
Assisted hatching through micromanipulation has been shown to increase the
implantation rate of replaced day 3 embryos. Certain patients may significantly
benefit from assisted hatching based on age and infertility diagnosis. Even if
sperm – egg interaction and embryonic development proceed normally, attachment
of the pre-embryo to the uterus must still occur.
A layer covering the oocyte called the zona pellucida performs many crucial functions
in the process of fertilization and development. However, in order for the embryo
to implant into the uterine wall, it must hatch out from its zona pellucida with
the help of substances produced by the embryo.
A number of findings suggest that human IVF pre-embryos sometimes lack the ability to
thin and hatch through their zona pellucida. The assisted hatching procedure
utilized in the ART laboratory is called zona drilling. During this process, the
pre-embryo is held by a micropipette while an acidic solution (Acid Tyrode’s
Buffer) is administered to the surface of the zona pellucida with a
microneedle. The process is microscopically observed and carefully controlled. After
hatching is achieved, the pre-embryo is returned to fresh culture media in preparation
for pre-embryo transfer
Click Here to view the Assisted Hatching Procedure. This video
can be viewed using the Microsoft Media Player. Due to the size of the file, we recommend
that you have a high-speed internet connection for viewing.
Copyright © 2005 Reproductive Medicine Group. All Rights Reserved.
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