Skip to main content Accessibility help
×
Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-28T04:24:09.422Z Has data issue: false hasContentIssue false

39A - PGT-A Should Be Offered for Recurrent Implantation Failure

For

from Section VII - Genetics

Published online by Cambridge University Press:  25 November 2021

Roy Homburg
Affiliation:
Homerton University Hospital, London
Adam H. Balen
Affiliation:
Leeds Centre for Reproductive Medicine
Robert F. Casper
Affiliation:
Mount Sinai Hospital, Toronto
Get access

Summary

In order to discuss the benefits of preimplantation genetic testing for aneuploidies (PGT-A) for recurrent implantation failure (RIF), we first need to define this condition. However, despite extensive research and due to numerous contributing factors, there is not yet a single agreed-upon definition. It is well established that the major cause of pregnancy loss is chromosomal aneuploidy. Sato et al. showed that even though PGT-A could not improve the live birth rate per patient, it reduced the overall incidence of pregnancy loss in patients with repeated implantation failure (RIF) [1]. Pirtea et al. had a different perspective, suggesting that true RIF is rare for those patients with the ability to produce euploid blastocysts. In analyzing 4,515 patients, 94.9% of them achieved clinical pregnancy in up to three consecutive transfers of frozen single euploid embryos [2].

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Sato, T, Sugiura-Ogasawara, M, Ozawa, F, et al. Preimplantation genetic testing for aneuploidy: a comparison of live birth rates in patients with recurrent pregnancy loss due to embryonic aneuploidy or recurrent implantation failure. Hum Reprod. 2019;34(12):2340–8.CrossRefGoogle ScholarPubMed
Pirtea, P, De Ziegler, D, Marin, D, et al. The rate of true recurrent implantation failure (RIF) is low: results of three successive frozen euploid single embryo transfers (SET). Fertil Steril. 2019;112(3, Supplement):e438–9.CrossRefGoogle Scholar
Munné, S, Spinella, F, Grifo, J, et al. Clinical outcomes after the transfer of blastocysts characterized as mosaic by high resolution Next Generation Sequencing- further insights. Eur J Med Genet. 2020;63(2):103741.CrossRefGoogle ScholarPubMed
Patrizio, P, Shoham, G, Shoham, Z, Leong, M, Barad, DH, Gleicher, N. Worldwide live births following the transfer of chromosomally ‘Abnormal’ embryos after PGT/A: results of a worldwide web-based survey. J Assist Reprod Genet. 2019;36(8):1599–607.CrossRefGoogle ScholarPubMed
Munné, S, Nakajima, ST, Najmabadi, S, et al. First PGT-A using human in vivo blastocysts recovered by uterine lavage: comparison with matched IVF embryo controls. Hum Reprod. 2020;35(1):7080.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×