Efficiency analysis of IVF programs with the use of «Ural'skaya odnoshagovaya» Ural-m-1step culture medium

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Abstract

The procedures of the embryological stage of in vitro fertilization (IVF) program mainly determine the effectiveness of this technology for infertility treatment. Currently, in Russia it is possible to buy culture media for IVF programs from various manufacturers.

Objective: To assess the effectiveness of IVF programs with the use of "Ural'skaya odnoshagovaya" Ural-m-1step culture medium (TU 21.20.23–001–47571069–2022), LLC "Incammedic" (Russia).

Materials and methods: Two study groups were formed: the main group, which included 240 sibling IVF and IVF/ICSI protocols, with fertilization and embryo cultivation carried out on the Ural-m-1step medium (Russia), and comparison group, which consisted of 240 sibling IVF and IVF/ICSI protocols, with fertilization and embryo cultivation performed on the Vitrolife line of media (Sweden). To stimulate ovulation in patients of both groups we used protocols with GnRH antagonists; to support the luteal phase, a micronized progesterone preparation (Iprozhin, Italfarmaco, Italy/France) was introduced at a dose of 600 mg per day in 2 doses vaginally.

In the main group, 119 embryo transfers into the uterine cavity were performed on the 5th–6th day of cultivation, whereas the comparison group included 103 embryo transfers.

Results: According to the key quality indicators adopted by the Vienna and the Maribor consensuses, the effectiveness of IVF programs using the compared media did not statistically differ, p>0.05. The percentage of fertilization, the proportion of blastocysts, the number of blastocysts of excellent quality obtained on the 5th–6th day of cultivation in IVF and IVF/ICSI cycles in the main and comparison groups also did not differ. The pregnancy/implantation rate corresponded to the target ones, according to the Vienna and the Maribor consensuses, and did not have significant differences in the main and comparison groups, both in “fresh” cycles: 57/119 (54.8%) and 47/103 (48.8%), respectively, p=0.338, and in cryoprotocols: 62/119 (58.8%) and 56/103 (59.6%), respectively, p=0.660.

Conclusion: The results of the study indicate that the outcomes of IVF programs performed with in combination with the Ural-m-1step medium (TU 21.20.23–001–47571069–2022), LLC "Incammedik" (Russia), are comparable to those using the Vitrolife media (Sweden), which proves the interchangeability of these medical products in clinical practice.

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About the authors

Е. M. Komarova

D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology

Email: evgmkomarova@gmail.com
ORCID iD: 0000-0002-9988-9879

PhD (Bio), Junior Researcher, embryologist, ART Department

Russian Federation, St. Petersburg

I. A. Kazakova

Clinical Institute of Reproductive Medicine LLC

Email: brykina_irina@mail.ru

PhD (Bio), Head of the Clinical Embryology Laboratory

Russian Federation, Yekaterinburg

T. V. Lisovskaya

Clinical Institute of Reproductive Medicine LLC

Author for correspondence.
Email: tv.lis@mail.ru
ORCID iD: 0000-0002-9747-9323

Dr. Med. Sci., Associate Professor, Deputy Director General for Scientific and Methodological Work

Russian Federation, Yekaterinburg

A. V. Ivanov

City Mariinsky Hospital

Email: dr.ivanovav@gmail.com

Head of Assisted Reproductive Technologies Department

Russian Federation, St. Petersburg

E. N. Mayasina

Clinical Institute of Reproductive Medicine LLC

Email: elena.mayasina@gmail.com
ORCID iD: 0000-0002-3387-819X

PhD, Deputy Director General for Medical Unit

Russian Federation, Yekaterinburg

A. I. Kozhevnikova

Clinical Institute of Reproductive Medicine LLC

Email: kkozhhh@yandex.ru

embryologist assistant

Russian Federation, Yekaterinburg

I. V. Ivanov

All-Russian Research and Testing Institute of Medical Equipment of Roszdravnadzor

Email: ministr38@gmail.com
ORCID iD: 0000-0003-0971-853X

Dr. Med. Sci., General Director

Russian Federation, Moscow

O. B. Fedoseeva

All-Russian Research and Testing Institute of Medical Equipment of Roszdravnadzor

Email: fob18-fob18@rambler.ru

Lecturer at the Center for Scientific Research and Advanced Development

Russian Federation, Moscow

E. V. Vartanyan

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; SRO “Association of ART Clinics"; ART Clinic "Test Tube Children" LLC

Email: emma-vartanyan@mail.ru
ORCID iD: 0000-0003-0337-086X

Dr. Med. Sci., Professor, Department of Obstetrics and Gynecology, President, Director

Russian Federation, Moscow; Moscow; Moscow

V. A. Levin

Ornament Health AG

Email: vitalylevin0205@gmail.com
ORCID iD: 0009-0000-8758-0842

endocrinologist, specialist in the organization of health and public health

Switzerland, Lucerne

A. M. Gzgzyan

D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology

Email: agzgzyan@mail.ru
ORCID iD: 0000-0003-3917-9493

Dr. Med. Sci., Professor, Head of the ART Department

Russian Federation, St. Petersburg

I. Yu. Kogan

D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology

Email: ikogan@mail.ru
ORCID iD: 0000-0002-7351-6900

Dr. Med. Sci., Professor, Corresponding Member of RAS, Director

Russian Federation, St. Petersburg

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