For IVF, collected oocytes were incubated in human tubal fluid (HTF; Irvine Scientific, United States), supplemented with 10% serum substitute supplement (SSS; Irvine Scientific, United States), and 300,000 progressively motile spermatozoa and left overnight; For ICSI, denudated oocytes were injected with a single mechanically immobilized sperm and directly thereafter cultured in fertilization medium (HTF + 10% SSS). All embryos were maintained in Continuous Single Culture of HTF (Irvine Scientific, United States) and were incubated under oil at 37°C and a 5% O2 and 6% CO2 humidified incubators with 30 μL of culture media drop throughout the entire duration of in vitro culture.
Comprehensive IVF/ICSI Procedure Protocol
For IVF, collected oocytes were incubated in human tubal fluid (HTF; Irvine Scientific, United States), supplemented with 10% serum substitute supplement (SSS; Irvine Scientific, United States), and 300,000 progressively motile spermatozoa and left overnight; For ICSI, denudated oocytes were injected with a single mechanically immobilized sperm and directly thereafter cultured in fertilization medium (HTF + 10% SSS). All embryos were maintained in Continuous Single Culture of HTF (Irvine Scientific, United States) and were incubated under oil at 37°C and a 5% O2 and 6% CO2 humidified incubators with 30 μL of culture media drop throughout the entire duration of in vitro culture.
Corresponding Organization : Children's Hospital of Fudan University
Other organizations : Shanghai Institute of Planned Parenthood Research, Fudan University, Third Affiliated Hospital of Zhengzhou University, Nanjing Medical University, Shanghai Jiao Tong University, Shanghai Ninth People's Hospital, Obstetrics and Gynecology Hospital of Fudan University
Variable analysis
- Starting day of hMG administration (day 3 of the menstrual cycle)
- Dose of urinary hCG (5,000 IU)
- Timing of hCG trigger (when two or more follicles measured 18 mm or more)
- Serum FSH, LH, E2, and P levels on spontaneous menstrual cycle day 3 (MC3) and the day of hCG triggering
- Oocyte retrieval timing (34-36 h after trigger)
- IVF or ICSI procedure timing (4-5 h after oocyte retrieval)
- Embryo culture conditions (Continuous Single Culture of HTF, incubated under oil at 37°C and a 5% O2 and 6% CO2 humidified incubators with 30 μL of culture media drop)
- Culture media used for IVF and ICSI (human tubal fluid (HTF) supplemented with 10% serum substitute supplement (SSS))
- Sperm used for IVF and ICSI (300,000 progressively motile spermatozoa)
- No positive or negative controls were explicitly mentioned in the protocol.
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