Multigravid women with a period of unprotected sexual cohabitation of longer than 6 months had a decreased risk of pre-eclampsia. Primipaternity was not a significant risk factor for pre-eclampsia.

Ovarian hyperstimulation syndrome (OHSS) is a rare but potentially fatal complication of IVF treatment. The risk of OHSS increases with increasing numbers of follicles aspirated and oocytes retrieved, but there is little evidence to support whether threshold values of either can be used to correctly predict OHSS. Since the most severe forms of OHSS are usually associated with pregnancy, cryopreservation of all embryos may prevent this. The authors attempted to find thresholds of follicle and oocyte numbers that would optimally predict OHSS, through a retrospective analysis of 2253 consecutive cycles of IVF/intracytoplasmic sperm injection treatment reaching oocyte retrieval, between 1 January 2003 and 31 March 2006. Receiver operator characteristic (ROC) curves were calculated for both parameters, to determine threshold values that might predict OHSS in women with > or =20 oocytes. For the prediction of early onset OHSS, ROC curves showed that an optimal balance between sensitivity and specificity was achieved using thresholds of 24 oocytes (79%, 60%) and 29 follicles (82%, 65%) respectively. Using these thresholds, cryopreservation of all embryos may be offered as an alternative to cancellation of a treatment cycle due to excessive ovarian response, thus minimizing the number of unnecessary interventions while still correctly predicting most cases of early onset OHSS.

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Background Centrally located cytoplasmic granulation (CLCG) is a common cytoplasmic dysmorphism in human oocytes retrieved after controlled ovarian hyperstimulation (COH). This study sought to achieve a better understanding of its formation and effects on clinical outcomes. Methods We retrospectively analyzed the data from 422 intracytoplasmic sperm injection (ICSI) treatment cycles. Three groups of patients were classified according to the rates of CLCG occurrence in one egg cohort, as partial (pCLCG) all (aCLCG) and no CLCG (control). Results The pCLCG group had a significantly lower Body Mass Index (BMI) and higher Anti-Mullerian hormone (AMH) level compared to the control or aCLCG groups. Consistent with these distinctive features in the pCLCG group, fertilization and blastocyst formation rates were reduced significantly in the pCLCG group but not in the aCLCG group. Furthermore, the clinical outcomes in fresh embryo transfer cycles were dramatically reduced in the pCLCG group compared with the control group. However, in frozen/thawed cycles, all three clinical outcomes were significantly reduced in the aCLCG group but not in the pCLCG group. Conclusion We propose that pCLCG may reflect a specific population of patients, and that the CLCG structure is sensitive to cryopreservation.