To the Editor: Mastenbroek et al. (July 5 issue)1 report a detrimentaleffect of preimplantation genetic screening, performed in womenof advanced maternal age, on rates of ongoing pregnancy andlive birth. We believe this outcome is explained by problemswith the authors' methods, both for biopsy and for diagnosis.
As Mastenbroek and colleagues note, pregnancy rates after invitro fertilization (IVF) steadily decline with increasing maternalage, while rates of pregnancy loss concurrently increase. Theseobservations are attributed mostly to chromosome abnormalitiesin embryos obtained after follicular stimulation (which rangefrom 50% among young patients to nearly 80% among . . . [Full Text of this Article]
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