Female Fertility Preservation: Different Interventions and Procedures

Abstract

A human being is made up of two living cells: the egg and the sperm, which pass the torch of life to the next generation. After zygote, the fertilized egg undergoes a series of mitotic divisions. First division into two cells is called blastomeres, and then four cells to 64 cells are called the morula stage. Five days after fertilization, the embryo reaches the blastocyst stage. This blastocyst is attaching itself to the uterine wall for implantation. Implantation is complete when the blastocyst is fully embedded in the endometrium a few days later. Cryopreservation of ovarian tissue, oocytes, embryos, and blastocysts has become an integral part of improving the success of infertility treatment and fertility preservation. Various cryopreservation strategies have been proposed to enhance cell survival and preserve cellular function. It also increases the efficiency of assisted reproductive technology (ART) procedures, enables biodiversity conservation, and provides protection to a valuable biological material. However, successful cryopreservation requires the use of cryoprotectants. The chemical and physical effects of these reagents/processes cause extensive cryogenic damage to the plasma membrane, leading to changes in its normal function. In this chapter, we will discuss different interventions to preserve fertility, including cryopreservation methods and cryoprotectants used.