“…Therefore, oocyte maturation and quality are influenced not only by factors acting directly on the female gamete, but also by regulators of the follicular environment. Clearly, this is indicated by the effects of exogenous gonadotrophins used in ovarian stimulation to alter oocyte metabolism (Fagbohun and Downs, 1992;Zuelke and Brackett, 1992;Downs et al, 1996;Roberts et al, 2004), ATP content, transcription (Combelles and Albertini, 2003), degeneration (Yun et al, 1987(Yun et al, , 1989, asynchronous nuclear/cytoplasmic maturation (Yun et al, 1987(Yun et al, , 1989, microfilament distribution (Lee et al, 2005(Lee et al, , 2006, oocyte-derived embryo polyploidy (Maudlin and Fraser, 1977;Sato and Marrs, 1986;Ma et al, 1997) and developmental competence (Pellicer et al, 1989;Blondin et al, 1996;Ertzeid and Storeng, 2001; Van der Auwera and D'Hooghe, 2001;Cheon et al, 2004;Racowsky et al, 2005;Andersen et al, 2006). Furthermore, it is also important to remember that supranumary oocytes retrieved for ART are not all destined to ovulate without the assistance of ovarian stimulation.…”