The age-related required number of zygotes estimated from prior clinical studies of preimplantation genetic testing for aneuploidy (PGT-A).

IF 2.1 4区 医学 Q3 ANDROLOGY Systems Biology in Reproductive Medicine Pub Date : 2023-02-01 DOI:10.1080/19396368.2022.2151387
Tasuku Mariya, Takeshi Sugimoto, Takema Kato, Toshiaki Endo, Hiroki Kurahashi
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引用次数: 1

Abstract

Women who are undergoing preimplantation genetic testing for aneuploidy (PGT-A) often wish to know how many eggs will be required to optimize the chances of a live birth. However, no precise data on this can yet be provided during genetic counseling for this procedure. On the basis of PGT-A data from related studies and current databases, we have estimated that the number of zygotes required for a 50% chance of a live birth is 8 at age 40 but increases markedly to 21 at age 43. PGT-A markedly reduces the miscarriage rate per embryo transfer but does not alleviate the extremely high number of zygotes required for a live birth in women of an advanced maternal age. Detailed genetic counseling will therefore be desirable prior to undergoing this procedure.

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根据非整倍体植入前基因检测(PGT-A)的先前临床研究估计,年龄相关的受精卵所需数量。
接受非整倍体植入前基因检测(PGT-A)的女性通常希望知道需要多少卵子才能优化活产的机会。然而,在这一过程的遗传咨询中,还没有准确的数据可以提供。根据相关研究和现有数据库的PGT-A数据,我们估计40岁时活产几率为50%所需的受精卵数量为8个,而43岁时则显著增加到21个。PGT-A显著降低了每次胚胎移植的流产率,但并不能减轻高龄产妇活产所需的受精卵数量极高的问题。因此,在进行这项手术之前,最好进行详细的遗传咨询。
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来源期刊
CiteScore
4.30
自引率
4.20%
发文量
27
审稿时长
>12 weeks
期刊介绍: Systems Biology in Reproductive Medicine, SBiRM, publishes Research Articles, Communications, Applications Notes that include protocols a Clinical Corner that includes case reports, Review Articles and Hypotheses and Letters to the Editor on human and animal reproduction. The journal will highlight the use of systems approaches including genomic, cellular, proteomic, metabolomic, bioinformatic, molecular, and biochemical, to address fundamental questions in reproductive biology, reproductive medicine, and translational research. The journal publishes research involving human and animal gametes, stem cells, developmental biology and toxicology, and clinical care in reproductive medicine. Specific areas of interest to the journal include: male factor infertility and germ cell biology, reproductive technologies (gamete micro-manipulation and cryopreservation, in vitro fertilization/embryo transfer (IVF/ET) and contraception. Research that is directed towards developing new or enhanced technologies for clinical medicine or scientific research in reproduction is of significant interest to the journal.
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