There may be a down side to assisted hatching. Many centers report an increase chance of identical twinning following assisted hatching. We believe the embryo may get caught in the artificial opening and split into two pieces which then proceed to develop into identical (monozygotous) twins. The chance of pregnancy complications is significantly increased when identical twins are present. Therefore, we utilize assisted hatching only in those cases which we feel truly require the procedure.

Assisted hatching is a microsurgical technique in which the
outer
cell wall (zona) of the egg is mechanically thinned using acidic medium.
|