In Vitro Maturation of Oocytes Retrieved from Ovarian Tissue: Outcomes from Current Approaches and Future Perspectives
In vitro maturation (IVM) of transvaginally aspirated immature oocytes is an effective and safe assisted reproductive treatment for predicted or high responder patients. Currently, immature oocytes are also being collected from the contralateral ovary during laparoscopy/laparotomy and even ex vivo f...
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MDPI AG
2021-10-01
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Series: | Journal of Clinical Medicine |
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Online Access: | https://www.mdpi.com/2077-0383/10/20/4680 |
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author | Chloë De Roo Kelly Tilleman |
author_facet | Chloë De Roo Kelly Tilleman |
author_sort | Chloë De Roo |
collection | DOAJ |
description | In vitro maturation (IVM) of transvaginally aspirated immature oocytes is an effective and safe assisted reproductive treatment for predicted or high responder patients. Currently, immature oocytes are also being collected from the contralateral ovary during laparoscopy/laparotomy and even ex vivo from the excised ovary or the spent media during ovarian tissue preparation prior to ovarian cortex cryopreservation. The first live births from in vitro-matured ovarian tissue oocytes (OTO-IVM) were reported after monophasic OTO-IVM, showing the ability to achieve mature OTO-IVM oocytes. However, fertilisations rates and further embryological developmental capacity appeared impaired. The introduction of a biphasic IVM, also called capacitation (CAPA)-IVM, has been a significant improvement of the oocytes maturation protocol. However, evidence on OTO-IVM is still scarce and validation of the first results is of utmost importance to confirm reproducibility, including the follow-up of OTO-IVM children. Differences between IVM and OTO-IVM should be well understood to provide realistic expectations to patients. |
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id | doaj.art-05d976533f2b4a7c96bcc7d22c5270e3 |
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issn | 2077-0383 |
language | English |
last_indexed | 2024-03-10T06:28:28Z |
publishDate | 2021-10-01 |
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series | Journal of Clinical Medicine |
spelling | doaj.art-05d976533f2b4a7c96bcc7d22c5270e32023-11-22T18:41:28ZengMDPI AGJournal of Clinical Medicine2077-03832021-10-011020468010.3390/jcm10204680In Vitro Maturation of Oocytes Retrieved from Ovarian Tissue: Outcomes from Current Approaches and Future PerspectivesChloë De Roo0Kelly Tilleman1Department for Reproductive Medicine, Ghent University Hospital, 9000 Ghent, BelgiumDepartment for Reproductive Medicine, Ghent University Hospital, 9000 Ghent, BelgiumIn vitro maturation (IVM) of transvaginally aspirated immature oocytes is an effective and safe assisted reproductive treatment for predicted or high responder patients. Currently, immature oocytes are also being collected from the contralateral ovary during laparoscopy/laparotomy and even ex vivo from the excised ovary or the spent media during ovarian tissue preparation prior to ovarian cortex cryopreservation. The first live births from in vitro-matured ovarian tissue oocytes (OTO-IVM) were reported after monophasic OTO-IVM, showing the ability to achieve mature OTO-IVM oocytes. However, fertilisations rates and further embryological developmental capacity appeared impaired. The introduction of a biphasic IVM, also called capacitation (CAPA)-IVM, has been a significant improvement of the oocytes maturation protocol. However, evidence on OTO-IVM is still scarce and validation of the first results is of utmost importance to confirm reproducibility, including the follow-up of OTO-IVM children. Differences between IVM and OTO-IVM should be well understood to provide realistic expectations to patients.https://www.mdpi.com/2077-0383/10/20/4680in vitro maturationOTO-IVMCAPA-IVM |
spellingShingle | Chloë De Roo Kelly Tilleman In Vitro Maturation of Oocytes Retrieved from Ovarian Tissue: Outcomes from Current Approaches and Future Perspectives Journal of Clinical Medicine in vitro maturation OTO-IVM CAPA-IVM |
title | In Vitro Maturation of Oocytes Retrieved from Ovarian Tissue: Outcomes from Current Approaches and Future Perspectives |
title_full | In Vitro Maturation of Oocytes Retrieved from Ovarian Tissue: Outcomes from Current Approaches and Future Perspectives |
title_fullStr | In Vitro Maturation of Oocytes Retrieved from Ovarian Tissue: Outcomes from Current Approaches and Future Perspectives |
title_full_unstemmed | In Vitro Maturation of Oocytes Retrieved from Ovarian Tissue: Outcomes from Current Approaches and Future Perspectives |
title_short | In Vitro Maturation of Oocytes Retrieved from Ovarian Tissue: Outcomes from Current Approaches and Future Perspectives |
title_sort | in vitro maturation of oocytes retrieved from ovarian tissue outcomes from current approaches and future perspectives |
topic | in vitro maturation OTO-IVM CAPA-IVM |
url | https://www.mdpi.com/2077-0383/10/20/4680 |
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