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EEmmbbrryyoo TTrraannssffeerr
 embryo is collected ffrroomm aa ddoonnoorr 
ffeemmaallee aanndd tthheenn ttrraannssffeerrrreedd iinnttoo aa 
rreecciippiieenntt ffeemmaallee wwhheerree tthhee eemmbbrryyoo 
ccoommpplleetteess iittss ddeevveellooppmmeenntt.. 
DDoonnoorr FFeemmaallee –– mmuusstt hhaavvee 
oouuttssttaannddiinngg ggeenneettiiccss,, bbee hheeaalltthhyy,, 
aanndd rreepprroodduuccttiivveellyy ssoouunndd
HHiissttoorryy 
11889900 –– ffiirrsstt eemmbbrryyoo ttrraannssffeerr ddoonnee iinn 
rraabbbbiittss 
11995511 –– ffiirrsstt ttrraannssffeerr iinn ccaattttllee 
pprrooffiittaabbllee ffoorr pprroodduucceerrss ooff rreeggiisstteerreedd 
ppuurreebbrreedd aanniimmaallss 
ddoonnee iinn ccoowwss,, hhoorrsseess,, ggooaattss,, sshheeeepp,, 
ddeeeerr,, eellkk,, bbiissoonn,, wwiillddccaattss,, aanndd ccaammeellss 
ffoorr rraacciinngg
SSuuppeerroovvuullaattiioonn:: 
rreeffeerrss ttoo tthhee rreelleeaassee ooff mmaannyy ooooccyytteess 
((eeggggss)) dduurriinngg aa ssiinnggllee eessttrruuss ppeerriioodd 
ttrreeaatt wwiitthh ggoonnaaddoottrrooppiinnss ((hhoorrmmoonneess 
ccaappaabbllee ooff pprroommoottiinngg ggoonnaadd ggrroowwtthh 
aanndd ffuunnccttiioonn 
ttrreeaatt wwiitthh FFSSHH ttoo iinndduuccee tthhee 
mmaattuurraattiioonn aanndd oovvuullaattiioonn ooff aa llaarrggeerr 
tthhaann nnoorrmmaall nnuummbbeerr ooff ooooccyytteess
 Superovulation oonnee ttiimmee –– 00--2200 
eemmbbrryyooss wwiitthh 77 nnoorrmmaall 
SSuuppeerroovvuullaattiioonn tthhrreeee ttiimmeess –– 99--1122 
ccaallvveess nnoorrmmaall 
NNoonn--ssuuppeerroovvuullaatteedd ccooww –– hhaarrvveesstt aa 
ssiinnggllee oovvuumm aatt eevveerryy eessttrruuss == 55 
ccaallvveess iinn oonnee yyeeaarr 
**** AA mmaarree ddooeess nnoott rreessppoonndd ttoo 
ssuuppeerroovvuullaattiioonn ttrreeaattmmeenntt****
SStteeppss iinn EEmmbbrryyoo TTrraannssffeerr:: 
 SSuuppeerroovvuullaattiioonn ooff ddoonnoorr wwiitthh ggoonnaaddoottrroopphhiinnss 
 AAII ((55 ddaayyss aafftteerr iinniittiiaattiinngg ssuuppeerroovvuullaattiioonn)) –– iinnsseemmiinnaattee 
sseevveerraall ttiimmeess 
 NNoonnssuurrggiiccaall rreeccoovveerryy ooff eemmbbrryyooss ((66--88 ddaayyss aafftteerr AAII)) 
 FFoolleeyy ccaatthheetteerr ffoorr rreeccoovveerryy ooff eemmbbrryyooss 
 IIssoollaattiioonn aanndd ccllaassssiiffiiccaattiioonn ooff eemmbbrryyooss 
 SSttoorraaggee ooff eemmbbrryyooss iinnddeeffiinniitteellyy iinn lliiqquuiidd nniittrrooggeenn oorr aatt 3377 
ddeeggrreeeess CC oorr rroooomm tteemmppeerraattuurree ffoorr 11 ddaayy 
 TTrraannssffeerr ooff eemmbbrryyooss ttoo rreecciippiieennttss ssuurrggiiccaallllyy oorr nnoonnssuurrggiiccaallllyy 
 PPrreeggnnaannccyy ddiiaaggnnoossiiss bbyy ppaallppaattiioonn tthhrroouugghh tthhee rreeccttaall wwaallll 11-- 
