• 제목/요약/키워드: Day 3 embryo transfer

검색결과 279건 처리시간 0.034초

저반응군의 체외수정에서 한 개의 배아 이식 시 임신에 영향을 주는 요인 (Predictor of IVF Outcomes Following Single Embryo Transfer in Poor Responder Patients)

  • 김혜옥;김민지;연명진;차선화;궁미경;송인옥
    • Clinical and Experimental Reproductive Medicine
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    • 제35권3호
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    • pp.213-221
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    • 2008
  • 목 적: 난소기능이 저하된 저반응군 불임 여성에서 한 개의 배아를 이식할 때 임신율에 영향을 주는 요인에 대해 알아보고자 한다. 연구방법: 본원에서 1996년 6월부터 2006년 4월까지 시험관 시술을 받은 환자 중, basal FSH가 12 mIU/mL 이상, 획득된 난자가 4개 이하, hCG 투여일에 혈청 $E_2$가 500 pg/ml 미만인 저반응군 총 919주기에서 한 개의 배아만을 이식한 235주기를 대상으로 하였다. 여성의 연령, hCG 투여일에 혈청 $E_2$, basal FSH, 3일째 배아 이식 시 할구수, 과배란 유도 방법, 이식 횟수에 따른 임신율과 생존아 출생률을 비교하였으며, 통계학적인 방법은 Chi-square를 이용하여 p-value 0.05 이하인 경우를 유의하게 평가하였다. 결 과: 총 919주기 중 난자채취 취소율은 25.6% (235주기), 난자채취 실패율은 18.5% (170주기), 배아 이식 취소율은 14.0% (129주기)였다. 한 개의 배아를 이식한 군의 전체 임신율은 8.1% (19주기), 생존아 출생률은 4.7% (11주기)였고, 35세 미만의 여성에서 35세 이상의 여성보다 임신율과 생존아 출생률이 통계적으로 유의하게 높았다 (20% vs. 3.5% p<0.0001, 12.3% vs. 1.8%, p=0.002). hCG 투여일에 혈청 $E_2$, basal FSH, 3일째 배아 이식 시 할구수, 과배란 유도 방법에 따른 임신율과 생존아 출생률은 차이가 없었다. 이식 횟수에 따른 누적 임신율은 1회에 8.1%, 2회에 9.2%, 3회에 9.7%, 4회에 9.0%, 5회에 9.5%였다. 결 론: 저반응군의 체외수정에서 한 개의 배아를 이식할 때, 불임 여성의 연령이 35세 미만에서 임신율과 생존아출생률이 유의하게 증가함을 확인하였고, 이식 횟수에 따른 누적 임신율은 차이가 없었다. 이는 체외수정을 시도하려고 하는 난소기능 저하의 불임 여성에서 구체적인 상담 자료로 사용할 수 있겠다.

Effects of Human Chorionic Gonadotrophin, Flunixin Meglumin, Lidocane on Pregnancy Rate with Hanwoo IVF Embryo Transfer

