MORPHOLOGICAL AND CYTOGENETIC OBSERVATIONS OF UNFERTILIZED HUMAN OOCYTES AND ABNORMAL EMBRYOS OBTAINED AFTER OVARIAN STIMULATION WITH PURE FOLLICLE-STIMULATING-HORMONE FOLLOWING PITUITARY DESENSITIZATION
C. Wojcik et al., MORPHOLOGICAL AND CYTOGENETIC OBSERVATIONS OF UNFERTILIZED HUMAN OOCYTES AND ABNORMAL EMBRYOS OBTAINED AFTER OVARIAN STIMULATION WITH PURE FOLLICLE-STIMULATING-HORMONE FOLLOWING PITUITARY DESENSITIZATION, Human reproduction, 10(10), 1995, pp. 2617-2622
Morphological and cytological observations of 189 unfertilized oocytes
and 40 abnormal embryos obtained from 32 patients in a routine in-vit
ro fertilization programme were performed. Both the oocytes and the em
bryos were mounted whole to preserve the original topology of all the
structural elements. With the applied protocol of ovarian stimulation
associating pituitary desensitization and follicle stimulating hormone
stimulation, a high degree of immaturity of the unfertilized eggs was
observed in comparison with previous reports. This immaturity was ded
uced from the higher incidence of unfertilized eggs arrested at the ge
rminal vesicle or metaphase I stage, as well as metaphase II oocytes w
ith multiple metaphase plates. Nine triploid and four tetraploid embry
os were analysed: except for one tetraploid embryo, all the polyploid
embryos cleaved. The percentages of mononucleated blastomeres in these
polyploid embryos were 57 and 27% respectively. We also analysed 21 c
leaving diploid embryos which exhibited a high degree of fragmentation
. No more than 40% of the blastomeres contained a single nucleus. More
over, in only one of the 21 diploid embryos could all the blastomeres
be considered normal.