Comparison between implantation rate of two and three embryo transfers at cleavage- and blastocyst-stage: A three-year retrospective single-center cohort study from a developing country

In sub-Saharan Africa, multiple embryo transfer is common among fertility clinics for various reasons including endometrial receptivity, number of viable embryos, patient choice, and clinic policy. The study was based on a retrospective analysis of data obtained at the Medical Art Center, Lagos, Nig...

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Bibliographic Details
Published in:African journal of reproductive health 2023-04, Vol.27 (4), p.73-76
Main Authors: Ogunsola, Oluwole, Aderonmu, Mojisola, Iloabachie, Ebele, Oladimeji, Moruf, Osumah, Olajumoke, Ashiru, Oladapo
Format: Article
Language:English
Subjects:
Clinics
Comparative analysis
Developing countries
Embryo
Embryo transfer
Embryology
Embryonic development
Embryos
Fertility
Fertility clinics
In vitro fertilization
Infertility
LDCs
Multiple births
Ovaries
Patients
Sperm
Statistical analysis
sub-Saharan Africa
Uterus
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Summary:In sub-Saharan Africa, multiple embryo transfer is common among fertility clinics for various reasons including endometrial receptivity, number of viable embryos, patient choice, and clinic policy. The study was based on a retrospective analysis of data obtained at the Medical Art Center, Lagos, Nigeria, from January 2018 to December 2020. 518 out of 576 cycles met the inclusion criteria for this study. Implantation was confirmed using β-hCG test results. Our study revealed no significant difference between the total implantation rate of 2-ET and 3-ET. However, there was a significantly higher implantation rate in the 2-ET fresh blastocyst transfer when compared with the 3-ET. 3-ET does not have an implantation rate advantage over 2-ET. Hence, 2-ET is safer to employ when compared to 3-ET for patients in developing countries who cannot afford aneuploidy test for single embryo transfer.
ISSN:1118-4841
2141-3606
DOI:10.29063/ajrh2023/v27i4.8