  • Yoon, Do-Joong;Kim, Gye-Woong;Kim, Kon-Joong;Han, James-Bond;Kim, Nam-Hyung;Lee, Jong-Wan
    • 한국수정란이식학회지
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    • 제26권2호
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    • pp.97-104
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    • 2011
  • This study was carried out to confirm the effects of luteotrophin, human chorionic gonadotrophin (hCG), and an anti-luteolytic agent, flunixin meglumin (FM), on pregnancy rates in Hanwoo with in vitro produced (IVP) embryo transfers (ET), and to research the effects on the estrus cycle. Treatments included hCG and FM administration 3~10 minutes prior to ET. Also, pregnancy rates were compared with lidocane treatment and FM treatment prior to ET. The results are shown below. 30-day pregnancy rate was 76.7% in the hCG-treated group and 75.7% in the FM-treated group. Both rates were higher than the 70% rate for the control group. 42-day pregnancy rate was 76.7% in the FM-treated group. This was higher than 66.7% recorded for both the hCG-treated and control groups. The pregnancy rate of the hCG-treated group was high at Day 30 (76.7%) but low at Day 40 (66.7%), and there were no differences from the FM-treated and control groups. The recurrent estrus rate of infertile individuals at 2 weeks after ET was 36.4% in the hCG-treated group, under 71.4% in the FM-treated group and 80.0% in the control group. The non-pregnancy rate of individuals without recurrent estrus was 18.2% in the hCG-treated group, which was higher than the 0% rate in both the FM-treated and control groups. The pregnancy rates were higher in the FM-treated group than the Lidocane-treated group with 72.3% versus 67.5% in the heifers and 48.9% versus 43.6% in the cows. From the above results, the FM treatment proved more effective than the hCG treatment and no treatment whatsoever in increasing pregnancy rates after ET. In addition, hCG treatment was shown to be undesirable due to the deviations it caused in the reproductive physiology of the hCG-treated recipients. Therefore, in our study, the FM treatment resulted in a higher pregnancy rate than either lidocaine treatment or no-treatment in the trials of ET.

난자채취 2일과 5일에 연속으로 실시한 배아이식의 안전성과 효과 (Subsequent Embryo Transfers (SET) on Day 2 and Day 5: It's Safety and Effectiveness)

  • 박기상;송해범;이택후;전상식
    • Clinical and Experimental Reproductive Medicine
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    • 제27권2호
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    • pp.165-172
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    • 2000
  • Objective: In vitro fertilization (IVF) and a prolonging the time of culture may be helpful in establishing a viable pregnancy through a selection effect. Some embryos do not develop beyond the 4-cell stage and some may not develop to the blastocyst stage. We have evaluated the safety of SET and the outcomes of pregnancy. Methods: Sperms were treated with Ham's F-10 supplemented with 10% human follicular fluid (hFF). oocytes or fertilized oocytes were cultured in Dulbecco's Modified Eagle Medium (DMEM) with 10% or 20% hFF respectively. Up to five oocytes were inseminated with approximately 200,000 sperm cells/2 ml in each well. Fertilization was examined in the following morning and fertilized oocytes were co-cultured until embryo transfer. Vero cells for co-culture were prepared in Tissue Culture Medium - 199 (TCM-199) with 10% fetal bovine serum. At the two to four cell and blastocyst on day 2 and day 5, embryo and blstocyst grading were evaluated. Pregnancy rate was determined after transfer of human embryos at the two to four cell stage on day 2 (Group I) or subsequent transfer of embryos on day 2 and at the blastocyst stage on day 5 (Group II). For statistical analysis, Student's t-test and Chi-square (${\chi}^2$_test) were used. Results were considered statistically significant when p value was less than 0.05. Results: No differences was found in the fertilization between Group I (81.0%, 98/121) and Group II (81.8%, 180/220). In case of cleavage rate, no difference was found in Group I (95.9%, 94/98) and Group II (97.8%, 174/178). However, the rate of-clinical pregnancy was significantly higher (p=0.014) in Group II (66.7%, 12/18) than in Group I (26.3%, 5/19). Conclusion: The results of this study showed that SET is safe and effective, and significantly increases the pregnancy rate.

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체외 배양액의 조성과 혈청의 첨가가 한우 체외 수정란의 발달과 임신율에 미치는 효과 (Development a Following of Serum Addition In Vitro Culture and Embryo Transfer)

