April–May 2025 Edition

A curated round-up of breakthroughs, trends, and news shaping the world of Assisted Reproductive Technologies (ART)

CRISPR Baby 2.0? Gene Editing Returns to the Spotlight

A research team in the UK has received provisional ethical clearance to begin preclinical trials using CRISPR-Cas9 to correct monogenic mutations in embryos—aimed at reducing heritable conditions.

Why it matters: This reignites the debate on germline editing ethics, but also signals a cautious shift toward regulated, therapeutic uses in IVF contexts.

Read more: https://www.nature.com/articles/d41586-023-03590-6

Warming Up to Vitrification 2.0

A Korean start-up has unveiled an ultra-fast embryo warming system using nanomaterial-enhanced warming straws. Preliminary data show higher post-thaw viability in blastocysts.

Why it matters: While vitrification is the gold standard, warming speed is equally crucial. This may address one of the last remaining weak links in cryopreservation.

Clinical abstract: https://www.fertstert.org/article/S0015-0282%2821%2901055-4/fulltext

AI as Your Embryologist’s Assistant

Israeli firm Fairtility secured CE-IVD certification for its AI-based embryo grading platform, CHLOE EQ. The tool claims to reduce grading subjectivity and predict blastocyst development more accurately.

Why it matters: As embryologist burnout grows and lab standardization becomes key, AI assistants like CHLOE may become central to future lab operations.

Press release: https://www.prnewswire.com/il/news-releases/fairtility-granted-ce-mark-under-new-european-medical-device-regulation-mdr-for-ai-decision-support-tool-chloe-eq-tm--841704657.html

The Male Factor: New Diagnostic Biomarkers

Researchers from the University of Melbourne have identified four seminal plasma microRNAs that show strong correlation with sperm DNA fragmentation and oxidative stress.

Why it matters: This could enhance the male workup beyond traditional semen analysis—leading to more personalized treatment plans.

Study: https://www.sciencedirect.com/science/article/abs/pii/S0890623820300344

Japan Approves Insurance Coverage for Frozen Embryo Transfers

Japan’s Ministry of Health has extended national insurance coverage to include frozen embryo transfers (FETs) under its ART subsidy scheme.

Why it matters: This is expected to boost access and normalize FET over fresh transfers in more clinics.

Coverage: https://www.asahi.com/ajw/articles/14851872

IVF Success Rates & Age: A New Predictive Model

A global meta-analysis covering 100,000 IVF cycles has produced an age-specific algorithm for predicting live birth outcomes—accounting for BMI, AMH, and number of retrieved oocytes.

Why it matters: The model offers better personalization for patient counseling and could be embedded into EMRs for real-time prognosis support.

Research: https://www.fertstert.org/article/S0015-0282%2824%2900173-0/fulltext

Spotlight on the Lab: Non-Invasive PGT-A Gaining Ground

US-based firm BioAegis released interim data from a multi-center trial using cell-free DNA in spent media for non-invasive PGT-A. Concordance rates were reportedly 89% compared to trophectoderm biopsy.

Why it matters: Non-invasive PGT could become a safer, faster alternative to biopsy, especially for patients with limited embryos.

Trial: https://fertilityscience.org/non-invasive-pgt-a-may-be-superior-to-standard-pgt-a/

From the Conferences: ESHRE 2025 Abstract Highlights

Top abstracts submitted for ESHRE 2025 (to be held in Lisbon) include:
- Wearable hormonal trackers for at-home follicular monitoring
- First-in-human results of artificial gametogenesis
- Mental health outcomes in patients undergoing multiple egg collections

Abstracts: https://www.eshre.eu/Annual-Meeting/ESHRE-2025/Main-programme?dayid=3463

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