Add-On Technologies That Aim to Improve Oocyte Quality and Embryo Implantation Potential

Advancements in assisted reproductive technologies (ARTs) have led to the development of various add-on techniques aimed at improving oocyte quality and enhancing embryo implantation potential. These techniques target critical stages of both oocyte and embryo physiology, including oocyte growth and...

Full description

Saved in:
Bibliographic Details
Main Authors: Nikos Petrogiannis, Maria Filippa, Kalliopi Chatzovoulou, Savvas Petrogiannis, Ioannis Filippas, Grigoris Grimbizis, Efstratios Kolibianakis, Katerina Chatzimeletiou
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/61/3/367
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850091133098524672
author Nikos Petrogiannis
Maria Filippa
Kalliopi Chatzovoulou
Savvas Petrogiannis
Ioannis Filippas
Grigoris Grimbizis
Efstratios Kolibianakis
Katerina Chatzimeletiou
author_facet Nikos Petrogiannis
Maria Filippa
Kalliopi Chatzovoulou
Savvas Petrogiannis
Ioannis Filippas
Grigoris Grimbizis
Efstratios Kolibianakis
Katerina Chatzimeletiou
author_sort Nikos Petrogiannis
collection DOAJ
description Advancements in assisted reproductive technologies (ARTs) have led to the development of various add-on techniques aimed at improving oocyte quality and enhancing embryo implantation potential. These techniques target critical stages of both oocyte and embryo physiology, including oocyte growth and maturation, fertilization, chromosomal status, and embryo development. Key approaches involve the optimization of in vitro fertilization (IVF) protocols, recruiting capable follicles giving rise to dynamic oocytes to evolve, culture media supplementation, preimplantation genetic testing (PGT), and mitochondrial replacement therapy (MRT), all of which are designed to enhance oocyte competence through its function and metabolism. The use of PGT has been promising in selecting embryos suitable for transfer, thus optimizing implantation success. Emerging technologies, such as platelet-rich plasma treatment (PRP), time-lapse imaging (TLI), and hyaluronan-rich (HA) culture media, claim to improve ovarian rejuvenation and uterine receptivity, embryo selection, as well as embryo implantation potential, respectively. Evidence for certain add-on approaches remains limited, but ongoing research suggests that the use of such treatments may lead to increased clinical pregnancies and live birth rates, especially in poor-prognosis patients. The present review describes the current state of the add-on innovations, their mechanisms of action, as well as their possibilities to increase ART success rates.
format Article
id doaj-art-cbabcffaee054236b6973d3a149fdc8a
institution DOAJ
issn 1010-660X
1648-9144
language English
publishDate 2025-02-01
publisher MDPI AG
record_format Article
series Medicina
spelling doaj-art-cbabcffaee054236b6973d3a149fdc8a2025-08-20T02:42:26ZengMDPI AGMedicina1010-660X1648-91442025-02-0161336710.3390/medicina61030367Add-On Technologies That Aim to Improve Oocyte Quality and Embryo Implantation PotentialNikos Petrogiannis0Maria Filippa1Kalliopi Chatzovoulou2Savvas Petrogiannis3Ioannis Filippas4Grigoris Grimbizis5Efstratios Kolibianakis6Katerina Chatzimeletiou7ART Unit, Naval Hospital of Athens, 11521 Athens, GreeceART Unit, Naval Hospital of Athens, 11521 Athens, GreeceART Unit, Naval Hospital of Athens, 11521 Athens, GreeceART Unit, Naval Hospital of Athens, 11521 Athens, GreeceART Unit, Naval Hospital of Athens, 11521 Athens, GreeceUnit for Human Reproduction, 1st Department of Obstetrics and Gynaecology, Aristotle University Medical School, Papageorgiou General Hospital, 56403 Thessaloniki, GreeceUnit for Human Reproduction, 1st Department of Obstetrics and Gynaecology, Aristotle University Medical School, Papageorgiou General Hospital, 56403 Thessaloniki, GreeceUnit for Human