or ‘future’ situations. Under natural mating an average of 1·09 6-month-old lambs per ewe mated is assumed. The trait under selection has a heritability of 0·4 and is measurable on both sexes by 18 months of age, which is before selection in N and A schemes but after the initial opportunity for selection in f schemes where selection is based on a pedigree index. Two culling policies for males are considered in J schemes: all sires culled if not selected (J), or all sires available for selection after their record is collected even if they were not selected on their pedigree index in the previous year (f o ). Comparison of schemes is made on the basis of response depressed by the effect of inbreeding and cumulated and discounted over a medium time horizon. For a given population size (constant expected number of lambs per year and therefore numbers of dams dependent on fertility rates) different numbers of sires were utilized. The optimum number of sires was determined as the number which maximized the response criterion. N, A, J and J° schemes have different optimum numbers of sires (5, 8,30 and 20 respectively) which occur at different rates of inbreeding and which are approximately independent of population size. Advantages in the response criterion of A, J and J° over N schemes are 23%, 33% and 47% respectively for ‘future’ embryo transfer success rates and mass selection. Increasing the number of lambs born per donor ewe from 2·13 to 13·8 (by increasing embryos per flush and number of flushes) increases the response criterion by up to 25% in A and up to 11% in J schemes (assuming donor ewes are mated to a different sire for each flush) with 345 lambs born per year. Use of best linear unbiased prediction (BLUP) estimated breeding values increases response by 8%, 3% and 3% in N, A and J schemes respectively. The advantages off over A and N schemes, of increased lambs per donor and of BLUP over mass selection all increase as population size increases. Insemination of the poorer ewes with semen which gave only female offspring gave 5% increase in the N scheme and no benefit in A or f schemes.


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