Gynecology

Fertilization and Embryo Development Following ovulation, the egg is capable of fertilization for only 12 to 24 hours. Contact between the egg and sperm is random. Once the egg arrives at a specific portion of the tube, called the ampullar-isthmic junction, it rests for another 30 hours. Fertilization — sperm union with the egg — occurs in this portion of the tube. The fertilized egg then begins a rapid descent to the uterus. The period of rest in the tube appears to be necessary for full development of the fertilized egg and for the uterus to prepare to receive the egg. Defects in the fallopian tube may impair transport and increase the risk of a tubal pregnancy, also called ectopic pregnancy. A membrane surrounding the egg, called the zona pellucida, has two major functions in fertilization. First, the zona pellucida contains sperm receptors that are specific for human sperm. Second, once penetrated by the sperm, the membrane becomes impermeable to penetration by other sperm. Following penetration, a series of events set the stage for the first cell division. The single-cell embryo is called a zygote. Over the course of the next seven days, the human embryo undergoes multiple cell divisions in a process called mitosis. At the end of this transition period, the embryo becomes a mass of very organized cells, called a blastocyst. It’s now believed that as women get older, this process of early embryo development is increasingly impaired due to diminishing egg quality.