Efficiency and drawbacks of frozen embryo transfers from artificial versus natural cycles

Anja Pinborg*, Kristine Løssl

*Corresponding author for this work

Research output: Contribution to journalComment/debateResearchpeer-review

Abstract

The use of frozen embryo transfer (FET) in in-vitro fertilisation (IVF) has significantly surged over the past 20 years, now surpassing fresh embryo transfers in terms of cycle numbers worldwide.

Among women with ovulatory cycles who are undergoing FET, there are at least four distinct strategies for endometrial preparation: natural, modified natural, stimulated, and artificial.

Previous studies comparing the effectiveness of natural versus artificial cycle endometrial preparation protocols for FET have several drawbacks that affect the reliability of the findings and their applicability in clinical practice. Only one properly sized randomised controlled trial (RCT) comparing the artificial cycle and the modified natural cycle has been published (ANTARCTICA trial).

However, the cryopreservation methods employed in that study are now considered outdated, resulting in significantly lower pregnancy rates compared with contemporary standards.
Original languageEnglish
JournalThe Lancet
Volume404
Issue number10449
Pages (from-to)219-220
Number of pages2
ISSN0140-6736
DOIs
Publication statusPublished - 2024

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