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Chromosome investigation in in vitro fertilization failure
Authors:Sai Ma  Dagmar K Kalousek  Basil Ho Yuen  Voctor Gomel  Seiji Katagiri  Young S Moon
Institution:(1) Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of British Columbia, V6H 3V5 Vancouver, Canada;(2) Department of Pathology, Children's Hospital, University of British Columbia, Vancouver, Canada
Abstract:Purpose A chromosomal complement of 227 human oocytes was studied to provide information on the frequency and type of chromosomal abnormalities in oocytes failing in vitro fertilization.Results Normal haploid chromosome complement was found in 54.6%; chromosomal abnormalities consisting of diploid sets were identified in 16.7% and aneuploidy was observed in 26%. Premature condensation of sperm chromosomes of the G1-phase was observed in 22.9% oocytes. Male infertility was correlated with an increase in the rate of aneuploidy when compared with tubal infertility. The rate of chromosome abnormalities for the oocytes recovered from women who had no fertilized oocytes was significantly higher compared to those with at least one oocyte fertilized.Conclusion A high frequency of chromosome abnormalities in unfertilized oocytes suggests that natural selection against chromosome abnormalities may occur even prior to fertilization.
Keywords:human oocytes  chromosomal abnormalities  aneuploidy  haploidy  maternal age
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