Frontiers in Endocrinology (Mar 2022)
Clinical Outcomes of In Vitro Maturation After Oocyte Retrieval With Gynecological Surgery for Refractory Polycystic Ovary Syndrome: A Retrospective Cohort Study
- Wen Zhang,
- Wen Zhang,
- Wen Zhang,
- Wen Zhang,
- Wen Zhang,
- Tingting Liang,
- Bing Han,
- Bing Han,
- Bing Han,
- Bing Han,
- Bing Han,
- Rui Yang,
- Rui Yang,
- Rui Yang,
- Rui Yang,
- Rui Yang,
- Shuo Yang,
- Shuo Yang,
- Shuo Yang,
- Shuo Yang,
- Shuo Yang,
- Yan Yang,
- Yan Yang,
- Yan Yang,
- Yan Yang,
- Yan Yang,
- Jiajia Zhang,
- Jiajia Zhang,
- Jiajia Zhang,
- Jiajia Zhang,
- Jiajia Zhang,
- Xiaoying Zheng,
- Xiaoying Zheng,
- Xiaoying Zheng,
- Xiaoying Zheng,
- Xiaoying Zheng,
- Jie Yan,
- Jie Yan,
- Jie Yan,
- Jie Yan,
- Jie Yan,
- Caihong Ma,
- Caihong Ma,
- Caihong Ma,
- Caihong Ma,
- Caihong Ma,
- Xueling Song,
- Xueling Song,
- Xueling Song,
- Xueling Song,
- Xueling Song,
- Jie Qiao,
- Jie Qiao,
- Jie Qiao,
- Jie Qiao,
- Jie Qiao
Affiliations
- Wen Zhang
- Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China
- Wen Zhang
- National Clinical Research Center for Obstetrics and Gynecology (Peking University Third Hospital), Beijing, China
- Wen Zhang
- Key Laboratory of Assisted Reproduction, Ministry of Education (Peking University), Beijing, China
- Wen Zhang
- Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, China
- Wen Zhang
- Research Units of Comprehensive Diagnosis and Treatment of Oocyte Maturation Arrest, Chinese Academy of Medical Sciences, Beijing, China
- Tingting Liang
- Department of Obstetrics and Gynecology, The Second Hospital of Shanxi Medical University, Taiyuan City, China
- Bing Han
- Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China
- Bing Han
- National Clinical Research Center for Obstetrics and Gynecology (Peking University Third Hospital), Beijing, China
- Bing Han
- Key Laboratory of Assisted Reproduction, Ministry of Education (Peking University), Beijing, China
- Bing Han
- Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, China
- Bing Han
- Research Units of Comprehensive Diagnosis and Treatment of Oocyte Maturation Arrest, Chinese Academy of Medical Sciences, Beijing, China
- Rui Yang
- Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China
- Rui Yang
- National Clinical Research Center for Obstetrics and Gynecology (Peking University Third Hospital), Beijing, China
- Rui Yang
- Key Laboratory of Assisted Reproduction, Ministry of Education (Peking University), Beijing, China
- Rui Yang
- Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, China
- Rui Yang
- Research Units of Comprehensive Diagnosis and Treatment of Oocyte Maturation Arrest, Chinese Academy of Medical Sciences, Beijing, China
- Shuo Yang
- Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China
- Shuo Yang
- National Clinical Research Center for Obstetrics and Gynecology (Peking University Third Hospital), Beijing, China
- Shuo Yang
- Key Laboratory of Assisted Reproduction, Ministry of Education (Peking University), Beijing, China
- Shuo Yang
- Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, China
- Shuo Yang
- Research Units of Comprehensive Diagnosis and Treatment of Oocyte Maturation Arrest, Chinese Academy of Medical Sciences, Beijing, China
- Yan Yang
- Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China
- Yan Yang
- National Clinical Research Center for Obstetrics and Gynecology (Peking University Third Hospital), Beijing, China
- Yan Yang
- Key Laboratory of Assisted Reproduction, Ministry of Education (Peking University), Beijing, China
- Yan Yang
- Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, China
- Yan Yang
- Research Units of Comprehensive Diagnosis and Treatment of Oocyte Maturation Arrest, Chinese Academy of Medical Sciences, Beijing, China
- Jiajia Zhang
- Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China
- Jiajia Zhang
- National Clinical Research Center for Obstetrics and Gynecology (Peking University Third Hospital), Beijing, China
- Jiajia Zhang
- Key Laboratory of Assisted Reproduction, Ministry of Education (Peking University), Beijing, China
- Jiajia Zhang
- Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, China
- Jiajia Zhang
- Research Units of Comprehensive Diagnosis and Treatment of Oocyte Maturation Arrest, Chinese Academy of Medical Sciences, Beijing, China
- Xiaoying Zheng
- Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China
- Xiaoying Zheng
- National Clinical Research Center for Obstetrics and Gynecology (Peking University Third Hospital), Beijing, China
- Xiaoying Zheng
- Key Laboratory of Assisted Reproduction, Ministry of Education (Peking University), Beijing, China