33 mmoonntthhss aafftteerr eemmbbrryyoo ttrraannssffeerr 
 BBiirrtthh ((99 mmoonntthhss aafftteerr eemmbbrryyoo ttrraannssffeerr))
NNoonn--ssuurrggiiccaall RReeccoovveerryy 
 cclleeaann ggeenniittaall aarreeaa 
 ggiivvee llooccaall aanneesstthheettiicc iinn rruummpp aanndd 
hhiipp 
 iinnsseerrtt FFoolleeyy ccaatthheetteerr iinnttoo vvaaggiinnaa 
aanndd tthhrroouugghh cceerrvviixx 
 fflluuiidd ffoorrcceedd ffrroomm tthhee ccaatthheetteerr iinnttoo 
tthhee uutteerruuss ttoo fflluusshh oouutt eemmbbrryyooss 
 fflluuiidd ccoolllleecctteedd iinn aa ssppeecciiaall ccoonnttaaiinneerr 
 eemmbbrryyooss ffiilltteerreedd
NNoonn--ssuurrggiiccaall TTrraannssffeerr:: 
 EEmmbbrryyooss tthhaatt ppaassss iinnssppeeccttiioonn aarree 
llooaaddeedd iinnttoo aann AAII ssttrraaww 
 IInnsseemmiinnaattiioonn rroodd iiss ppaasssseedd tthhrroouugghh 
tthhee rreecciippiieennttss cceerrvviixx aanndd iinnttoo hheerr 
uutteerruuss 
 EEmmbbrryyoo iiss eexxppeelllleedd iinnttoo tthhee uutteerriinnee 
hhoorrnn tthhaatt iiss oonn tthhee ssaammee ssiiddee aass tthhee 
oovvuullaatteedd oovvaarryy
SSuurrggiiccaall RReeccoovveerryy:: 
UUnnffeerrttiilliizzeedd eeggggss mmuusstt bbee ccoolllleecctteedd 
nneeaarr oovvuullaattiioonn ((uusseedd iinn vviittrroo 
ffeerrttiilliizzaattiioonn)) 
CCoolllleecctteedd aannyy ttiimmee bbeettwweeeenn 
ffeerrttiilliizzaattiioonn aanndd iimmppllaannttaattiioonn ((uussuuaallllyy 
aafftteerr tthheeyy mmiiggrraattee ttoo tthhee uutteerruuss)) 
UUssuuaallllyy ddoonnee 66--99 ddaayyss aafftteerr eessttrruuss 
MMeetthhoodd ooff cchhooiiccee iinn sshheeeepp,, ggooaattss,, 
aanndd hhooggss
SSuurrggiiccaall TTrraannssffeerr 
eemmbbrryyooss iinn tthhee eeaarrllyy ssttaaggeess ooff 
ddeevveellooppmmeenntt mmuusstt bbee ddeeppoossiitteedd iinn 
tthhee oovviidduuccttss 
CCoonncceeppttiioonn rraatteess 55%% bbeetttteerr 
ddoonnee bbyy aa mmiiddlliinnee llaappaarroottoommyy 
((iinncciissiioonn iinn aabbddoommiinnaall wwaallll)) wwiitthh 
ggeenneerraall aanneesstthheessiiaa OORR tthhrroouugghh aa 
ffllaannkk iinncciissiioonn wwiitthh llooccaall aanneesstthheessiiaa
SSuucccceessss DDeeppeennddss OOnn:: 
aaggee aanndd qquuaalliittyy ooff eemmbbrryyooss 
ssiittee ooff ttrraannssffeerr 
ddeeggrreeee ooff eessttrruuss ssyynncchhrroonniizzaattiioonn 
bbeettwweeeenn tthhee ddoonnoorr aanndd rreecciippiieennttss 
nnuummbbeerr ooff eemmbbrryyooss ttrraannssffeerrrreedd 
iinn vviittrroo ccuullttuurree ccoonnddiittiioonnss 
sskkiillll ooff ppeerrssoonnnneell 
mmaannaaggeemmeenntt tteecchhnniiqquueess

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Embryo transfer

