Cumulus mass maintains embryo quality.

Objective: To determine if co-culture of early stage embryos with their own cumulus mass improves embryo quality.

Design: Before insemination, cumulus masses along with cumulus matrices were separated from the oocytes surrounded by a few remaining cumulus cells. Fourteen hours after insemination, fertilized oocytes were each placed onto the cumulus cells, and matrix and co-culture commenced. The embryos were observed every 24 hours. Fifty-three oocytes were treated in co-culture (C) and 59 oocytes were treated in routine culture (U).

Results: Thirty-four (C) and 43 (U) oocytes were fertilized and placed on growth media for further culture. Twenty-four hours after culture, 10 embryos (29%) in C and 12 (28%) in U were good quality, and 4 embryos (12%) in C and 7 (16%) in U were of poor quality. Seventy-two hours after culture, 10 (29%) in C and 8 (18%) in U were of good quality, and 3 (9%) in C and 13 (30%) were of poor quality. The percentage of good quality embryos in the co-culture group was significantly higher than in the control group after 72 hours. Conversely, the percentage of poor quality embryos in the co-culture group was significantly lower than that in the control group after 72 hours.

Conclusion: Co-culture maintains embryo quality over prolonged culture times. This facilitates the development of good quality embryos for ET.