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Table 2 Comparison of in vitro results after ICSI and IVF on sibling oocytes in split insemination cycles and according to ovarian stimulation protocol, infertility indication and female age

From: More blastocysts are produced from fewer oocytes in ICSI  compared to IVF – results from a sibling oocytes study and definition of a new key performance indicator

 

TOTAL

Ovarian stimulation protocol

Infertility

Female age

Long

Short

Unexplained

Male

Female

19–37 years old

38–45 years old

ICSI

IVF

p

ICSI

IVF

p

ICSI

IVF

p

ICSI

IVF

p

ICSI

IVF

p

ICSI

IVF

p

ICSI

IVF

p

n. cycles

211

122

 

89

 

91

 

20

 

100

 

159

 

52

 

n. COCs

2602

571

570

 

731

730

 

540

539

 

128

128

 

634

633

 

1034

1033

 

268

267

 

n. micro-injected or inseminated MII oocytes

1804

396

395

 

508

505

 

374

374

 

89

89

 

441

437

 

717

716

 

187

184

 

n. zygotes

1325

330

279

 

399

317

 

309

248

 

69

55

 

351

293

 

584

470

 

145

126

 

fertilization rate

73.4

83.3

70.6

 < 0.001

78.5

62.8

 < 0.001

82.6

66.3

 < 0.001

77.5

61.8

 < 0.05

79.6

67.0

 < 0.001

81.5

65.6

 < 0.001

77.5

68.5

 < 0.05

n. cleaved embryos

1282

326

265

 

383

308

 

299

239

 

65

54

 

345

280

 

567

448

 

142

125

 

cleavage rate

96.8

98.8

95.0

 < 0.01

96.0

97.2

NS

96.8

96.4

NS

94.2

98.2

NS

98.3

95.6

 < 0.05

97.1

95.3

NS

97.9

99.2

NS

n. blastocysts

708

222

158

 

177

151

 

177

129

 

39

30

 

183

150

 

327

243

 

72

66

 

blastocyst rate/ zygote

53.4

67.3

56.6

 < 0.01

44.4

47.6

NS

57.3

60.9

NS

56.5

54.5

NS

52.1

51.2

NS

56.0

51.7

NS

49.7

52.4

NS

blastocyst rate/ MII oocyte

39.2

56.1

40.0

 < 0.001

34.8

29.9

 < 0.05

47.3

24.5

 < 0.001

43.8

33.7

NS

41.5

34.3

 < 0.05

45.6

33.9

 < 0.001

38.5

35.9

NS

n. oocytes per usable blastocyst

2.5

1.8

2.5

 < 0.001

2.9

3.3

 < 0.05

2.1

2.9

 < 0.001

2.3

3.0

 < 0.05

2.4

2.9

 < 0.05

2.2

2.9

 < 0.001

2.6

2.8

NS

n. frozen blastocysts

342

103

47

 

108

84

 

96

52

 

21

13

 

94

66

 

190

115

 

21

16

 

n. transferred blastocysts

366

119

111

 

69

67

 

81

77

 

18

17

 

89

84

 

137

128

 

51

50

 

n. implanted blastocysts

149

49

40

 

31

29

 

32

30

 

8

7

 

40

32

 

69

58

 

11

11

 

implantation rate

40.7

41.2

36.0

NS

44.9

43.3

NS

39.5

39.0

NS

44.4

41.2

NS

44.9

38.1

NS

50.4

45.3

NS

21.6

22.0

NS

n. live births

135

43

37

 

29

26

 

31

29

 

7

5

 

34

29

 

63

55

 

9

8

 

live birth rate

36.9

36.1

33.3

NS

42.0

38.8

NS

38.3

37.7

NS

38.9

29.4

NS

38.2

34.5

NS

46.0

43.0

NS

17.6

16.0

NS