the flexible GnRH antagonist protocol underwent faster with the earliest cleavage, when compared to embryos derived from a woman undergoing the long GnRH agonist protocol. Hence, it is evident that the regiment used for the ovarian stimulation was associated with the embryo cleavage anomaly.Previously, a clear relationship between the time of first cleavage and embryo developmental competence has been demonstrated. The zygotes cleaving earlier after insemination are more likely to reach the blastocyst stage than their later cleaving counterparts [7,8]. This phenomenon is common in many species, e.g. rhesus monkey [9], human [10,11] and buffalo [12]. The factors that control the time of the first cleavage are unclear. However, the gene controlling the rate of preimplantation cleavage divisions and subsequent embryo survival has been identified in mice [13]. Sugimura et al. [14], demonstrated that using multiple predictors such as; timing of the first cleavage, the number of blastomeres at the end of the first cleavage, presence or absence of multiple fragments at the end of the first cleavage, the number of blastomeres at the temporary developmental arrest (lag-phase) during the fourth or fifth cell cycle and oxygen consumption at the blastocyst stage, allows to objectively and reliably select healthy IVF embryos that resulted in a successful pregnancy. It is important for the clinical practice to determine the embryo with the highest potential for implantation and development, as the selective single embryo transfer (eSET) is becoming increasingly popular with a view to reduce the risk for multiple pregnancies effectively. Thus, selecting an optimal embryo for transfer into uterus is a major challenge in assisted reproductive technology. Therefore, novel criteria that will allow evaluate the embryos objectively and reliably are needed to advance the IVF
IntroductionBy combining novel scientific and technology accomplishments it is possible to create the-state-of-the-art options for the infertility treatments in humans, and to deliver advancement in animal breeding activities. Embryo creation in vitro with embryo transfer allows to overcome many aspects of human infertility. The most popular criteria to assess the quality of embryo in the clinical and veterinary practice are based on the evaluation of embryo's morphological quality at the time of transfer [1,2]. This approach is extremely subjective and inadequate, because a snapshot morphological assessment of the embryo has a limited success compared to the evaluation of the kinetic changes and embryo morphology over the time of its development [3]. The study of Wong et al. [4], demonstrated that two morphologically similar embryos, being at the same developmental stage at the time of point assessment undergone a completely different developmental process when the kinetics of the embryo was taken into consideration. A recent study of Walls et al. [5], involving the use of time-lapse technology, showed that embryos from hyperandrogenic PCOS women were significa...