  • 최수호;박용수;이준희;강태영;김주헌;노규진
    • 한국수정란이식학회지
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    • 제23권1호
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    • pp.51-57
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    • 2008
  • The present study investigated the efficient methods to produce in vitro Hanwoo embryos, and to improve the pregnancy rate. The developmental rate, total cell number and ICM ratio of in vitro embryos were compared amongst different culture media. Comparisons were also made on the status of recipients, pregnancy rate along with day of transfer after the estrus. Development of embryos into blastocyst stage in IVMD101 supplemented with 5% fetal bovine serum (FBS) group was significantly higher (34.2%) than that of TCM-199 supplemented with 5% FBS (26.8%) and IVMD101 without FBS (25.9%) (p<0.05). The development rate to blastocyst stage was significantly faster in IVMD101(5% FBS) than that of other groups ($0.2{\sim}2.3%$) (p<0.05). The average number of inner cell mass and trophectoderm were similar among treatment groups, which were $36.0{\sim}44.7$ and $83.3{\sim}106.7$. However, total cell number in IVMD101(5% FBS and 0% FBS) was significantly higher than that of TCM199(5% FBS). There were no differences in the pregnancy rate among treatment groups (32.0%, 33.9% and 28.6%, respectively). However, the pregnancy rate of Day 6 embryos cultured in IVMD101(5% FBS) was significantly (p<0.01) higher than IVMD101 without FBS and TCM-199 + 5% FBS (38.0% vs. 17.2% and 32.4%, respectively). No significant difference was observed for the pregnancy rate between heifer and cow transferred with Day 6 embryos cultured in IVMD 101(5% FBS) (42.7% and 39.3%, respectively). However, there was a significant difference of pregnancy rate (p<0.05) in heifer between one and two embryos transferred (31.4% and 41.9%). There was no difference of pregnancy rate among transfer days after estrus between heifer and cow, but the pregnancy rate of transfer to heifer with day 6 after estrus was significantly higher (p<0.05) than that of day 7 and 8 (22.2% vs. 49.0% and 38.7% respectively). Based on the above findings, there is a possibility to produce in vitro produced embryos cultured in IVMD101(5% FBS) showed higher blastocyst rate and the increased cell number. In terms of the pregnancy rate of in vitro produced embryos, the highest pregnancy rate was observed when two embryos were cultured in IVMD101(5% FBS) and transferred.

한우 체외수정란의 이동 소요시간이 생존율에 미치는 영향 (Effects of Transport Duration on Viability of In Vitro Produced Korean Native Cattle Embryos)

  • 박희성
    • 한국수정란이식학회지
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    • 제12권3호
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    • pp.307-313
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    • 1997
  • Experiments were conducted to assess the effect of quality and viability of bovine blastocysts derived from in-vitro culture(IVC) of in vitro matured and fertilized(IVM-IVF) oocytes during their transport 2 hours. Follicular oocytes were collected form ovaries obtained at a slaughterhouse and were cultured for 24 hours in TCM-199. The IVM oocytes were fertilized in vitro with caudal epididymis spermatozoa. Fertilized oocytes were cultured for 7 to 9 days, and embryos that developed to the blastocyst stage were used for the experiment. The blastocysts, packed in straws with storage medium that consisted TCM-199 with HEPES equilibratd in air and supplemented with 10% FCS were transported at 39~(2.0 h). The quality of blastocysts was assessed and ranked as A(excel-lent), B(Good), fair or poor after transportation. The percentages of A and B grade blastocysts after transport duration for < 1 hours(97.7%) were similar to the result from transport duration for 1~2 hours (92.9%) and 2~3 hours(89.6%), but significantly(P<0.05) higher than transpot duration for 3~4 hours(76.3%). The percentages of A and B grade blastocysts after transport duration for two hours from developed blastocyst at 7day(100%) and 8day(85.0%) were higher 9day(96.6%) and >9day (40.0%). And early to expanded blastocyst produced in vitro were transferred to recipient cow by additional embryos at 7 and 8th day after AI. Three of them were pregnant to term and produced four twin calves, and two calves was premature birth. The gestation lengths of male to female and female to female twin were 282 and 281 days, respectively. And birth weight of twin calves were male to female(22.Skg) and female to female twin(20.3Okg), respectively.

