User:Z3418837

Lab Attendance

Lab 1

--Z3418837 (talk) 12:45, 6 August 2014 (EST)

http://www.ncbi.nlm.nih.gov/pubmed

PubMed

PMID25084016

<pubmed>25084016</pubmed>

Your Lab assessment now requires you to find a 2 recent research references on fertilisation or in vitro fertilisation. Paste each reference on your page, as shown in the class. Write below each reference a brief summary of the research article methods and findings. The summary for each need not be more than 3-4 paragraphs in length. This will need to be completed before next weeks laboratory.

<pubmed>25077107</pubmed>

This study was designed to investigate whether the levels of vitamin D is an imperative factor when it comes to clinical success of implantation and pregnancy rates in infertile women via invitro fertilisation.

Method summary

A cohort of 173 women were evaluated and selected for this study based on their age, follicle-stimulating hormone levels and their consent to undergo invitro fertilisation. The following study was conducted at Mount Sinai Hospital where proper facilities were available. Blood tests were then conducted for each patient to determine their levels of Vitamin D via the serum 25-hydroxy-vitamin D (25[OH]D) levels. Following the results of the blood test, the cohort were then categorised into two groups which was either vitamin D sufficient (≥ 75 nmol/L) or insufficient ( < 75 nmol/L) based on serum levels of 25(OH)D.

Each patient then underwent IVF cycles whereby standard agonists that contained the active ingredient 0.5 mg/d of buserelin acetate in conjunction with cetrolix acetate as the standard antagonist were used to control the length of the luteal phase and estradiol levels. The length and dose of the treatment were varied for each individual based on their demographic data. Serial transvaginal ultrasonograpy and serum lutenizing hormone assays were then used to check ovarian response. When 3 or more dominant follicles (≥ 17 mm) were produced, 10 000 IU of human chorionic gonadotropin was added to enhance nuclear maturation. Oocyte retrieval was then conducted via transvaginal ultrasound whereby it was fertilised and the resulting embryo was transferred 3-5 days post-fertilisation. The rate of pregnancy per IVF cycle was then used as the primary outcome for this study whereby the visibility of the intrauterine sac of the embryo determined implantation.

Results summary

Out of the 182 patients that participated in this study, it was found that only 173 patients could continue on with this trial as they satisfied the criteria, however only 162 were fit for embryo transfer. Following the results from the blood test, it was noted that 53.8% of patients had insufficient levels of 25(OH)D and 45.1% had sufficient amounts. It was discovered that 71.8% of those with sufficient levels of 25(OH)D were more likely to proceed with embryo transfer on day 5 compared to 58.9% (p = 0.054) of those assigned to the ‘insufficient 25(OH)D’ category. Other factors such as oocyte retrieval and frequency of intracytoplasmic sperm injection were fairly similar in both groups. The study revealed that there was a higher clinical pregnancy rate per IVF cycle for those assigned to the sufficient 25(OH)D level category by 52.5% compared to those with insufficient amounts of 25(OH)D which was 34.7% (p < 0.001). Similarly, there was a significant clinical pregnancy rate per embryo transfer of 54.7% in comparison to 37.9% in woman belonging to the sufficient and insufficient category respectively. It was also noted that the implantation rate was greater in the sufficient category compared to the insufficient group, however the difference was only minimal (p= 0.6). Overall, the results suggest that serum 25(OH)D levels may be a predictor of clinical pregnancy.