scholarly journals O-069. Assessment of uterine receptivity and timing of embryo transfer using the detection of pinopods

1997 ◽  
Vol 12 (Suppl_2) ◽  
pp. 32-32 ◽  
Author(s):  
G. Nikas ◽  
Velasco J. Garcia ◽  
A. Pellicer ◽  
C. Simon
Keyword(s):  
Embryo Transfer ◽  
Uterine Receptivity

Uterine Fluid Proteins for Minimally Invasive Assessment of Endometrial Receptivity

2019 ◽  
Vol 105 (1) ◽  
pp. 219-230 ◽  
Author(s):  
Sergo Kasvandik ◽  
Merilin Saarma ◽  
Tanel Kaart ◽  
Ilmatar Rooda ◽  
Agne Velthut-Meikas ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Embryo Transfer ◽  
Uterine Receptivity ◽  
Recurrent Implantation Failure ◽  
Secretory Phase ◽  
Vitro Fertilization ◽  
Minimal Invasiveness ◽  
Specificity And Sensitivity ◽  
Uterine Fluid

Abstract Context Clinically used endometrial (EM) receptivity assays are based on transcriptomic patterning of biopsies at midsecretory endometrium (MSE) to identify the possible displacement or disruption of window of implantation (WOI) in patients with recurrent implantation failure (RIF). However, biopsies are invasive and cannot be performed in the same cycle with in vitro fertilization embryo transfer, while uterine fluid (UF) analysis is considered minimally invasive and can immediately precede embryo transfer. Objective To determine whether UF proteome can be used for WOI monitoring and whether it would highlight the etiology of RIF. Patients Paired early secretory endometrial (ESE) and MSE UF samples from six fertile control women for discovery, and an additional 11 paired ESE/MSE samples from controls and 29 MSE samples from RIF patients for validation. Results Using discovery mass spectrometry (MS) proteomics we detected 3158 proteins from secretory phase UF of which 367 undergo significant (q < 0.05) proteomic changes while transitioning from ESE to MSE. Forty-five proteins were further validated with targeted MS, and 21 were found to display similar levels between control ESE and RIF MSE, indicating displacement of the WOI. A panel of PGR, NNMT, SLC26A2 and LCN2 demonstrated specificity and sensitivity of 91.7% for distinguishing MSE from ESE samples. The same panel distinguished control MSE samples from RIF MSE with a 91.7% specificity and 96.6% sensitivity. Conclusion UF proteins can be used for estimating uterine receptivity with minimal invasiveness. Women with RIF appear to have altered MSE UF profiles that may contribute to their low IVF success rate.

scholarly journals Progesterone supplementation extends uterine receptivity for blastocyst implantation in mice

Reproduction ◽  
2007 ◽  
Vol 133 (2) ◽  
pp. 487-493 ◽  
Author(s):  
Haengseok Song ◽  
Kyuyong Han ◽  
Hyunjung Lim
Keyword(s):  
Cell Proliferation ◽  
Embryo Transfer ◽  
Thymidine Incorporation ◽  
Expression Patterns ◽  
Physiological Changes ◽  
Uterine Receptivity ◽  
Blastocyst Implantation ◽  
Progesterone Supplementation

We previously showed that blastocyst can initiate implantation beyond the normal ‘window’ of uterine receptivity on day 5 of pregnancy and pseudopregnancy (PSP) in mice. In this study, we investigated whether uterine receptivity for blastocyst implantation can be further extended on day 6 of PSP and the role of progesterone (P4) on this event. Embryo transfers, experimentally induced decidualization,in situhybridization and [3H]thymidine incorporation were performed. Blastocysts initiate attachment reaction within 48 h when transferred on day 5, but not on day 6 of PSP. Likewise, decidualization reaction occurred on days 4 and 5 of PSP, but completely failed on day 6. However, P4supplementation partially retains uterine receptivity for blastocyst implantation and decidualization on day 6 of PSP. In addition, certain indicators of uterine receptivity, such as cell proliferation profile and expression patterns of implantation-related genes were similarly observed on days 4 and 5 of PSP, but not on day 6. Consistent with embryo transfer and decidualization, exogenous administration of P4partially restores these indicators on day 6 of PSP. We concluded that critical physiological changes occur between days 4 and 5 of PSP, leading to uterine non-receptivity on day 6, but P4is able to extend the uterine receptivity through day 6.

scholarly journals The incompletely fulfilled promise of embryo transfer in cattle—why aren’t pregnancy rates greater and what can we do about it?

