Denudation Protocol Standardisation in IVF: A Practical Review
Oocyte denudation the mechanical removal of cumulus oophorus and corona radiata cells preceding ICSI is a universal laboratory procedure yet one of the least formally standardised steps in assisted reproduction. Governance frameworks that now comprehensively cover culture media, incubation, and cryopreservation have largely not been extended to denudation technique. Current Evidence The meiotic spindle presents the primary area of concern. Located at the first polar body, the MII spindle is both invisible under conventional light microscopy and sensitive to mechanical disruption. Polscope studies have associated aggressive mechanical stripping with measurable spindle displacement and downstream chromosomal consequences. Hyaluronidase exposure duration represents a second variable. Published data supports brief, timed exposure typically 20–40 seconds over visually guided, open-ended treatment. Labs implementing exposure limits report improvements in oocyte survival and fe...