ASSISTED HATCHING
During the blastocyst stage, that is, on the fifth day of embryo development (D5), a phenomenon known as hatching occurs. At this stage, the embryo attaches to the uterus and sheds a membrane known as the zona pellucida, whose function is to prevent other sperm from fertilizing the same egg and to keep the cells together.
There is a risk that hatching may not occur naturally in the uterus for various reasons (patients with a poor prognosis in treatment, advanced maternal age, embryos with a very thick zona pellucida, thawed embryos, etc.), which would make pregnancy completely unviable. In these cases, assisted hatching is recommended.
A small opening is made in the zona pellucida using a microneedle. The opening must be the correct size to allow the embryo to pass through;
The opening in the zona pellucida is created by applying a chemical substance. Similar to the mechanical method, the embryo passes through the opening to implant in the uterus;
The most advanced technique and the one that delivers the best results, making it the most widely used today. In this method, a laser is used to breach the zona pellucida.
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