Background: In vitro maturation (IVM) and oocyte cryopreservation are therapeutic options in assisted reproductive technology which is used to preserve fertility in patients with different causes of infertility.
Objective: To analyze in vitro development of vitrified-warmed oocytes in the presence of human follicular fluid (FF) and bone marrow mesenchymal stem cell-conditioned medium (BMSC-CM) as a rescue strategy in fertility preservation.
Materials and methods: BMSC-CM and FF media were used as two natural media. Not only osteogenic and adipogenic differentiation but also flow cytometry was carried out to confirm the nature of mesenchymal stem cells. A total of 327 vitrified-warmed oocytes were randomly assigned to three groups with different maturation media. After 24 h the maturation rate was evaluated. In vitro fertilization and also embryo development were also assessed.
Results: Oocytes matured in the BMSC-CM and FF groups showed a significant increase compared to the control group (76.6+/-2.9, 53.2±1.0 , and 40.8+/-6.1, respectively) (P % 0.05). Embryo cleavage rates in the BMSC-CM were dramatically higher than FF and control groups (85.6+/-2.2, 70.5+/-2.2, and 60.7+/-1.5, respectively). Blastocyst formation rates in the BMSC-CM group were statically different compared to FF and control groups (73.6+/-1.0, 58.5+/-1.0, and 45.8+/-4.2, respectively).
Conclusion: BMSC-CM and FF media not only improve the maturation rate of vitrified warmed oocytes but also significantly increase embryo cleavage and blastocyst rates. DOI: 10.54680/fr23210110512.