Predictors of ongoing implantation in IVF in a good prognosis group of patients.
BACKGROUND
The aim of this study was to investigate whether, in a large randomized trial, it is possible to identify specific maternal and/or embryo variables that could independently correlate with ongoing implantation in IVF/ICSI.


METHODS
In a Scandinavian study, 661 women were randomized to elective single embryo transfer or double embryo transfer. Women aged <36 years undergoing their first or second IVF cycle and with at least two good quality embryos were eligible. Only one cycle per subject was included. In the present study, cycles with 0 or 100% ongoing implantation (n = 520) were analysed regarding maternal and embryo variables.


RESULTS
In this selected study group, the ongoing implantation rate was 195/734 (26.6%). In the univariate analysis, first IVF cycle, conventional IVF as fertilization method and 4-cell embryos showed a statistically higher ongoing implantation rate than did second IVF cycle, ICSI and non-4-cell embryos. In the multivariate analysis the same variables correlated independently to ongoing implantation. In addition, ovarian sensitivity correlated independently to ongoing implantation.


CONCLUSIONS
This information should be used when selecting the number of embryos for transfer with the overall aim to reduce the rate of multiple births while maintaining a satisfactory birth rate.
Thurin
A
A
Reproductive Medicine, Sahlgrenska University Hospital, SE-413 45 Göteborg, Sweden.
Hardarson
T
T
Hausken
J
J
Jablonowska
B
B
Lundin
K
K
Pinborg
A
A
Bergh
C
C
D000328:Adult; D002970:Cleavage Stage, Ovum; D010064:Embryo Implantation / Q000502:physiology*; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011272:Pregnancy, Multiple; D011379:Prognosis; D011446:Prospective Studies; D012537:Scandinavian and Nordic Countries; D020554:Sperm Injections, Intracytoplasmic