Skip to main content Accessibility help
×
Hostname: page-component-7c8c6479df-ws8qp Total loading time: 0 Render date: 2024-03-28T05:08:31.164Z Has data issue: false hasContentIssue false

16A - The Freezing of All Embryos Should Be Used for All IVF Cycles

For

from Section III - The Best Policy

Published online by Cambridge University Press:  25 November 2021

Roy Homburg
Affiliation:
Homerton University Hospital, London
Adam H. Balen
Affiliation:
Leeds Centre for Reproductive Medicine
Robert F. Casper
Affiliation:
Mount Sinai Hospital, Toronto
Get access

Summary

Although there are many potential advantages associated with performing a freeze-all cycle over fresh ET, it seems that the freeze-all strategy is not designed for all of IVF patients. Based on the findings of available RCTs, it seems reasonable to implement this strategy in patients with a risk of OHSS, hyper-responders/PCOS patients, and when performing PGT in the blastocyst stage. Further, RCTs are needed to evaluate the appropriateness of the freeze-all strategy for all other possible indications. Thus, implementation of the freeze-all strategy should be individualised and offered to all patients who would most likely benefit from it.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Devroey, P, Polyzos, NP, Blockeel, C. An OHSS-free clinic by segmentation of IVF treatment. Hum Reprod. 2011;26:2593–7.CrossRefGoogle ScholarPubMed
Roque, M, Haahr, T, Geber, S, Esteves, SC, Humaidan, P. Fresh versus elective frozen embryo transfer in IVF/ICSI cycles: A systematic review and meta-analysis of reproductive outcomes. Hum Reprod Update. 2019;25:214.CrossRefGoogle ScholarPubMed
Blockeel, C, Campbell, A, Coticchio, G, et al. Should we still perform fresh embryo transfers in ART? Hum Reprod. 2019; 34: 2319–29.CrossRefGoogle ScholarPubMed
Maheshwari, A, Pandey, S, Raja, EM, Shetty, A, Hamilton, M, Bhattacharya, S. Is frozen embryo transfer better for mothers and babies? Can cumulative meta-analysis provide a definitive answer? Hum Reprod Update. 2018;24:35–8.CrossRefGoogle ScholarPubMed
Roque, M, Bedoschi, G, Cecchino, GN, Esteves, SC. Fresh versus frozen blastocyst transfer. Lancet. 2019;394:1227–18.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×