“…In vivo , oocyte maturation is a complex process that is influenced by the interplay of regulatory factors (among which are gonadotrophins and a growing list of secreted molecules), interactions between the oocyte and cumulus cells, and the biochemical state of the oocyte (Canipari, 2000; Eppig, 2001; Tanghe et al , 2002; Combelles et al , 2004; Gilchrist et al , 2004). Much success has been achieved in terms of successful nuclear maturation in vitro but the cytoplasmic maturation lags behind, thereby reflecting an asynchrony between the two processes (Smith, 2001; Trounson et al , 2001; Ali et al , 2006). In an effort to simulate the in-vivo conditions that prevail in the pre-ovulatory antral follicle, a plethora of human studies have tested different formulations of culture media; to date, varied (and overall disappointing) results have been obtained in terms of human oocyte maturation, fertilization and pregnancy outcomes post IVM (Smitz et al , 2001; Chian et al , 2004b; Mikkelsen, 2005).…”