In Vitro Maturation Culture(IVM) Guidance

As for In Vitro Fertilization and micro-insemination, it will be usually done on the mature oocytes, but in rare cases, it can only be done on the oocytes that are not yet mature. Even if In Vitro Fertilization or micro-insemination is done on the premature oocytes they are hardly ever fertilized. That’s where we do the In Vitro Maturation Culture on the immature oocytes.

What is this In Vitro Maturation Culture(IVM) ?

  • A method of allowing the maturation to occur In Vitro by culturing it for 1-2 days using a special culture serum with added hormones.
  • Even when IVM is done and there are some rare oocytes not fertilized.
  • As for the developmental potential and fertilization potential of the matured oocytes by IVM, it is the same as the ones matured in the body.
  • When confirming the maturation, ICSI(Intra Cytoplasmic Sperm Injection) will be required because the granulose cells covering the oocyte will detach.
    (For the oocytes with granulose cells not attached, generally, they can’t be fertilized by In Vitro Fertilization)
  • Since ICSI will be performed at the time when the oocyte has matured, it is necessary that the sperm is collected again or cryopreserved.
  • Oocytes are matured, fertilized and divided by IVM will be cryopreserved and then later in the menstrual cycle, thawed and the embryo will be transferred.
    (Since the endometrium and the oocytes have different age in days, there cannot be an embryo transplant in the period of the oocyte pick-up)
  • The cost of the IVM, regardless of the number of times is ¥100,000.

❈¥45,000 is needed to cancel.
❈The prices listed are the prices without taxes.

In the following cases an IVM will be done

  • When maturation does not occur even after ovulation stimulants were used.
  • In order to avoid ovarian hyper-stimulation syndrome caused by an overreaction to the fertility drugs, when there is no choice but to harvest the oocytes while they are still immature.
  • When the oocytes were mostly immature as a result of the maturation of oocytes is not in accordance to the size of the follicle(bag the oocyte is in) even though the oocyte has become large enough.
  • When at the same time the mature oocytes were collected, there were many immature oocytes.

Oocytes that actually had IVM

未成熟卵

The body of the oocyte itself is small, and the surrounding granulose cell is in a condition of being small and hard. The pink color you are seeing is the culture serum of IVM. As for premature oocytes, even if they undergo micro-insemination they do not fertilize.

We have 2 times the chromosomes(4n=92) of normal somatic cells. As for the mature oocytes, from the meiotic division becomes a chromosome number that is decreased by half(2n=46)

IVM(24˜48 hours)減数分裂再開Restart of Meiotic Division

成熟卵

The oocytes matured by IVM. The granulose cell has softened and spreading out, and if we look at the oocyte itself, the polar body has been released which is a sign of maturation. Matured oocytes have the same fertilization potential as oocytes that are matured within the body.
This is the mature oocyte that the oocyte reached in second meiotic metaphase. With the division of the nucleus, there will be an excess number of chromosomes released from outside the cell. The released chromosomes are known as the first polar body and is a sign of maturation.

精子受精Fertilization

受精卵

With the entry of sperm the meiosis will complete, the “Second Polar Body” will be released and it will become a fertilized oocyte.

Rescue IVM

As for the regular case of IVM, premature oocytes are collected, then will undergo a culture maturation under the condition with the granulose cell attached.
At our clinic, when micro-insemination is done, we will do the emergency procedure of “Rescue IVM” on the premature oocytes on which the granulose cell had been peeled off. Additionally, with the preculture by dbc-AMP done with our own clinic’s method, better results than conventional methods have been obtained.