Objective: To compare three different in vitro maturation (IVM) media for immature oocytes. Design: Experimental study. Setting: In vitro fertilization laboratory. Animal(s): BDF1 female and male mice. Intervention(s): Retrieval and maturation of cumulus-enclosed germinal vesicle-stage oocytes according to one of three protocols: group A, conventional IVM medium; group B, blastocyst culture medium; and group C, tissue culture medium (TCM) 199. Main Outcome Measure(s): Maturation, fertilization, and developmental rates of immature oocytes. Result(s): A total of 653 immature oocytes were cultured in vitro and then analyzed. No difference was found in maturation rates and fertilization rates in comparing groups A and B. However, the IVM rates were statistically significantly increased in groups A and B compared with group C. No difference was found in fertilization rates between media, but the developmental competency to blastocyst stage was statistically significantly higher in group B compared with group C.
Conclusion(s):The developmental competency of immature oocytes did not differ between conventional IVM medium and blastocyst culture medium, but TCM-199 was found to be unsuitable. Evidence from mice as test subjects suggests that both conventional IVM medium and blastocyst culture medium are suitable for IVM, and that blastocyst culture medium may be a good choice for conventional IVM of immature oocytes. (Fertil Steril Ò 2011;95:554-7. Ó2011 by American Society for Reproductive Medicine.)Key Words: Blastocyst culture media, conventional IVM culture media, immature oocytes, in vitro maturation, tissue culture media 199 In vitro maturation (IVM) of immature oocytes obtained from small antral follicles is a promising technique for infertility treatment or fertility preservation. Despite more than 1,000 healthy infants having been delivered through the IVM process as of 2008 (1, 2), only a few hospitals practice the technique. Many trials have attempted to improve oocyte maturation and embryo developmental rates. One study demonstrated an increased beneficial effect using retinoids for goat embryonic development (3). The maturation media for both humans and animals are usually supplemented with various protein sources such as fetal bovine serum, fetal cord serum, or maternal serum. It is believed that these serums contain albumin and other unknown constituents that are helpful for immature oocyte maturation. Although different protein sources have been used, all of the studies have given comparable results (4).A variety of culture media are available, and the choice of the base medium for IVM is considered particularly difficult. Currently, the most commonly used culture medium for IVM is conventional IVM medium. Commercialized IVM media such as MediCult (Origio A/S, Jyllinge, Denmark) and Sage (CooperSurgical, Trumbull, CT) have demonstrated reasonable fertilization, implantation, and clinical pregnancy rates (5, 6). During IVM, it is important that the culture medium provide the oocytes with energy metabolit...