Reproduction, 1st Department of Obstetrics and Gynaecology, Aristotle University Medical School, Papageorgiou General Hospital, 56403 Thessaloniki, GreeceAdvancements in assisted reproductive technologies (ARTs) have led to the development of various add-on techniques aimed at improving oocyte quality and enhancing embryo implantation potential. These techniques target critical stages of both oocyte and embryo physiology, including oocyte growth and maturation, fertilization, chromosomal status, and embryo development. Key approaches involve the optimization of in vitro fertilization (IVF) protocols, recruiting capable follicles giving rise to dynamic oocytes to evolve, culture media supplementation, preimplantation genetic testing (PGT), and mitochondrial replacement therapy (MRT), all of which are designed to enhance oocyte competence through its function and metabolism. The use of PGT has been promising in selecting embryos suitable for transfer, thus optimizing implantation success. Emerging technologies, such as platelet-rich plasma treatment (PRP), time-lapse imaging (TLI), and hyaluronan-rich (HA) culture media, claim to improve ovarian rejuvenation and uterine receptivity, embryo selection, as well as embryo implantation potential, respectively. Evidence for certain add-on approaches remains limited, but ongoing research suggests that the use of such treatments may lead to increased clinical pregnancies and live birth rates, especially in poor-prognosis patients. The present review describes the current state of the add-on innovations, their mechanisms of action, as well as their possibilities to increase ART success rates.https://www.mdpi.com/1648-9144/61/3/367platelet-rich plasmain vitro maturationartificial oocyte activationpreimplantation genetic testingtime-lapse imagingmitochondrial replacement therapy
spellingShingle Nikos Petrogiannis
Maria Filippa
Kalliopi Chatzovoulou
Savvas Petrogiannis
Ioannis Filippas
Grigoris Grimbizis
Efstratios Kolibianakis
Katerina Chatzimeletiou
Add-On Technologies That Aim to Improve Oocyte Quality and Embryo Implantation Potential
Medicina
platelet-rich plasma
in vitro maturation
artificial oocyte activation
preimplantation genetic testing
time-lapse imaging
mitochondrial replacement therapy
title Add-On Technologies That Aim to Improve Oocyte Quality and Embryo Implantation Potential
title_full Add-On Technologies That Aim to Improve Oocyte Quality and Embryo Implantation Potential
title_fullStr Add-On Technologies That Aim to Improve Oocyte Quality and Embryo Implantation Potential
title_full_unstemmed Add-On Technologies That Aim to Improve Oocyte Quality and Embryo Implantation Potential
title_short Add-On Technologies That Aim to Improve Oocyte Quality and Embryo Implantation Potential
title_sort add on technologies that aim to improve oocyte quality and embryo implantation potential
topic platelet-rich plasma
in vitro maturation
artificial oocyte activation
preimplantation genetic testing
time-lapse imaging
mitochondrial replacement therapy
url https://www.mdpi.com/1648-9144/61/3/367
work_keys_str_mv AT nikospetrogiannis addontechnologiesthataimtoimproveoocytequalityandembryoimplantationpotential
AT mariafilippa addontechnologiesthataimtoimproveoocytequalityandembryoimplantationpotential
AT kalliopichatzovoulou addontechnologiesthataimtoimproveoocytequalityandembryoimplantationpotential
AT savvaspetrogiannis addontechnologiesthataimtoimproveoocytequalityandembryoimplantationpotential
AT ioannisfilippas addontechnologiesthataimtoimproveoocytequalityandembryoimplantationpotential
AT grigorisgrimbizis addontechnologiesthataimtoimproveoocytequalityandembryoimplantationpotential
AT efstratioskolibianakis addontechnologiesthataimtoimproveoocytequalityandembryoimplantationpotential
AT katerinachatzimeletiou addontechnologiesthataimtoimproveoocytequalityandembryoimplantationpotential