{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T21:52:30Z","timestamp":1762033950742,"version":"build-2065373602"},"reference-count":34,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T00:00:00Z","timestamp":1664409600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>INVOcell is considered an alternative to conventional IVF proposed for intravaginal embryo culture; however, implementation is still low because evidence is scanty regarding its outcome and, most importantly, the device\u2019s user satisfaction. Thus, we aim to compare the embryo outcome of sibling oocytes following INVOcell culture with conventional IVF (cIVF) by assessing its clinical outcome (fertilization, blastulation rate, and good embryo quality) and the user satisfaction evaluation based on a local validation questionnaire. A prospective study was done at a university-setting hospital for 12 months (July 2021\u20132022). The oocytes collected were divided into INVOcell and cIVF groups equally. Inclusion criteria included &lt;40 years old and body mass index (BMI) &lt; 30 kg\/m2. The pre- and post-satisfaction questionnaires were assessed. In total, 23 women were included following standard controlled ovarian stimulation (COS). The mean age was 32.9, and the mean BMI was 24.9 kg\/m2. Most of them suffered from tubal factors. A total of 252 oocytes were collected and incubated accordingly (cIVF; 138, INVOcell; 114). The blastulation rate was superior in the INVOcell group (p = 0.16); otherwise, the fertilization rate and good embryo quality were not significantly different between both methods (p &gt; 0.05). Overall, women were satisfied with the INVOcell device as they were adequately advised, follow-up was scheduled, and the lowest score was obtained for all side effects of the device. Although both methods produce similar fertilization rates and good-quality embryos, the blastulation rates were better in the INVOcell group. Functionally, it is a user-friendly device and tolerable. Therefore, INVOcell can be used as an alternative method for reproductive treatment in carefully selected patients without jeopardizing the IVF outcomes.<\/jats:p>","DOI":"10.3390\/ijerph191912391","type":"journal-article","created":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T21:03:10Z","timestamp":1664485390000},"page":"12391","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Treatment Outcomes among Sibling Oocytes Using Different Culture Systems\u2014Conventional IVF versus INVOcell Device\u2014And Evaluation of INVOcell User Satisfaction: The INVOcIVF Study"],"prefix":"10.3390","volume":"19","author":[{"given":"Wan Syahirah","family":"Yang Mohsin","sequence":"first","affiliation":[{"name":"Advanced Reproductive Centre HCTM Cheras, Kuala Lumpur 56000, Malaysia"},{"name":"Department of Obstetrics & Gynecology, Hospital Tuanku Azizah (HTA), Kuala Lumpur 50300, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nor Shaireen","family":"Abdullah Chue","sequence":"additional","affiliation":[{"name":"Advanced Reproductive Centre HCTM Cheras, Kuala Lumpur 56000, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fazilah","family":"Abdul Hamid","sequence":"additional","affiliation":[{"name":"Advanced Reproductive Centre HCTM Cheras, Kuala Lumpur 56000, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Azrai","family":"Abu","sequence":"additional","affiliation":[{"name":"Advanced Reproductive Centre HCTM Cheras, Kuala Lumpur 56000, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sukhilmi","family":"Othman","sequence":"additional","affiliation":[{"name":"Hospital Bersalin Sukhilmi, No. 1-G, Jalan Coco Drive 3, Taman Bandar Senawang, Senawang 70450, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norazilah","family":"Mat Jin","sequence":"additional","affiliation":[{"name":"Advanced Reproductive Centre HCTM Cheras, Kuala Lumpur 56000, Malaysia"},{"name":"Reproductive Unit Faculty of Medicine, Universiti Teknologi MARA, Sg Buloh Campus, Kuala Selangor 45800, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu Yuan","family":"Woon","sequence":"additional","affiliation":[{"name":"Advanced Reproductive Centre HCTM Cheras, Kuala Lumpur 56000, Malaysia"},{"name":"Hospital Umum Sarawak, Kuching 93586, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul Kadir","family":"Abdul Karim","sequence":"additional","affiliation":[{"name":"Advanced Reproductive Centre HCTM Cheras, Kuala Lumpur 56000, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2735-3274","authenticated-orcid":false,"given":"Mohd Faizal","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Advanced Reproductive Centre HCTM Cheras, Kuala Lumpur 56000, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1016\/S0015-0282(16)59835-5","article-title":"A new in vitro fertilization technique: Intravaginal culture","volume":"49","author":"Ranoux","year":"1988","journal-title":"Fertil. 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