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수정란 분할에 의한 한우 쌍태의 임신 (Pregnancy of Monozygotic Twins by Bisection of Korean Native Cattle Embryos)

  • 손동수;김일화;이동원;최창열;윤상보;류일선;서국현;이광원;유충원
    • 한국수정란이식학회지
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    • 제9권1호
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    • pp.43-48
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    • 1994
  • This study was carried out to produce monozygotic twin calves by transfer of bisected embryos. Four Korean native cattle donors were superovulated with FSH and flushed to collect embryos on day 6 or 7 of the estrus cycle. Morula and early blastocyst embryos showed 1 or 2 grade were bisected with microblade and each set of demi-embryos without zona pellucida were transferred nonsurgically to 10 recipients respectively. The results obtained were as follows; 1. Twenty four demi-embryos (92.3%) were separated from 13 original embryos and among them 20 demi-embryos (83.3%) had normal appearance without severe damage. 2. Four sets of fresh demi-embryos were transferred to 4 recipients and one recipient was twin pregnant 3. Six sets of frozen-thawed demi-embryos were transferred to 6 recipients. Two recipients were pregnant, one of them twin.

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제주 흑우에서 다배란 처리 후 호르몬 수준과 혈액 생화학치의 변화 (Changes of Hormonal Level and Blood Biochemistry Following Superovulation Treatments of Jeju Black Cow)

  • 이태훈;강승률;김희석;강민수;윤영민;이주명;강태영
    • 한국수정란이식학회지
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    • 제21권3호
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    • pp.225-231
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    • 2006
  • 본 연구는 제주도의 흑우에서 다배란을 유기한 후 발정기 동안 혈중 호르몬의 농도 검사, 혈액 생화학 검사, 체내 수정란 회수율 등을 관찰하였다. FSH를 4일간 8회 50 mg씩 주사하여 다배란을 유기하였다. 성호르몬의 측정은 radioimmunoassay (RIA)법으로 측정하였으며 혈액 생화학치는 자동혈청 분석기로 측정하였다. 인공 수정 후 7일에 수정란을 비외과적 방법으로 회수하였다. 본 연구의 결과는 다음과 같았다. 1. 혈중 호르몬의 농도를 측정한 결과 progesterone농도는 day -11에 $7.2{\pm}3.8ng/ml$ 이었으며 day -2에 급격히 감소하여 day 0에는 $0.2{\pm}0.1ng/ml$로 최저치를 유지하다가 day 2 후 상승하였다. Estradiol의 농도는 day -11에 $10.6{\pm}4.3pg/ml$였으며 day 0에는 $15.0{\pm}2.1pg/ml$ 로 최고치를 기록했다. 2. 다배란처리 후 발정 주기 동안의 AST, ALT, BUN, creatine, cholesterol, albumin 및 total protein등 혈액 생화학치의 변화를 측정한 결과 각 혈액 생화학치의 변화는 정상 소의 정상 범위 내 있었으며 유의적 차이는 없었다. 3. 공란우 12두에서 총 62개의 수정란을 회수하였다. 이중 이식 가능한 수정란은 37개(59.7%)였다. 본 연구의 결과로 제주흑우에서 다배란을 유도한 후 발정기 중 호르몬과 혈액생화학치의 변화양상을 알 수 있었다.

Estimation of Gestational Age by Measurement of Deep Portion of Telencephalic Vesicle in Pekingese Fetus

  • Park, Jun-Tae;Park, Chul-Ho;Oh, Ki-Seok;Son, Chang-Ho
    • 한국수정란이식학회지
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    • 제29권4호
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    • pp.369-373
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    • 2014
  • This study was performed to establish a new parameter for estimating gestational age and predicting parturition day by ultrasonographic measurement of deep portion of telencephalic vesicle (DPTV) diameter in small dogs. Fetal head diameter (HD) and DPTV diameter were measured in 15 pregnant Pekingese bitches, from Day 15 to the parturition day, and evaluated the correlation between gestational age. HD was measured from day 29 of pregnancy to parturition day and increased from $4.9{\pm}2mm$ to $25.5{\pm}0.7mm$. Especially, from day 38 of pregnancy to parturition day, HD uniformly increased about 0.6 mm per day and was significantly and linearly relative to gestational age during this period ($r^2$ >0.99). DPTV diameter was measured from day 35 to day 60 of pregnancy and increased from $3.2{\pm}0.9mm$ to $11.5{\pm}0.7mm$. Especially from day 38 to day 60 of pregnancy, DPTV diameter uniformly increased about 1 mm per 3 days and was significantly and linearly relative to gestational age during this period ($r^2$ >0.99). In conclusion, DPTV diameter could to be a useful parameter for the estimation of gestational age and the prediction of parturition day when used alone or in combination with HD during the second half of pregnancy.