  • 2.  embryo is collected ffrroomm aa ddoonnoorr ffeemmaallee aanndd tthheenn ttrraannssffeerrrreedd iinnttoo aa rreecciippiieenntt ffeemmaallee wwhheerree tthhee eemmbbrryyoo ccoommpplleetteess iittss ddeevveellooppmmeenntt.. DDoonnoorr FFeemmaallee –– mmuusstt hhaavvee oouuttssttaannddiinngg ggeenneettiiccss,, bbee hheeaalltthhyy,, aanndd rreepprroodduuccttiivveellyy ssoouunndd
  • 3. HHiissttoorryy 11889900 –– ffiirrsstt eemmbbrryyoo ttrraannssffeerr ddoonnee iinn rraabbbbiittss 11995511 –– ffiirrsstt ttrraannssffeerr iinn ccaattttllee pprrooffiittaabbllee ffoorr pprroodduucceerrss ooff rreeggiisstteerreedd ppuurreebbrreedd aanniimmaallss ddoonnee iinn ccoowwss,, hhoorrsseess,, ggooaattss,, sshheeeepp,, ddeeeerr,, eellkk,, bbiissoonn,, wwiillddccaattss,, aanndd ccaammeellss ffoorr rraacciinngg
  • 4. SSuuppeerroovvuullaattiioonn:: rreeffeerrss ttoo tthhee rreelleeaassee ooff mmaannyy ooooccyytteess ((eeggggss)) dduurriinngg aa ssiinnggllee eessttrruuss ppeerriioodd ttrreeaatt wwiitthh ggoonnaaddoottrrooppiinnss ((hhoorrmmoonneess ccaappaabbllee ooff pprroommoottiinngg ggoonnaadd ggrroowwtthh aanndd ffuunnccttiioonn ttrreeaatt wwiitthh FFSSHH ttoo iinndduuccee tthhee mmaattuurraattiioonn aanndd oovvuullaattiioonn ooff aa llaarrggeerr tthhaann nnoorrmmaall nnuummbbeerr ooff ooooccyytteess
  • 5.  Superovulation oonnee ttiimmee –– 00--2200 eemmbbrryyooss wwiitthh 77 nnoorrmmaall SSuuppeerroovvuullaattiioonn tthhrreeee ttiimmeess –– 99--1122 ccaallvveess nnoorrmmaall NNoonn--ssuuppeerroovvuullaatteedd ccooww –– hhaarrvveesstt aa ssiinnggllee oovvuumm aatt eevveerryy eessttrruuss == 55 ccaallvveess iinn oonnee yyeeaarr **** AA mmaarree ddooeess nnoott rreessppoonndd ttoo ssuuppeerroovvuullaattiioonn ttrreeaattmmeenntt****
  • 6. SStteeppss iinn EEmmbbrryyoo TTrraannssffeerr::  SSuuppeerroovvuullaattiioonn ooff ddoonnoorr wwiitthh ggoonnaaddoottrroopphhiinnss  AAII ((55 ddaayyss aafftteerr iinniittiiaattiinngg ssuuppeerroovvuullaattiioonn)) –– iinnsseemmiinnaattee sseevveerraall ttiimmeess  NNoonnssuurrggiiccaall rreeccoovveerryy ooff eemmbbrryyooss ((66--88 ddaayyss aafftteerr AAII))  FFoolleeyy ccaatthheetteerr ffoorr rreeccoovveerryy ooff eemmbbrryyooss  IIssoollaattiioonn aanndd ccllaassssiiffiiccaattiioonn ooff eemmbbrryyooss  SSttoorraaggee ooff eemmbbrryyooss iinnddeeffiinniitteellyy iinn lliiqquuiidd nniittrrooggeenn oorr aatt 3377 ddeeggrreeeess CC oorr rroooomm tteemmppeerraattuurree ffoorr 11 ddaayy  TTrraannssffeerr ooff eemmbbrryyooss ttoo rreecciippiieennttss ssuurrggiiccaallllyy oorr nnoonnssuurrggiiccaallllyy  PPrreeggnnaannccyy ddiiaaggnnoossiiss bbyy ppaallppaattiioonn tthhrroouugghh tthhee rreeccttaall wwaallll 11-- 33 mmoonntthhss aafftteerr eemmbbrryyoo ttrraannssffeerr  BBiirrtthh ((99 mmoonntthhss aafftteerr eemmbbrryyoo ttrraannssffeerr))
  • 7.
