For some women seeking infertility treatment, the
use of frozen embryos rather than fresh ones appears
to improve the chances for a successful pregnancy.
For the study, lead researcher and his colleagues
randomly assigned more than 1,500 infertile Chinese
women who had polycystic ovary syndrome and who were
having their first IVF cycle to use either fresh
embryo transfer or frozen embryo transfer. The lead
researcher found that women with polycystic ovary
syndrome, a hormonal disorder that causes enlarged
ovaries with small cysts on the outer edge, had
better odds of having a baby on the first try when
frozen embryos were used (49 percent) than when
fresh embryos were implanted (42 percent).At the
same time, there was a slightly higher risk of
potentially dangerous high blood pressure during
pregnancy, and newborn death, in women who received
frozen embryos, the findings showed. Lead researcher
said, "Perhaps elective embryo freezing followed by
frozen embryo transfer is a preferential treatment
for women with polycystic ovary syndrome. Using
fresh embryos is generally preferred over frozen
embryos for in vitro fertilization (IVF). But, some
evidence has suggested that using frozen embryos may
improve the birth rate among women with polycystic
ovary syndrome. Using frozen embryos may also lower
the rate of ovarian hyper stimulation syndrome, in
which the ovaries swell and become painful, and
other pregnancy complications, the researchers
noted. “For example, estrogen levels are 10 times
higher than normal during ovarian stimulation, and
IVF at those high levels can prevent embryos from
implanting in the uterus," top researcher explained.
Using frozen embryos allows time for hormone levels
in the uterus to return to normal, thus improving
the chances of successfully implanting an embryo.
But the top researcher cautioned that since only
women with polycystic ovary syndrome were studied,
more research is needed on using frozen embryos in
women without the condition. |