Part 2 Flashcards
In Vitro Fertilization
process by which fertilization of an egg by a sperm occurs outside of the body
What does the IVF process entail?
step 1: ovulation induction- fertility drugs (gonadotropins: Repronex, Follitism, Gonal, Menopur)
step 2: egg (oocyte) retrieval-retrieved by ultrasound-guided procedure needle is placed through the vagina into ovaries
step 3: fertilization in lab (eggs are analyzed for maturity + incubated, sperm sample collected/examined then injected through intracytoplasmic sperm injection (isci)
step 4: embryo transfer- catheter w/ embroyos+liquid passed through cervix into uterus 3 days after retrieval (6-8) cell stage
How long does a zygote take to mature in liquid culture
2-6 days
infertility + causes
1 year of attempting to conceive without success where the mother is younger than 35
6 mos of trying in mother 35 older
- failure to ovulate
- tubal blockage
- absence of implantation
- reduced sperm transport
- low sperm count
advanced maternal age is a risk factor for adverse outcomes
miscarriage
live births with congenital abnormalities
what (%) of eggs in women at least 40 yo have genetic problems
75%
How long does it take to determine if fertilization has occurred?
18 hours
How long does it take to determine if the embryo is growing?
24-72 hours
how long do oocytes + embryos stay in the lab during a successful iVF procedure
2-5 days
What does blastocyst transfer do?
allows the # of embryos to bw kept at a minimum, reducing chances for multiple births
blastocysts
5-6 day old embryos that have advanced 30-60 cells and are transferred 5 days post retrieval
2PN
3PN
1PN
embryo grading system (day 2/3- cleavage stage)
- normally fertilized egg(2 pronuclei)
- has 3 complete sets of DNA (doesnt get rid of polar body)
- one gamete is….
Pre-Implantation Genetic Diagnosis (PGD)
testing an embryo for a specific disease
diagnosis of a single gene defect (25-50% risk of transmitting illness)
Pre-Implantation Genetic (Screening)
testing an embryo for a specific disease
aneuploidy- age, previous miscarriage, repeated IVF fertilizations
this is the term used more frequently by reproductive endocrinologists when discussing
aneuploidy
abnormal number of chromosomes
embryonic development
- cleavage stage
- morula
- blastocyst
- hatching
- implantation
etiology
the (set of) causes of a disease
inherited diseases/traits based on genomics
- ovarian
- breast cancer
- hemophilia A
- Duchenne’s muscular dystrophy
DNA chemical bases
Adenine–Thymine
Cytosine–Guanine
genome/genomics
complete set of DNA/
study of genomes through dna analysis