title: Lack of correlation between oocyte-corona-cumulus complex morphology and nuclear maturity of oocytes collected in stimulated cycles for intracytoplasmic sperm injection.
abstract: OBJECTIVE
  To evaluate the usefulness of morphology grading of the oocyte-corona-cumulus complex (OCCC) as a marker of oocyte nuclear maturity, fertilizability, embryo cleavage, and likelihood of pregnancy.
  
  
  METHODS
  Prospective cohort study.
  
  
  METHODS
  Academic fertility center.
  
  
  METHODS
  Eighty-three infertile couples undergoing IVF-ET/intracytoplasmic sperm injection treatment.
  
  
  METHODS
  All patients underwent a long stimulation protocol of GnRH agonist therapy followed by hMG administration and transvaginal oocyte recovery.
  
  
  METHODS
  All OCCCs, oocytes, and embryos were assessed. The relation among OCCC morphology and the nuclear maturity of denuded oocytes, the fertilization rate, and embryo development to the cleavage stage were analyzed.
  
  
  RESULTS
  Of 909 OCCCs collected from 92 cycles, 2.5%, 4.2%, 79.9%, and 13.4% were prophase I, metaphase I, metaphase II, and degenerating, respectively. No statistically significant differences were found in the percentage of intact metaphase II oocytes, the fertilization rate, or the cleavage rate among complexes with different morphologic grades. The morphologic grade of the OCCCs of transferred embryos in the pregnant group was not different from that in the nonpregnant group.
  
  
  CONCLUSIONS
  Most oocytes were in metaphase II at the time of retrieval after ovarian stimulation. However, no relation was observed between the OCCC morphologic grade and oocyte nuclear maturity, the fertilization rate, or embryo cleavage. These observations suggest that OCCC morphology grading is a poor marker of oocyte quality.
authors.affiliation: Fertility Center, Ottawa Hospital, Ontario, Canada.
authors.forename: M
authors.initials: M
authors.lastname: Rattanachaiyanont
authors.forename: A
authors.initials: A
authors.lastname: Leader
authors.forename: M C
authors.initials: MC
authors.lastname: Léveillé
mesh_terms: D003593:Cytoplasm; D005260:Female; D005307:Fertilization in Vitro / Q000379:methods*; D006801:Humans; D007246:Infertility / Q000473:pathology* / Q000628:therapy; D008297:Male; D008845:Microinjections; D009865:Oocytes / Q000473:pathology*; D010062:Ovulation Induction; D011247:Pregnancy; D018873:Pregnancy Rate; D011446:Prospective Studies; D013094:Spermatozoa / Q000473:pathology*