more often we found degeneration in oocytes after ICSI ? was just curious to know what can be the reasons apart from technical error?
Followings are the main causes of oocyte degeneration after performing ICSI;
1) Vibrations during injection
2) Volume of PVP >0.016micrilitre
3) Leakage of ooplasm due to rupture of oolemna after ICSI
4) Sometimes spike of injecting pipette causes rupture of oolemna
5) Accidental Rupture of oolemna at both the sides (3 O‘Clock & 6 O‘Clock) during injection
6) Cytoplasmic Granularity
7) Abnormally increased Perivitelline space
Dear Syed,
Agreed with yogesh, and a few I like to add ,
1:some time thick zona oocytes also get lysed immediately after injection, because of ooplasmic pressure.
2: Fragile oocytes.
3: Sticky cytoplasm.
4: Pcos patient oocytes.
5: Immature cytoplasmic maturation.
6: Finally inherent quality of oocytes.
one more: prolonged duration of ICSI in low or very high temperature (check the heating stage of the inverted miscroscope)
we are planning to do sperm DNA fragmentation tests for infertile patients and we can do by SCD and SCSA. interestingly the results varies. if someone has any experience or idea about it please share.
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