2020 ◽  
Vol 98 (11) ◽  
Author(s):  
Peter J Hansen
Keyword(s):  
Embryo Transfer ◽  
Artificial Insemination ◽  
Blastocyst Stage ◽  
Pregnancy Rates ◽  
Bovine Embryos ◽  
Uterine Receptivity ◽  
Stage Of Development ◽  
Stage Embryo ◽  
Repeat Breeder ◽  
In Pregnancy

Abstract Typically, bovine embryos are transferred into recipient females about day 7 after estrus or anticipated ovulation, when the embryo has reached the blastocyst stage of development. All the biological and technical causes for failure of a female to produce a blastocyst 7 d after natural or artificial insemination (AI) are avoided when a blastocyst-stage embryo is transferred into the female. It is reasonable to expect, therefore, that pregnancy success would be higher for embryo transfer (ET) recipients than for inseminated females. This expectation is not usually met unless the recipient is exposed to heat stress or is classified as a repeat-breeder female. Rather, pregnancy success is generally similar for ET and AI. The implication is that either one or more of the technical aspects of ET have not yet been optimized or that underlying female fertility that causes an embryo to die before day 7 also causes it to die later in pregnancy. Improvements in pregnancy success after ET will depend upon making a better embryo, improving uterine receptivity, and forging new tools for production and transfer of embryos. Key to accelerating progress in improving pregnancy rates will be the identification of phenotypes or phenomes that allow the prediction of embryo competence for survival and maternal capacity to support embryonic development.

Surrogacy in Australia: implantation rates have implications for embryo quality and uterine receptivity

2001 ◽  
Vol 13 (1) ◽  
pp. 99 ◽  
Author(s):  
M. A. Stafford-Bell ◽  
C. M. Copeland
Keyword(s):  
Embryo Transfer ◽  
Embryo Implantation ◽  
Implantation Rate ◽  
Live Birth Rate ◽  
Uterine Receptivity ◽  
Comparable Group ◽  
Embryo Implantation Rate ◽  
Gestational Carrier ◽  
Frozen Embryo Transfers ◽  
Frozen Thawed Embryo Transfer

Since the passage, in November 1995, of the ACT Substitute Parents Agreement Act, The Canberra Fertility Centre has added a true gestational carrier pregnancy programme to its established infertility and IVF services. Embryos generated are transferred as frozen–thawed embryos to the carrier in an average of 2.2 embryos per transfer. Between 1 January 1996 and 31 December 1999 the results of 49 frozen embryo transfers to 25 gestational carriers were compared with 849 frozen embryo transfers on a routine IVF programme. In the carrier group, the embryo implantation rate of 13.8% per embryo transferred is double that of an exactly comparable group of patients undergoing routine frozen–thawed embryo transfer on the same IVF programme and considerably higher than those reported in large series of frozen–thawed embryo transfers. Exclusion from the carrier pregnancy programme of patients with incipient ovarian failure results in an implantation rate of 16.7%, a clinical pregnancy rate of 29.0% and a live birth rate of 19.4% per embryo transfer procedure.

scholarly journals Assessment of Uterine Receptivity by the Subendometrial-Endometrial Blood Flow Distribution Pattern in Frozenthawed Embryo Transfer Cycles

2015 ◽  
Vol 6 (1) ◽  
pp. 35-39
Author(s):  
Divya Sardana
Keyword(s):  
Blood Flow ◽  
Distribution Pattern ◽  
Pregnancy Rate ◽  
Embryo Transfer ◽  
Flow Distribution ◽  
Blood Flow Distribution ◽  
Uterine Receptivity ◽  
Endometrial Blood Flow ◽  
Frozen Thawed Embryo Transfer ◽  
Thawed Embryo Transfer

ABSTRACT Objective To investigate the correlation of blood flow detected by 2-Dimensional Power Doppler (2D-PD) sonography in the subendometrial-endometrial unit with the pregnancy outcome in frozen-thawed embryo transfer (FET) cycles. Study design Prospective non-randomized observational study. Materials and methods A total of 127 patients undergoing their first FET cycle were recruited and prepared using hormone replacement therapy. All patients were evaluated for subendometrial-endometrial blood flow by 2D-PD once the endometrium was ≥7 mm thick. Progesterone supplement was added and transfer of 2 to 3 cleavage stage good quality embryos was done after 3 days. Results The difference in the BMI, FSH, LH and endometrial thickness of women in the three zones was not statistically significant (p > 0.05). However, women with blood flow in zone 1 were of older age as compared to women in zone 3 with a statistically significant difference (p = 0.0001). In the present study, the overall pregnancy rate was 35.43% (45/127). Women having blood flow in zone 3 or 4 showed a rising trend of pregnancy rate as compared to those in zone 1 and 2 although it was not statistically significant (p = 0.15). But, clinical pregnancy and implantation rates were significantly higher in women with zone 3 or 4 penetration compared with zone 1 or 2 penetration (p = 0.03 and 0.01, respectively). Conclusion The subendometrial-endometrial vascularity has a useful predictive value for pregnancy outcome in FET cycles. However, larger studies are needed to reach definite conclusion. How to cite this article Sardana D. Assessment of Uterine Receptivity by the Subendometrial-Endometrial Blood Flow Distribution Pattern in Frozen-Thawed Embryo Transfer Cycles. Int J Infertil Fetal Med 2015;6(1):35-39.

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