- Xiaoying Zheng
- Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, China
- Xiaoying Zheng
- Research Units of Comprehensive Diagnosis and Treatment of Oocyte Maturation Arrest, Chinese Academy of Medical Sciences, Beijing, China
- Jie Yan
- Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China
- Jie Yan
- National Clinical Research Center for Obstetrics and Gynecology (Peking University Third Hospital), Beijing, China
- Jie Yan
- Key Laboratory of Assisted Reproduction, Ministry of Education (Peking University), Beijing, China
- Jie Yan
- Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, China
- Jie Yan
- Research Units of Comprehensive Diagnosis and Treatment of Oocyte Maturation Arrest, Chinese Academy of Medical Sciences, Beijing, China
- Caihong Ma
- Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China
- Caihong Ma
- National Clinical Research Center for Obstetrics and Gynecology (Peking University Third Hospital), Beijing, China
- Caihong Ma
- Key Laboratory of Assisted Reproduction, Ministry of Education (Peking University), Beijing, China
- Caihong Ma
- Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, China
- Caihong Ma
- Research Units of Comprehensive Diagnosis and Treatment of Oocyte Maturation Arrest, Chinese Academy of Medical Sciences, Beijing, China
- Xueling Song
- Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China
- Xueling Song
- National Clinical Research Center for Obstetrics and Gynecology (Peking University Third Hospital), Beijing, China
- Xueling Song
- Key Laboratory of Assisted Reproduction, Ministry of Education (Peking University), Beijing, China
- Xueling Song
- Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, China
- Xueling Song
- Research Units of Comprehensive Diagnosis and Treatment of Oocyte Maturation Arrest, Chinese Academy of Medical Sciences, Beijing, China
- Jie Qiao
- Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China
- Jie Qiao
- National Clinical Research Center for Obstetrics and Gynecology (Peking University Third Hospital), Beijing, China
- Jie Qiao
- Key Laboratory of Assisted Reproduction, Ministry of Education (Peking University), Beijing, China
- Jie Qiao
- Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, China
- Jie Qiao
- Research Units of Comprehensive Diagnosis and Treatment of Oocyte Maturation Arrest, Chinese Academy of Medical Sciences, Beijing, China
- DOI
- https://doi.org/10.3389/fendo.2022.842037
- Journal volume & issue
-
Vol. 13
Abstract
ObjectiveTo explore the clinical outcomes of unstimulated in vitro maturation (IVM) after oocyte retrieval with gynecological surgery (IVM-surgery) for refractory polycystic ovary syndrome (PCOS) and analyze the influencing factors.MethodsPatients with refractory PCOS who underwent unstimulated IVM-surgery from June 2014 to September 2018 were included in this retrospective cohort study. Matured IVM oocytes were freshly fertilized and subsequently frozen at the blastocyst stage. Frozen-thawed embryo transfer was then conducted according to the desire of patients. Oocytes and embryological outcomes, reproductive outcomes were evaluated. Influencing factors of oocytes and embryological outcomes were analyzed by univariate analysis and multivariate analysis. Receiver operating characteristic curves were used to evaluate the predict value of serum hormone levels for oocytes and embryological outcomes.ResultsA total of 93 patients with refractory PCOS who underwent unstimulated IVM-surgery were included in this study.13 patients (13/85, 15.3%) had spontaneous pregnancy and live birth after surgery. 34 patients (34/93, 36.6%) obtained blastocysts and received embryo transfer, of which 13 patients (13/34, 38.2%) eventually achieved live birth by IVM. Higher anti-Mullerian hormone, antral follicle count and basal serum luteinizing hormone (LH) levels were strongly correlated with higher number of oocytes retrieved (P = 0.004, 0.004, 0.040, respectively). Higher basal serum follicle-stimulating hormone (FSH) and LH were significantly associated with higher oocyte maturation rate (P = 0.001 and P = 0.004, respectively) and blastocyst formation (P = 0.036 and P = 0.003, respectively). There was a significant linear correlation between basal serum FSH and LH (r = 0.500, P <0.001). What is more, basal serum FSH and LH had predictive value for oocytes and embryological outcomes.ConclusionUnstimulated IVM-surgery provided the opportunity for both spontaneous pregnancy and assisted reproductive technology. Basal FSH and LH were significantly associated with oocyte maturation rate and blastocyst formation of unstimulated IVM-surgery.
Keywords