Influence of EmbryoGlue® Transfer Medium on Implantation of Human Embryos
Abstract
Introduction: Thanks to ever-growing advances in medical science, couples who are in the in vitro fertilisation (IVF) now have more options than ever to encase their chances at a successful pregnancy. One of the options is the use of EmbryoGlue (EG), that creates a bridge between the embryo and the uterus and provides protection to the embryo itself during the transfer process.
Aim of this study was to determine whether EG medium is of greater importance for embryo implantation than conventional medium in assisted reproductive technology and compare the rate of embryo implantation with EG and conventional medium in relation to the quality of the embryo, the age of the patients and tobacco smoking.
Methods: The retrospective study included 50 patients who used EG medium in embryo transfer (ET) and 50 patients in the control group using conventional medium. All patients underwent ET after stimulation of the cycle according to a short protocol. ETs were done on Day 2, 3, or 5 in the blastocyst stage. Age and smoking status were recorded.
Results: Out of a total of 100 patients, 42 patients had successful implantation and positive β-hCG 15 days after ET. In a control group 38 % had positive β-hCG and in the group of patients who used EG 46 %. A higher rate of embryo implantation success was observed on the second day of transfer in the group of patients using EG. In the EG group a significant increase in the embryo implantation rate was observed in patients older than 35. In tobacco smokers the implantation rate was higher if they used EG during ET.
Conclusion: EG medium had a positive effect on the second day of ET, patients above the age of 35 and patients who were tobacco smokers.
References
Bontekoe S, Blake D, Heineman MJ, Williams EC, Johnson N. Adherence compounds in embryo transfer media for assisted reproductive technologies. Cochrane Database Syst Rev 2010 Jul 7;(7):CD007421.
Hazlett WD, Meyer LR, Nasta TE, Mangan PA, Karande VC. Impact of EmbryoGlue as the embryo transfer medium. Fertil Steril 2008;90:214–6.
Gardner D, Lane M. Development of viable mammalian embryos in vitro: Evolution of sequential media. In: Cibelli, J, Lanza, R, editors. Principles of Cloning. 1st ed. Cambridge, MA, USA: Academic Press; 2002. p. 187-213.
Chronopoulou E, Harper JC. IVF culture media: past, present and future. Hum Reprod Update 2015 Jan-Feb;21(1):39-55.
Nagyova E. The biological role of hyaluronan-rich oocyte-cumulus extracellular matrix in female reproduction. Int J Mol Sci 2018 Jan 18;19(1):283.
Urman B, Yakin K, Ata B, Isiklar A, Balaban B. Effect of hyaluronan-enriched transfer medium on implantation and pregnancy rates after day 3 and day 5 embryo transfers: a prospective randomized study. Fertil Steril 2008 Sep;90(3):604-12.
Berneau SC, Ruane PT, Brison DR, Kimber SJ, Westwood M, Aplin JD. Investigating the role of CD44 and hyaluronate in embryo-epithelial interaction using an in vitro model. Mol Hum Reprod 2019 May 1;25(5):265-273.
Campbell S, Swann HR, Aplin JD, Seif MW, Kimber SJ, Elstein M. CD44 is expressed throughout pre-implantation human embryo development. Hum Reprod 1995 Feb;10(2):425-30.
Fouladi-Nashta AA, Raheem KA, Marei WF, Ghafari F, Hartshorne GM. Regulation and roles of the hyaluronan system in mammalian reproduction. Reproduction 2017 Feb;153(2):R43-R58.
Singh N, Gupta M, Kriplani A, Vanamail P. Role of Embryo Glue as a transfer medium in the outcome of fresh non-donor in-vitro fertilization cycles. J Hum Reprod Sci 2015 Oct-Dec;8(4):214-7.
Schoolcraft W, Lane M, Stevens J, Gardner DK. Increased hyaluronan concentrations in the embryo transfer medium results in a significant increase in human embryo implantation rate. FertilSteril 2002 Sep;78(Suppl 1):S5.
Hashimoto S, Joris H, Morimoto Y. EmbryoGlue® improves pregnancy and implantation rates: results from a meta-analysis on almost 10,000 embryo transfers. Reprod Biomed Online 2014;28(1):S7-S8.
Tomari H, Honjou K, Kunitake K, Nishimura K, Hidaka N, Nagata Y. Effect of embryo glue transfer medium during fresh and frozen-thawed embryo transfer. Fert Ster 2014 Oct;102(3):e313.
Zbořilová B, Oborná I, Tkadlec E, Procházka M, Březinová J, Sobek A Jr, et al. Does EmbryoGlue transfer medium affect embryo transfer success rate? Ceska Gynekol 2018 Winter;83(3):177-81.
Fu W, Yu M, Zhang XJ. Effect of hyaluronic acid-enriched transfer medium on frozen-thawed embryo transfer outcomes. J Obstet Gynaecol Res 2018 Apr;44(4):747-55.
Zhang JR, Guan YC, Zhang LW, Hao DY, Wang XM, Liu J, et al. Influence of transfer medium EmbryoGlue on clinical outcome of embryo transfer. Shanghai Jiao Tong Da Xue Xue Bao Yi Xue Ban 2013;33(1):71-4.
Wu F, Lü R, Bai XH, Song XR. [Influence of EmbryoGlue on the implantation of embryo and pregnancy outcome in vitro fertilization-embryo transfer]. Zhonghua Fu Chan Ke Za Zhi 2012 Feb;47(2):121-4. Chinese.
Svobodová M, Brezinová J, Oborná I, Dostál J, Krsková M. Transferové médium s hyaluronanem embryoGlue v programu IVF+ET [EmbryoGlue the transfer medium with hyaluronan in the IVF+ET program]. Ceska Gynekol 2007 Jan;72(1):15-9. Czech.
Chao S, Schenkman E, Kim S, Kenigsberg D, Brenner S, Moodie G. The effect of embryo glue on clinical pregnancy rate in frozen embryo transfers. Fertil Steril 2008;90:S434.
Safari S, Razi MH, Safari S, Razi Y. Routine use of EmbryoGlue(®) as embryo transfer medium does not improve the ART outcomes. Arch Gynecol Obstet 2015 Feb;291(2):433-7.
Nishihara T, Morimoto Y. Evaluation of transfer media containing different concentrations of hyaluronan for human in vitro fertilization. Reprod Med Biol 2017 Aug 18;16(4):349-53.
Klonoff-Cohen H, Natarajan L, Marrs R, Yee B. Effects of female and male smoking on success rates of IVF and gamete intra-Fallopian transfer. Hum Reprod 2001 Jul;16(7):1382-90.
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