Preimplantation genetic diagnosis for aneuploidy screening in patients with unexplained recurrent miscarriages

Fertil Steril. 2005 Feb;83(2):393-7; quiz 525-6. doi: 10.1016/j.fertnstert.2004.06.071.

Abstract

Objective: To determine the aneuploidy rate in embryos of women with idiopathic recurrent miscarriages and to evaluate whether preimplantation genetic diagnosis for aneuploidy screening could be a feasible approach to improve the possibility of successful pregnancy in these couples.

Design: Prospective cohort study.

Setting: Tertiary university referral center.

Patient(s): Women (n = 49) with recurrent idiopathic miscarriages.

Intervention(s): In vitro fertilization with preimplantation genetic diagnosis for aneuploidy screening.

Main outcome measure(s): Ongoing pregnancy rate (PR) and aneuploidy rate.

Result(s): The aneuploidy rate was, respectively, 43.85% and 66.95% in the younger and older group. The ongoing PR per cycle was 25.71% in the younger and 2.94% in the older patients.

Conclusion(s): There is no therapeutic evidence to prescribe IVF with or without preimplantation genetic diagnosis for aneuploidy screening for this heterogeneous group of patients.

MeSH terms

  • Abortion, Habitual / diagnosis*
  • Abortion, Habitual / genetics*
  • Adult
  • Aneuploidy*
  • Chromosome Aberrations*
  • Female
  • Genetic Testing
  • Humans
  • In Situ Hybridization, Fluorescence
  • Pregnancy
  • Pregnancy Outcome
  • Preimplantation Diagnosis*
  • Prospective Studies