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Role of Preimplantation genetic testing in Indian women with advanced maternal age to optimize Reproductive Outcomes

Research Square
2022
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Article Description

PURPOSE Does preimplantation genetic testing for aneuploidy (PGT-A) in embryos help women of advanced maternal age (AMA) achieve better reproductive outcomes? METHODS Multicenter, controlled retrospective study, a total of 267 patients (n = 267) were recruited, of which 53 patients (PGT-A group) consented to PGT-A, followed by euploid embryo transfer, whereas the remaining 214 patients (non-PGT-A group) underwent embryo transfer of un-screened morphologically graded blastocysts. RESULTS A significant increase in the clinical pregnancy rate was observed in the PGT-A group when compared to the non-PGT-A group (71.6% vs. 51%, p = 0.007), while the miscarriage rate was found to be lower in the PGT-A group compared to the non-PGT-A group (11% vs. 25%, p = 0.02). The live birth rates observed in either group were statistically nonsignificant (62.2% vs 51%, p = 0.14). In the PGT-A group, similarly, the implantation rate was found to be significantly higher than in the non-PGT-A group (53% vs. 33%, p = 0.007). CONCLUSION: The data suggest that PGT-A testing in women of advanced maternal age can improve their reproductive outcomes.

Bibliographic Details

Krishna chaitanya Mantravadi; Durga Gedela Rao; Beena Rawat; Pooja Chauhan

Research Square Platform LLC

Biochemistry, Genetics and Molecular Biology; Immunology and Microbiology; Medicine; Neuroscience; Psychology; Dentistry

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