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Published in: Reproductive Biology and Endocrinology 1/2021

Open Access 01-12-2021 | ICSI | Review

Effect of the time interval between oocyte retrieval and ICSI on embryo development and reproductive outcomes: a systematic review

Authors: Xue Wang, YaLing Xiao, ZhengYi Sun, JingRan Zhen, Qi Yu

Published in: Reproductive Biology and Endocrinology | Issue 1/2021

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Abstract

Background

Intra-cytoplasmic sperm injection (ICSI) is used in assisted reproductive technology (ART) laboratories. However, there is no consensus regarding the precise time intervals within ICSI cycles [oocyte pick up (OPU), oocyte denudation (DN), and ICSI], and results are inconsistent and contradictory. Thus, we aim to evaluate whether there is a concordance regarding the time intervals used in different laboratories and a concrete time that gives better laboratory and reproductive results.

Methods

A systematic review of the literature until July 25, 2020, was performed with the keywords “Oocyte Denudation/Denudation/Oocyte,” “Intra-cytoplasmic Sperm Injection/ICSI,” “Oocyte/Oocyte maturation/ cumulus,” and “Cumulus removal/ removal.” Articles and abstracts in English and involving human subjects referring to the effects of oocyte DN time on embryo development and clinical outcomes were included.

Results

Of the 294 evaluated articles, 24 (including 20 full articles and 4 abstracts) were included in this review. Eighteen studies analysed the effect of OPU-DN time on embryo development and clinical outcomes. Most of these studies concluded that OPU-DN time did not influence ICSI outcomes, but some suggested that oocytes should be incubated for a short time before DN to improve oocyte maturity and enhance ICSI outcomes. In addition to reports on positive or negligible effects, adverse effects were reported in 12 studies on DN-ICSI timing. Neither OPU-DN nor DN-ICSI time could improve live birth rate.

Conclusions

Oocytes should be pre-incubated for a short duration (preferably < 4 h) before DN according to the ART laboratory schedule. More randomised controlled trials are warranted to clarify the effect of DN-ICSI timing on ICSI outcomes.
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Metadata
Title
Effect of the time interval between oocyte retrieval and ICSI on embryo development and reproductive outcomes: a systematic review
Authors
Xue Wang
YaLing Xiao
ZhengYi Sun
JingRan Zhen
Qi Yu
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
ICSI
Published in
Reproductive Biology and Endocrinology / Issue 1/2021
Electronic ISSN: 1477-7827
DOI
https://doi.org/10.1186/s12958-021-00717-0

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