To blast or not to blast Blastocyst culture and transfer
Minh N. Ho, M.D., F.A.C.O.G. XPERT FERTILITY CARE Of California www.ivfdoc.com Board Certified in Reproductive Endocrinology
Outline <ul><li>Overview </li></ul><ul><li>Why blastocysts ? </li></ul><ul><li>How ? </li></ul><ul><li>Plus and minus </li...
 
Blastocyst   Development
Blastocyst Development
 
Ovulation Induction <ul><li>2 cell theory </li></ul><ul><li>Agonist or antagonist </li></ul><ul><li>Flare or not flare </l...
Criteria for blastocyst c&t <ul><li>Number of embryoes </li></ul><ul><li>Quality of embryoes </li></ul><ul><li>Age Factor ...
Blastocyst Culture <ul><li>Co-culture </li></ul><ul><li>Blastocyst media </li></ul>
Plus and Minus <ul><li>Reduce multigestation </li></ul><ul><li>Increase implatation </li></ul><ul><li>Not for everyone </l...
Ecetera… <ul><li>Spontaneous monozygotic twins </li></ul><ul><li>Sex ratio </li></ul><ul><li>ICSI ‘ed blastocysts </li></u...
What’s next
 
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To Blast Or Not To Blast

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Overview of Blastocyst Culturing System in Assisted Reproductive Technologies. Dr. Minh N. Ho, Board Ceritified in Reproductive Endocrinology @ www.ivfdoc.com

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To Blast Or Not To Blast

  1. 1. To blast or not to blast Blastocyst culture and transfer
  2. 2. Minh N. Ho, M.D., F.A.C.O.G. XPERT FERTILITY CARE Of California www.ivfdoc.com Board Certified in Reproductive Endocrinology
  3. 3. Outline <ul><li>Overview </li></ul><ul><li>Why blastocysts ? </li></ul><ul><li>How ? </li></ul><ul><li>Plus and minus </li></ul>
  4. 5. Blastocyst Development
  5. 6. Blastocyst Development
  6. 8. Ovulation Induction <ul><li>2 cell theory </li></ul><ul><li>Agonist or antagonist </li></ul><ul><li>Flare or not flare </li></ul><ul><li>Patient selection </li></ul><ul><li>Embryo transfer </li></ul><ul><li>Luteal support </li></ul>
  7. 9. Criteria for blastocyst c&t <ul><li>Number of embryoes </li></ul><ul><li>Quality of embryoes </li></ul><ul><li>Age Factor </li></ul><ul><li>Uterine Factors </li></ul><ul><li>Reproductive history </li></ul>
  8. 10. Blastocyst Culture <ul><li>Co-culture </li></ul><ul><li>Blastocyst media </li></ul>
  9. 11. Plus and Minus <ul><li>Reduce multigestation </li></ul><ul><li>Increase implatation </li></ul><ul><li>Not for everyone </li></ul><ul><li>Issue with cryopreservation </li></ul>
  10. 12. Ecetera… <ul><li>Spontaneous monozygotic twins </li></ul><ul><li>Sex ratio </li></ul><ul><li>ICSI ‘ed blastocysts </li></ul><ul><li>2- step ET </li></ul><ul><li>Day 5 or day 6? </li></ul>
  11. 13. What’s next

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