아미노산과 FBS의 첨가가 한우난자의 체외발달에 미치는 영향 (Effects of the Addition of Amino Acids and FBS on the In Vitro Development of Korean Native Cow IVP Embryos)

  • 박흠대;박향;이상진;김재명
    • 한국수정란이식학회지
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    • 제17권3호
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    • pp.211-218
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    • 2002
  • 본 연구는 체외에서 소 난포란유래의 배반포 생산에 있어서 배지 내에 첨가하는 외인성 고정질소 원으로써 아미노산과 FBS의 첨가효과를 검토하였다. 소 난포란의 체외성숙은 TCM-l99용액, 체외 수정은 Fer-TALP용액으로 행하였으며, 체외수정후 24시간째(day 1)의 수정난자를 체외배양에 제공하였다. 체외배양용 기초배지는 YS용액, 기초 배양법은 25개 난자/10 ${\mu}\ell$ 배지의 단순.미소적배양법을 이용하였다. 본 연구의 결과를 요약하면 다음과 같다. 1. 체외 수정란의 배양에 있어서 비필수 아미노산(MEM 유래) 첨가가 무첨가군보다 높은 배반포 발달율을 나타냈다. 2. 체외 수정란의 배양에 있어서 필수 아미노산(RPMI 1640 유래) 첨가가 무첨가군보다 유의하게 높은 배반포 발달율을 나타냈다. (P<0.05) 3. Day 1에 비 필수 아미노산, day 5에 필수 아미노산을 첨가하였을 경우 부화 배반포로의 발생율 및 배반포로의 부화율을 향상시켰다. 4. Day 1에 비필수.필수 아미노산을 첨가한 후 day 3, day 4, day 5에 각각 필수 아미노산만을 배지로부터 제거 시 배반포의 부화율은 현저하게 낮았다. 5. FBS의 첨가시기는 배양 후기(day 5)에 첨가할 수록 배반포율 또는 부화 배반포율이 유의하게 상승하였다(p<0.05). 이상의 결과에서 소 난포란 유래 배반포의 체외생산에 있어서 배지에 첨가하는 외인성 고정 질소 원들의 첨가에 있어서 첨가시기 및 농도를 조절함으로써 양질의 배반포 생산을 향상시킬 수 있는 것으로 사료된다.

과배란 처리된 체내 초기배 발생에 관한 연구 (Development of Early Embryos inIn Vivo Superovulated Rabbits)

  • 조현조;이홍준;심금섭
    • 한국수정란이식학회지
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    • 제9권2호
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    • pp.167-172
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    • 1994
  • This experiment was arried out to investigate the development of ea4y rabbit embryos in vivo. Twenty-six New Zealand White does were superovulated by treatment with PMSG(Intervet Co; I. M single injection, 150. U./rabbit) followed 3 day later by simultaneous I.V injection of 100 I.U HCG (Intervet Co, )and natural service with fertile male. All of does was killed at the specific times (24, 27, 30, 36, 42, 50 and 93 h post-hCG) to find out the early embryonic development in vivo respectively. Embryos at the specified stages of development were obtained at the following times after injection of hCG; one-ceH at 24 h, two-cell at 24~27h, four-cell at 27~36 h, morulae at 50 h and early blasto-cyst at 93 h and expanded or hatching blastocyst at 144 h. Number of embryos recovered per rabbit superovulated was 26.1 and average of recovery rate was 83.7%. The results suggest that superovulation was efficient for the increase of embryo number in rabbits, and as shown in results, asynchronous cleavage was prevalent among the recovered embryos.

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