Assisted zona hatching
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Assisted zona hatching (AZH) is a procedure of
assisted reproductive technology Assisted reproductive technology (ART) includes medical procedures used primarily to address infertility. This subject involves procedures such as in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), cryopreservation of gamet ...
in which a small hole is made in the zona pellucida, using a micromanipulator, thereby facilitating zona hatching.IVF-infertility.com
/ref> Zona hatching is where the
blastocyst The blastocyst is a structure formed in the early embryonic development of mammals. It possesses an inner cell mass (ICM) also known as the ''embryoblast'' which subsequently forms the embryo, and an outer layer of trophoblast cells called th ...
gets rid of the surrounding zona pellucida to be able to
implant Implant can refer to: Medicine * Implant (medicine), or specifically: **Brain implant **Breast implant ** Buttock implant **Cochlear implant **Contraceptive implant **Dental implant ** Fetal tissue implant ** Implantable cardioverter-defibrillato ...
in the uterus.


Efficacy

A systematic review and meta-analysis came to the result that assisted zona hatching is related to increased rates of clinical pregnancy and multiple pregnancy in women with previous repeated failure or frozen-thawed embryos. However, it is unlikely to increase clinical pregnancy rates when performed in fresh embryos transferred to unselected women, to those without poor prognosis or to women of advanced maternal age. Also, overall, there no evidence of a significant difference in
live birth rate Pregnancy rate is the success rate for getting pregnant. It is the percentage of all attempts that leads to pregnancy, with attempts generally referring to menstrual cycles where insemination or any artificial equivalent is used, which may be simp ...
following assisted hatching compared with no assisted hatching.


References

Assisted reproductive technology Human reproduction {{Human-repro-stub