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In vitro maturation of immature oocytes for fertility preservation in cancer patients compared to control patients with fertility problems in an in vitro fertilization program Cover

In vitro maturation of immature oocytes for fertility preservation in cancer patients compared to control patients with fertility problems in an in vitro fertilization program

Open Access
|Dec 2021

Figures & Tables

Figure 1

Types of disease in cancer patients included in this study. Breast cancer patients predominated.
Types of disease in cancer patients included in this study. Breast cancer patients predominated.

Figure 2

In vitro maturation of the oocyte in the maturation medium and in coculture with the cumulus cells of mature oocytes in the same patient at magnification 40 X (A) and magnification 100 X (B).
CC = cumulus (granulosa) cells; O = oocyte; Red bar = A) 100 μm in B) 50 μm
In vitro maturation of the oocyte in the maturation medium and in coculture with the cumulus cells of mature oocytes in the same patient at magnification 40 X (A) and magnification 100 X (B). CC = cumulus (granulosa) cells; O = oocyte; Red bar = A) 100 μm in B) 50 μm

Non-significant differences in fertilized oocytes, non-cleaved zygotes, and cleavage embryos obtained by intracytoplasmic sperm injection (ICSI) on in vitro matured and in vivo matured oocytes of patients with fertility problems (in the same cycles)

ICSI cycles (n = 17)In vitro matured oocytesIn vivo matured oocytes*
Number of microinjected oocytes 49121
Fertilized oocytes (55.127 %)(57.069 %)
Non-cleaved zygotes (15.04 %)(11.68 %)
Cleavage embryos (85.223 %)(88.461 %)

Numbers and percentages of oocytes that matured in vitro in patients with different cancers compared to patients with fertility problems

Number of oocytes that underwent in vitro maturationNumber of oocytes that matured in vitro
All cancer patients (n = 18)38 / 4525 (1.39 ± 1.04 per patient)* (66.0%)
Patients with breast cancer (n = 8)2212 (54.5%)
Patients with other cancers (n = 10)1613 (81.2%)
Patients with fertility problems (n = 21)65 / 7452 (2.48 ± 1.83 per patient)* (80.0%)

Differences in the number, quality and immaturity of oocytes after controlled hormonal stimulation of the ovaries in cancer patients compared to patients with fertility problems

Cancer patients (n = 18)Patients with fertility problems (n = 21)
Age (years)30.3 ± 6.333.4 ± 5.0
Number of retrieved oocytes198259
Oocytes per patient11.0 ± 9.012.3 ± 9.2
Number of degenerated oocytes17 (8.6%)17 (6.5%)
Number of immature (MI + GV) oocytes59 (30.0%)*113 (43.6%) *
Number of immature GV oocytes45 (23.0%)74 (28.6%)

Non-significant differences in results of intracytoplasmic sperm injection (ICSI) cycles (fertilized oocytes, non-cleaved zygotes, cleavage embryos) on in vitro matured oocytes of patients with fertility problems regarding the number of immature (germinal vesicle [GV]) oocytes

ICSI cycles (n = 17)≤ 30% GV oocytes≥ 31% GV oocytes
Female age (years)34.4 ± 3.034.3 ± 5.6
Number of microinjected oocytes1633
Fertilized oocytes11 (69.0%)16 (48.5%)
Non-cleaved zygotes0 (0%)4 (25.0%)
Cleavage embryos11 (100%)12 (75%)
DOI: https://doi.org/10.2478/raon-2021-0053 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 119 - 128
Submitted on: Aug 5, 2021
Accepted on: Nov 25, 2021
Published on: Dec 22, 2021
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2021 Irma Virant-Klun, Jure Bedenk, Nina Jancar, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.