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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Main Authors: Chloë De Roo, Kelly Tilleman
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Journal of Clinical Medicine
Subjects:
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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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
work_keys_str_mv AT chloederoo invitromaturationofoocytesretrievedfromovariantissueoutcomesfromcurrentapproachesandfutureperspectives
AT kellytilleman invitromaturationofoocytesretrievedfromovariantissueoutcomesfromcurrentapproachesandfutureperspectives