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Human Reproduction Update, Vol.2, No.3 pp.193-207, 1996
© European Society of Human Reproduction and Embryology 1996; all rights reserved

Cryopreservation of human oocytes: a review of current problems and perspectives

A Bernard0 and BJ Fuller

Department of Obstetrics and Gynaecology, University of Wales College of Medicine, Heath Park, Cardiff CF4 4XN, UK University Department of Surgery and Liver Transplant, Royal Free Hospital and School of Medicine, London, UK 0 Corresponding author

Abstract

It is well recognized that the ability to cryopreserve unfertilized human oocytes would make a significant contribution to infertility treatment. However, despite considerable interest, very few successful pregnancies have arisen from cryopreserved oocytes after thawing, insemination and transfer of the subsequent embryo. The reasons for this lack of progress may well result from a dearth of information on how the various biophysical changes during a cryopreservation regimen affect human oocyte function. Recently, fundamental studies on the effects of cooling, membrane permeability, cryoprotectant addition and ice formation have been performed on human oocytes by a number of groups, and these form the basis of the current review. It is likely that successful human oocyte cryopreservation will only follow once these factors are fully understood, but the existing base of knowledge should provide a platform for further improvements in the techniques currently employed.

Key words: cryopreservation/human oocytes/unfertilized oocytes


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