SINGLE VERSUS SEQUENTIAL CULTURE MEDIUM: WHICH IS BETTER FOR EMBRYONIC DEVELOPMENT AT OXYGEN LEVEL OF 20%

Nguyễn Linh Chi1,2,, Ngô Thị Tường Châu2, Nguyễn Đình Tảo1, Nguyễn Ngọc Diệp3
1 16A Ha Dong General Hospital
2 Vietnam National University, Hanoi
3 Vietnam Military Medical University

Main Article Content

Abstract

Due to many reasons, along with the development of society, male and female infertility is increasing day by day. This reality promote scientists to research and find out the optimal types of cluture medium, improve the quality of culture as well as improve the success rate for couples expecting children. In this study, we evaluated the development of 1713 embryos (taken from 165 patient pairs) from the zygote to blastocyst stage between October 2019 and February 2021, cultured in concentrations of atmospheric oxygen level 20%. Mature follicles were cultured in single step medium (Global total®) from day 1 to day 5, or cultured in multistep medium G1-PLUSTM (Vitrolife) until day 3, and changed to G2-PLUSTM medium (Vitrolife) from day 3 to day 5/day 6. The results showed that the single step medium was initially evaluated as an effective continuous culture product: Increase the quantity as well as percentage of embryos with good- and average-morphology on day 5, increased embryo development rate from day 3 to day 5, although there was no difference between fertilization rate and day 3 embryo quality when compared with the sequential medium.

Article Details

References

1. Biggers JD, Summers MC, "Choosing a culture medium: making informed choices," Fertil Steril, pp. 90:473-483, 2008.
2. Ioannis A. Sfontouris & Wellington P. Martins & Carolina O Nastri, Iara G. R. Viana & Paula A. Navarro & Nick Raine-Fenning & Sheryl van der Poel,, "Blastocyst culture using single versus sequential media in clinical IVF: a systematic review and meta-analysis of randomize controlled trials," Assist Reprod Genet, vol. 33, pp. 1261-1272, 2016.
3. Iratxe López-Pelayo, Javier María Gutiérrez-Romero, Ana Isabel Mangano Armada, María Mercedes CaleroRuiz, Pablo Javier Moreno de Acevedo-Yagüe, "Comparison of two commercial embryo culture media (SAGE-1 step single medium vs. G1-PLUSTM/G2-PLUSTM sequential media): Influence on in vitro fertilization outcomes and human embryo quality," JBRA Assisted Reproduction 2018;22(2):128-133, 2018.
4. Pomeroy KO, Foley S, Faber B, Moffitt DV, Johnson MD., "A comparison of sequential medium with non-sequential medium: do some patients´ embryos culture better in one than in the other?" Reprod Fertil Develop; 21:162-3, 2018.
5. ALPHA Scientists in Reproductive Medicin, "The Istanbul consensus workshop on embryo assessment: proceedings of an expert meeting," Human Reproduction, Vol.26, No.6. 1270-1283, 2011.
6. Sfontouris IA, Kolibianakis EM, Lainas GT, Petsas GK, Tarlatzis BC, Lainas TG. , " Blastocyst Development in a Single Medium Compared to Sequential Media: A Prospective Study With Sibling Oocytes.," Reprod Sci. 24:1312-8. PMID: 28093041 DOI: 10.1177/ 1933719116687653, 2017;.
7. Morbeck DE, Baumann NA, Oglesbee D., "Composition of single-step media used for human embryo culture" Fertil Steril;107:1055-60. PMID: 28238490 DOI: 10.1016/j.fertnstert.2017.01.007, 2017.
8. Hentemann M, Bertheussen K., "New media for culture to blastocyst.," Fertil Steril.91:878-83. PMID: 18321494 DOI: 10.1016/j.fertnstert.2007.12.011, 2009.