Journal of the European Society for Gynaecological Endoscopy


Live birth rate per transfer is not impacted by the proportion of smooth endoplasmatic reticulum
aggregates oocytes

A. Spileers1, I. De Croo1, D. Stoop1, F. Vanden Meerschaut1

1 Ghent University Hospital, Centre for Reproductive Medicine, Corneel Heymanslaan 10, Ghent 9000, Belgium


ICSI, live birth rate, smooth endoplasmatic reticulum aggregates, SERa

Published online: Jun 30 2023


Background: Despite the data published to date, prognostic factors and the clinical impact of ICSI cycles with smooth endoplasmatic reticulum aggregates (SERa) positive oocytes remain unclear.

Objective: Are the clinical outcomes of an ICSI cycle impacted by the proportion of oocytes with SERa?

Materials and Methods: Retrospective study (2016-2019), including data from 2468 ovum pick-ups, performed in a tertiary university hospital. Cases are categorised based on the rate of SERa positive oocytes compared to the total number of MII oocytes: 0% (n=2097), <30% (n=262) and ≥30% (n=109).

Main outcome measures: Patient characteristics, cycle characteristics and clinical outcomes are compared between the groups.

Results: Compared to SERa negative cycles, women with ≥30% SERa positive oocytes are older (36.2y vs. 34.5y, p<0.001), have lower anti-mullerian hormone levels (AMH) (1.6ng/ml vs. 2.3ng/ml, p<0.001), have received more gonadotropins (3227U vs. 2858IU, p=0.003), have a lower number of good quality day 5 blastocysts (1.2 vs. 2.3, p<0.001) and face more blastocyst transfer cancellation (47.7 vs. 23.7%, p<0.001). Women with <30% SERa positive oocytes are younger (33.8y, p=0.04), have higher AMH levels (2.6ng/ml, p<0.001), have more oocytes retrieved (15.1, p<0.001), have a higher number of good quality day 5 blastocysts (3.2, p<0.001) and have less transfer cancellations (14.9%, p<0.001) compared to SERa negative cycles A multivariate analysis shows no significant difference in cycle outcomes between the categories.

What is new? Treatment cycles with ≥30% SERa positive oocytes are less likely to result in an embryo transfer when only non-SER oocytes are used. However, live birth rate per transfer is not affected by the proportion of SERa positive oocytes.