ObjectiveTo evaluate if the outcomes of IVF/ICSI in frozen-thawed embryo transfer and
fresh embryo transfer cycles differ in relation to cleavage and blastocyst
stages.MethodsRetrospective cohort study to compare IVF/ICSI outcomes between fresh embryo
transfer and frozen-thawed embryo transfer cycles, according to the stage of
embryo development. Analysis was carried out on 443 consecutive embryo
transfer cycles performed between January 1st and December 31st, 2014. Women
aged up to 38 and submitted to embryo transfer cycles with fresh (n = 309)
or frozen-thawed (n = 134) embryos at a private center for assistance in
human reproduction were considered for analysis. Results in each group were
stratified according to the stage of embryo development: cleavage stage and
blastocyst stage. Main outcome measures were implantation rate, clinical
pregnancy rate, ongoing pregnancy rate and live birth rate per cycle.ResultsIn the fresh embryo transfer group, for cleavage stage versus blastocyst
stage, respectively, implantation rates were 22% and 47% (p
= 0.0005); clinical pregnancy rates were 34% and 64% (p =
0.0057); the ongoing pregnancy rates were 30% and 61% (p =
0.0046) and live birth rates were 28% and 55% (p = 0.0148).
There were no significant differences in the rates between cleavage and
blastocyst stages in the frozen-thawed group, neither between fresh and
frozen-thawed cleavage embryo transfers nor between fresh and frozen-thawed
blastocyst transfers.ConclusionOur results confirm that blastocyst transfer is better than cleavage stage in
fresh embryo transfer cycles. In frozen-thawed cycles, cleavage or
blastocyst stages seem to offer similar reproductive outcomes.