Asian Frozen Eggs Fertilization Guaranteed Program Policy

Patients need to meet ALL following conditions to join Fertilization Guaranteed Program:

  • 1. This policy is applicable to clinics/laboratories that are accredited by Asian Frozen Eggs.
  • 2. This policy is applicable when patient(s) purchases no less than 8 mature frozen oocytes (MII) at a time.
  • 3. This policy is applicable when the quality of the sperm sample(s) is no worse than Reference Value for Human Semen Characteristics by World Health Organization, 5th edition, 2010,Appendix I.
  • 4. This policy is applicable when DNA Fragmentation Rate of the sperm sample(s) is less than 20%.
  • 5. This policy is applicable to patient(s) with a fertilization rate less than 67% out of all purchased MIIs.
  • 6. This policy is applicable when all embryos created from the purchase has been successfully transferred and no clinical pregnancy has achieved.  (B-Hcg Test result lesser than 30 IU/L, 14 days post transfer)

Technical Guidelines

  • 1. The embryology laboratory that manipulates frozen gametes should follow the Standard Operation Protocol provided by Asian Frozen Eggs strictly in MII thawing procedure.
  • 2. The embryology laboratory that manipulates frozen gametes should only use ICSI as fertilization method.
  • 3. Normal fertilization refers to 2 pronuclei fertilization 16-20 hours after the sperm being injected into recovered oocytes.
  • 4. The guideline recovery rate is 90% out of all mature frozen MII.
  • 5. The guideline fertilization rate is 75% out of recovered MII.
  • 6. The guideline fertilization rate is 67% out of all mature frozen MII.

Compensation Policy

  • 1. Each purchase is only eligible for one replacement.
  • 2. In failed/partially failed fertilization cases, Asian Frozen Eggs will replace a number of MIIs in accordance to the fertilization result.
    2.1 When the fertilization rate is between 50%-67%, Asian Frozen Eggs shall replace 20% of the total number of MIIs purchased.
    2.2 When the fertilization rate is between 25%-50%, Asian Frozen Eggs shall replace 40% of the total number of MIIs purchased.
    2.3 When the fertilization rate is lower than 25%, Asian Frozen Eggs shall replace 100% of the total number of MIIs purchased.
    2.4 Appendix II demonstrate individual cases explicitly.
  • 3. Asian Frozen Eggs does not guarantee that the replacement MIIs are from the same egg donor as their initial purchase.

Appendix I

Parameter Lower Reference Limit
Semen Volume (ml) 1.5 (1.4-1.7)
Total Sperm Number (106 per ejaculate) 39 (33-46)
Sperm Concentration (106 per ml) 15 (12-16)
Total Motility (PR+NP, %) 40 (38-42)
Progressive Motility (PR, %) 32 (31-34)
Vitality (Live Spermatozoa, %) 58 (55-63)
Sperm Morphology (Normal Forms, %) 4 (3.0-4.0)
Other Consensus Threshold Values
pH >=7.2
Peroxidase-positive Leukocytes (106 per ml) <1.0
MAR test (Motile Spermatozoa With Bound Particles, %) <50
Immunobead Test (Motile Spermatozoa With Bound Beads, %) <50
Seminal Zinc (umol/ejaculate) >=2.4
Seminal Fructose (u mol/ejaculate) >=13
Seminal Neutral Glucosidase (mU/ejaculate) >=20

Appendix II

Reference Box 0.5~0.67 0.25~0.5 0~0.25
MII No. Fert Rate Fert MIIs Range 1 Rep No. Range 2 Rep No. Range 3 Rep No.
8 0.67 5 4 2 2 to 3 3 0 to 1 8
9 0.67 6 5 2 3 to 4 4 0 to 2 9
10 0.67 7 6 2 3 to 5 4 0 to 2 10
11 0.67 7 6 2 3 to 5 5 0 to 2 11
12 0.67 8 6 to 7 2 3 to 5 6 0 to 2 12
13 0.67 9 7 to 8 3 4 to 6 6 0 to 3 13
14 0.67 9 7 to 8 3 4 to 6 6 0 to 3 14
15 0.67 10 8 to 9 3 4 to 7 6 0 to 3 15
16 0.67 11 8 to 9 3 4 to 7 6 0 to 3 16
17 0.67 11 9 to 10 3 5 to 8 6 0 to 4 17
18 0.67 12 9 to 11 4 5 to 8 7 0 to 4 18
19 0.67 13 10 to 12 4 5 to 9 8 0 to 4 19
20 0.67 13 10 to 12 4 5 to 9 8 0 to 4 20
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