  • 8. NNoonn--ssuurrggiiccaall RReeccoovveerryy  cclleeaann ggeenniittaall aarreeaa  ggiivvee llooccaall aanneesstthheettiicc iinn rruummpp aanndd hhiipp  iinnsseerrtt FFoolleeyy ccaatthheetteerr iinnttoo vvaaggiinnaa aanndd tthhrroouugghh cceerrvviixx  fflluuiidd ffoorrcceedd ffrroomm tthhee ccaatthheetteerr iinnttoo tthhee uutteerruuss ttoo fflluusshh oouutt eemmbbrryyooss  fflluuiidd ccoolllleecctteedd iinn aa ssppeecciiaall ccoonnttaaiinneerr  eemmbbrryyooss ffiilltteerreedd
  • 9.
  • 10. NNoonn--ssuurrggiiccaall TTrraannssffeerr::  EEmmbbrryyooss tthhaatt ppaassss iinnssppeeccttiioonn aarree llooaaddeedd iinnttoo aann AAII ssttrraaww  IInnsseemmiinnaattiioonn rroodd iiss ppaasssseedd tthhrroouugghh tthhee rreecciippiieennttss cceerrvviixx aanndd iinnttoo hheerr uutteerruuss  EEmmbbrryyoo iiss eexxppeelllleedd iinnttoo tthhee uutteerriinnee hhoorrnn tthhaatt iiss oonn tthhee ssaammee ssiiddee aass tthhee oovvuullaatteedd oovvaarryy
  • 11. SSuurrggiiccaall RReeccoovveerryy:: UUnnffeerrttiilliizzeedd eeggggss mmuusstt bbee ccoolllleecctteedd nneeaarr oovvuullaattiioonn ((uusseedd iinn vviittrroo ffeerrttiilliizzaattiioonn)) CCoolllleecctteedd aannyy ttiimmee bbeettwweeeenn ffeerrttiilliizzaattiioonn aanndd iimmppllaannttaattiioonn ((uussuuaallllyy aafftteerr tthheeyy mmiiggrraattee ttoo tthhee uutteerruuss)) UUssuuaallllyy ddoonnee 66--99 ddaayyss aafftteerr eessttrruuss MMeetthhoodd ooff cchhooiiccee iinn sshheeeepp,, ggooaattss,, aanndd hhooggss
  • 12. SSuurrggiiccaall TTrraannssffeerr eemmbbrryyooss iinn tthhee eeaarrllyy ssttaaggeess ooff ddeevveellooppmmeenntt mmuusstt bbee ddeeppoossiitteedd iinn tthhee oovviidduuccttss CCoonncceeppttiioonn rraatteess 55%% bbeetttteerr ddoonnee bbyy aa mmiiddlliinnee llaappaarroottoommyy ((iinncciissiioonn iinn aabbddoommiinnaall wwaallll)) wwiitthh ggeenneerraall aanneesstthheessiiaa OORR tthhrroouugghh aa ffllaannkk iinncciissiioonn wwiitthh llooccaall aanneesstthheessiiaa
  • 13. SSuucccceessss DDeeppeennddss OOnn:: aaggee aanndd qquuaalliittyy ooff eemmbbrryyooss ssiittee ooff ttrraannssffeerr ddeeggrreeee ooff eessttrruuss ssyynncchhrroonniizzaattiioonn bbeettwweeeenn tthhee ddoonnoorr aanndd rreecciippiieennttss nnuummbbeerr ooff eemmbbrryyooss ttrraannssffeerrrreedd iinn vviittrroo ccuullttuurree ccoonnddiittiioonnss sskkiillll ooff ppeerrssoonnnneell mmaannaaggeemmeenntt tteecchhnniiqquueess