Objective
To evaluate the association of oocyte donor-recipient characteristics, oocyte donor response, and live birth pregnancy rate (LBR) following fresh donor oocyte IVF-embryo transfer (IVF-ET).
Design
Retrospective cohort study.
Setting
Academic reproductive medicine practice
Patients
Two hundred and thirty-seven consecutive fresh donor oocyte IVF-ET cycles from January 1, 2007 to December 31, 2013 at the Massachusetts General Hospital Fertility Center.
Interventions
None.
Main Outcome Measure
Live birth rate per cycle initiated
Results
The mean (± standard deviation) age of oocyte donors and recipients was 27.0 (± 3.7) and 41.4 (± 4.6) years, respectively. Oocyte donor demographic/reproductive characteristics, ovarian reserve testing, and peak serum estradiol during ovarian stimulation (OS) were similar among cycles which did and did not result in live birth (LB), respectively. Overall implantation, clinical pregnancy, and LBR per cycle initiated were 40.5%, 60.8%, and 54.9%, respectively. The greatest probability of LB was observed in cycles with >10 oocytes retrieved, mature oocytes, oocytes with normal fertilization (zygote-two pronuclear stage), and cleaved embryos, respectively.
Conclusion
The number of oocytes (total and mature), zygotes, and cleaved embryos are associated with LB following donor oocyte IVF cycles. These findings suggest that specific peri-fertilization factors may be predictive of pregnancy outcomes following donor oocyte IVF cycles.