The present study aimed to evaluate whether ascorbate, a reactive oxyg
en species (ROS) scavenger, can improve fertilization and development
of human embryos in vitro when added to the simple salt solution human
tubal fluid (HTF) or the complex tissue culture medium Ham's F-10, wh
ich contains iron and copper in its formulation. Human oocytes, sperma
tozoa and embryos from 83 infertile IVF couples were randomly allocate
d and cultured in the presence or absence of 62.5 mu M ascorbate in HT
F medium (39 couples) or Ham's F-10 medium (44 couples). No significan
t effect of ascorbate on fertilization, number of cells and embryo gra
de per embryo on days 2 and 3 after insemination, or percentage of emb
ryos showing developmental block on day 3 (those embryos that were sti
ll at the 2-cell stage) was observed when data were analysed together
or divided into several groups according to the cause of infertility,
quality of semen sample used for insemination and women's age in eithe
r of the two media tested. Despite these results, a positive effect of
ascorbate on fertilization and embryo development in vitro cannot be
totally ruled out until the effects of other, non-physiological concen
trations of ascorbate and longer-term embryo cultures (to the blastocy
st stage) have been tested.