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How to handle eggs with tough oolema while ICSI

By: Sai,
04 April 2009
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Question:
Hi guys i am having problem handling eggs with tough oolema while performing ICSI. The eggs look quite normal when you inject the pippete inside. But when you aspirate oolema, it doesn't break at all and the egg gets degenerated immediately. What should one do in such cases? Is there any way of knowing the nature of oolema before we start aspirating? How should we handle such eggs.
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M Wiltshire


Tough or Weak oolema membrane
M Wiltshire said on 08 April 2009

"Are you sure its a tough oolema? If you are seeing no breakage of the membrane upon aspiration of ICSI pipette, it is possible the oolema is too weak and has no resistance, which could explain the immediate degeneration. Try this, when you are positioning the injection pipette, take care to notice as it passes through the ZP to see if you get indentation of the oolema at all. If there is considerable difficulty in getting the pipette tip through the oolema then you have a tough oolema but if you see no signs of the needle 'punching' through the oolema then you have a weak membrane with no resistance. For a oocyte with a weak oolema, in my experience, use extreme care. As for oocyte with tough oolema, being a little 'rough' can help penetrate the membrane. By rough i mean a little 'stab' at the membrane, to prevent the membrane from squashing and moving the cytoplasm around which basically is the opposing force you are using to penetrate the oolema. Hope that sheads some light or atleast promotes some further thoughts."

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Michael L. Reed



Michael L. Reed said on 05 April 2009

"I'm not sure either how to predict which oocytes will be harder to inject, with regard to oolema not breaking at aspiration - but what I've done is to pull the needle back out, rotate the oocyte 180 degrees on the same axis, so that the indentation is now at the holding pipette, and go for it again. This seems to tighten the oolema up a bit, and help with the injection process.

Mike"

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