The Effect of Preimplantation Genetic Screening on Implantation Rate in Women over 35 Years of Age

Objective: Advanced maternal age (AMA) is an important factor in decreasing success of assisted reproductive technology by having a negative effect on the success rate of intra-cytoplasmic sperm injection (ICSI), particularly by increasing the rate of embryo aneuploidy. It has been suggested that...

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Main Authors: Mina Moayeri, Hojatolah Saeidi, Mohammad Hossein Modarresi, Mehrdad Hashemi
Format: Article
Language:English
Published: Royan Institute (ACECR), Tehran 2016-04-01
Series:Cell Journal
Subjects:
Online Access:http://celljournal.org/web/journal/article/2279/download
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author Mina Moayeri
Hojatolah Saeidi
Mohammad Hossein Modarresi
Mehrdad Hashemi
author_facet Mina Moayeri
Hojatolah Saeidi
Mohammad Hossein Modarresi
Mehrdad Hashemi
author_sort Mina Moayeri
collection DOAJ
description Objective: Advanced maternal age (AMA) is an important factor in decreasing success of assisted reproductive technology by having a negative effect on the success rate of intra-cytoplasmic sperm injection (ICSI), particularly by increasing the rate of embryo aneuploidy. It has been suggested that the transfer of euploid embryos increases the implantation and pregnancy rates, and decreases the abortion rate. Preimplantation genetic screening (PGS) is a method for selection of euploid embryos. Past studies, however, have reported different results on the success of pregnancy after PGS in AMA. Investigating the pregnancy rate of ICSI with and without PGS in female partners over 35 years of age referred to infertility centers in Tehran. Materials and Methods: In this randomized controlled trial, 150 couples with the female partner over age of 35 were included. Fifty couples underwent PGS and the remaining were used as the control group. PGS was carried out using fluorescent in situ hybridization (FISH) for chromosomes 13, 18, 21, X and Y. Results of embryo transfer following PGS were evaluated and compared with those in the control group. Results: Implantation rates obtained in the PGS and control groups were 30 and 32% respectively and not significantly different (P>0.05). Conclusion: PGS for chromosomes 13, 18, 21, X and Y does not increase implantation rate in women over 35 years of age and therefore the regular use of PGS in AMA is not recommended.
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spelling doaj.art-f618d0ae24554c70a36034a9957d716a2022-12-22T01:41:41ZengRoyan Institute (ACECR), TehranCell Journal2228-58062228-58142016-04-011811320The Effect of Preimplantation Genetic Screening on Implantation Rate in Women over 35 Years of AgeMina Moayeri0Hojatolah Saeidi1Mohammad Hossein Modarresi2Mehrdad Hashemi3Department of Genetics, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, IranOmid Infertility Clinic, Tehran, IranDepartment of Genetics, School of Medicine, Tehran University of Medical Sciences, Tehran, IranDepartment of Genetics, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, IranObjective: Advanced maternal age (AMA) is an important factor in decreasing success of assisted reproductive technology by having a negative effect on the success rate of intra-cytoplasmic sperm injection (ICSI), particularly by increasing the rate of embryo aneuploidy. It has been suggested that the transfer of euploid embryos increases the implantation and pregnancy rates, and decreases the abortion rate. Preimplantation genetic screening (PGS) is a method for selection of euploid embryos. Past studies, however, have reported different results on the success of pregnancy after PGS in AMA. Investigating the pregnancy rate of ICSI with and without PGS in female partners over 35 years of age referred to infertility centers in Tehran. Materials and Methods: In this randomized controlled trial, 150 couples with the female partner over age of 35 were included. Fifty couples underwent PGS and the remaining were used as the control group. PGS was carried out using fluorescent in situ hybridization (FISH) for chromosomes 13, 18, 21, X and Y. Results of embryo transfer following PGS were evaluated and compared with those in the control group. Results: Implantation rates obtained in the PGS and control groups were 30 and 32% respectively and not significantly different (P>0.05). Conclusion: PGS for chromosomes 13, 18, 21, X and Y does not increase implantation rate in women over 35 years of age and therefore the regular use of PGS in AMA is not recommended.http://celljournal.org/web/journal/article/2279/downloadPreimplantation Genetic ScreeningMaternal AgeFISH TechniqueAneuploidiesICSI
spellingShingle Mina Moayeri
Hojatolah Saeidi
Mohammad Hossein Modarresi
Mehrdad Hashemi
The Effect of Preimplantation Genetic Screening on Implantation Rate in Women over 35 Years of Age
Cell Journal
Preimplantation Genetic Screening
Maternal Age
FISH Technique
Aneuploidies
ICSI
title The Effect of Preimplantation Genetic Screening on Implantation Rate in Women over 35 Years of Age
title_full The Effect of Preimplantation Genetic Screening on Implantation Rate in Women over 35 Years of Age
title_fullStr The Effect of Preimplantation Genetic Screening on Implantation Rate in Women over 35 Years of Age
title_full_unstemmed The Effect of Preimplantation Genetic Screening on Implantation Rate in Women over 35 Years of Age
title_short The Effect of Preimplantation Genetic Screening on Implantation Rate in Women over 35 Years of Age
title_sort effect of preimplantation genetic screening on implantation rate in women over 35 years of age
topic Preimplantation Genetic Screening
Maternal Age
FISH Technique
Aneuploidies
ICSI
url http://celljournal.org/web/journal/article/2279/download
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