Comparison of the Effects of GMCSF-Containing and Traditional Culture Media on Embryo Development and Pregnancy Success Rates
Abstract Objective The use of granulocyte macrophage colony-stimulating factor (GM-CSF)-containing medium, which is a commercial medium that is used for cultivation of embryos in in vitro fertilization (IVF) treatments, has been suggested to increase the efficiency of this procedure in patients wit...
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| Format: | Article |
| Language: | English |
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Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
2023-01-01
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| Series: | Revista Brasileira de Ginecologia e Obstetrícia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001101047&lng=en&tlng=en |
| _version_ | 1797944929389903872 |
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| author | Fatih Adanacıoglu Çağlar Çetin Gozde Tokat Durdane Adanacıoglu Ayse Filiz Gokmen Karasu Mehmet Turan Çetin |
| author_facet | Fatih Adanacıoglu Çağlar Çetin Gozde Tokat Durdane Adanacıoglu Ayse Filiz Gokmen Karasu Mehmet Turan Çetin |
| author_sort | Fatih Adanacıoglu |
| collection | DOAJ |
| description | Abstract Objective The use of granulocyte macrophage colony-stimulating factor (GM-CSF)-containing medium, which is a commercial medium that is used for cultivation of embryos in in vitro fertilization (IVF) treatments, has been suggested to increase the efficiency of this procedure in patients with previous multiple unsuccessful attempts. In this retrospective study, we analyzed GM-CSF-containing embryo culture media compared with traditional culture media in terms of development of embryos, pregnancy, and ongoing pregnancy success and live birth rates. Methods This is a prospective case control study conducted in a single center. A total of 131 unexplained infertility patients were included in the study. A cohort of 69 patients whose embryos were cultured in GM-CSF-containing medium and a control group of 62 age-matched patients whose embryos were cultured in conventional Sage One Step medium were included in the study. The major study outcomes were achievement of pregnancy and ongoing pregnancy rate at 12 weeks of gestation. Results The pregnancy and ongoing pregnancy rates of the patients whose embryos were cultured in GM-CSF-containing medium were 39.13% and 36.23%, respectively. These were higher than the rates of the control group, which were 30.65% and 29.03%, respectively, although this difference was not statistically significant. In addition, the 5th-day embryo transfer percentage in the GM-CSF group was higher than in the control group (34.78% versus 27.4%). Conclusion The main findings of our study were that there was no difference between the GM-CSF-enhanced medium and the control group in terms of our major study outcomes. However, blastomere inequality rate and embryo fragmentation rates were lower in the GM-CSF group. |
| first_indexed | 2024-04-10T20:46:19Z |
| format | Article |
| id | doaj.art-d1af98978b4a431db3dbd1629a586774 |
| institution | Directory Open Access Journal |
| issn | 0100-7203 |
| language | English |
| last_indexed | 2024-04-10T20:46:19Z |
| publishDate | 2023-01-01 |
| publisher | Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
| record_format | Article |
| series | Revista Brasileira de Ginecologia e Obstetrícia |
| spelling | doaj.art-d1af98978b4a431db3dbd1629a5867742023-01-24T07:35:54ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032023-01-0144111047105110.1055/s-0042-1759630Comparison of the Effects of GMCSF-Containing and Traditional Culture Media on Embryo Development and Pregnancy Success RatesFatih Adanacıogluhttps://orcid.org/0000-0002-5535-6296Çağlar Çetinhttps://orcid.org/0000-0001-6733-592XGozde Tokathttps://orcid.org/0000-0001-6084-4043Durdane Adanacıogluhttps://orcid.org/0000-0003-4578-0939Ayse Filiz Gokmen Karasuhttps://orcid.org/0000-0001-7480-4691Mehmet Turan Çetinhttps://orcid.org/0000-0003-4048-4882Abstract Objective The use of granulocyte macrophage colony-stimulating factor (GM-CSF)-containing medium, which is a commercial medium that is used for cultivation of embryos in in vitro fertilization (IVF) treatments, has been suggested to increase the efficiency of this procedure in patients with previous multiple unsuccessful attempts. In this retrospective study, we analyzed GM-CSF-containing embryo culture media compared with traditional culture media in terms of development of embryos, pregnancy, and ongoing pregnancy success and live birth rates. Methods This is a prospective case control study conducted in a single center. A total of 131 unexplained infertility patients were included in the study. A cohort of 69 patients whose embryos were cultured in GM-CSF-containing medium and a control group of 62 age-matched patients whose embryos were cultured in conventional Sage One Step medium were included in the study. The major study outcomes were achievement of pregnancy and ongoing pregnancy rate at 12 weeks of gestation. Results The pregnancy and ongoing pregnancy rates of the patients whose embryos were cultured in GM-CSF-containing medium were 39.13% and 36.23%, respectively. These were higher than the rates of the control group, which were 30.65% and 29.03%, respectively, although this difference was not statistically significant. In addition, the 5th-day embryo transfer percentage in the GM-CSF group was higher than in the control group (34.78% versus 27.4%). Conclusion The main findings of our study were that there was no difference between the GM-CSF-enhanced medium and the control group in terms of our major study outcomes. However, blastomere inequality rate and embryo fragmentation rates were lower in the GM-CSF group.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001101047&lng=en&tlng=enin vitro fertilizationembryo cultureembryo transfergranulocyte macrophage colony-stimulating factor |
| spellingShingle | Fatih Adanacıoglu Çağlar Çetin Gozde Tokat Durdane Adanacıoglu Ayse Filiz Gokmen Karasu Mehmet Turan Çetin Comparison of the Effects of GMCSF-Containing and Traditional Culture Media on Embryo Development and Pregnancy Success Rates Revista Brasileira de Ginecologia e Obstetrícia in vitro fertilization embryo culture embryo transfer granulocyte macrophage colony-stimulating factor |
| title | Comparison of the Effects of GMCSF-Containing and Traditional Culture Media on Embryo Development and Pregnancy Success Rates |
| title_full | Comparison of the Effects of GMCSF-Containing and Traditional Culture Media on Embryo Development and Pregnancy Success Rates |
| title_fullStr | Comparison of the Effects of GMCSF-Containing and Traditional Culture Media on Embryo Development and Pregnancy Success Rates |
| title_full_unstemmed | Comparison of the Effects of GMCSF-Containing and Traditional Culture Media on Embryo Development and Pregnancy Success Rates |
| title_short | Comparison of the Effects of GMCSF-Containing and Traditional Culture Media on Embryo Development and Pregnancy Success Rates |
| title_sort | comparison of the effects of gmcsf containing and traditional culture media on embryo development and pregnancy success rates |
| topic | in vitro fertilization embryo culture embryo transfer granulocyte macrophage colony-stimulating factor |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001101047&lng=en&tlng=en |
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