Impact of a cryopreservation program on the multiple pregnancy rate associated with assisted reproductive technologies.

Abstract:

OBJECTIVE:To determine the impact of a cryopreservation program on pregnancy rates and multiple-pregnancy rates in ART cycles. DESIGN:Retrospective study. SETTING:University teaching hospital. PATIENT(S):Women who underwent stimulation for in vitro fertilization at the Jones Institute for Reproductive Medicine between October 1987 and June 1999. INTERVENTION(S):Analysis of pregnancy and multiple-pregnancy rates based on the number of embryos transferred. MAIN OUTCOME MEASURE(S):Implantation; pregnancy and multiple-pregnancy rates. RESULT(S):Pregnancy rates per transfer increased from 9% when one embryo was transferred to 20% with two embryos, 35% with three embryos, 40% with four embryos, and 41% with five embryos. The rate of twin pregnancies increased to 21% with two embryos, 23% with three embryos, 21% with four embryos, and 22% with five embryos. The triplet pregnancy rates were 8% with three embryos, 9% with four embryos, and 2% with five embryos. A theoretical model limiting the number of embryos transferred to two with cryopreservation and subsequent transfer yields a cumulative pregnancy rate of 77%, a twin rate of less than 20%, and no triplet or higher-order pregnancies. CONCLUSION(S):The use of a cryopreservation program can help maximize pregnancy rates while minimizing multiple-pregnancy rates. Cryopreservation should be considered in all assisted reproductive technology cycles.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Schnorr JA,Doviak MJ,Muasher SJ,Jones HW Jr

doi

10.1016/s0015-0282(00)01661-7

keywords:

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

147-51

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(00)01661-7

journal_volume

75

pub_type

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