How effective is in vitro fertilization, and how can it be improved?

Abstract:

OBJECTIVE:To measure IVF effectiveness, which is defined as the cumulative incidence of live delivery over real time in women after commencing IVF treatment. DESIGN:Population-based retrospective cohort study. SETTING:IVF clinics in Western Australia (WA). PATIENT(S):All women ages 20-44 years inclusive at start of treatment, commencing IVF in 1982-1992 and 1993-2002 at clinics in WA (n = 8,275). INTERVENTION(S):Data on IVF cycles were extracted from hospital records and a statutory reproductive technology register and linked to records of births. MAIN OUTCOME MEASURE(S):Cumulative incidence of an IVF-attributed live delivery and cumulative incidence of an IVF-attributed or IVF treatment-independent live delivery. RESULT(S):IVF effectiveness in the 1993-2002 cohort was 47% overall. It was highest in women ages 20-29 years at the start of treatment, measuring 58%; and 79% with the inclusion of IVF treatment-independent deliveries, and declined to 22% and 33%, respectively, in women ages 40-44 years. Couples underwent, on average, only three cycles, even though the cumulative probability of a live delivery increased with each successive cycle for at least the first five cycles. CONCLUSION(S):IVF effectiveness could be improved if women, particularly those over 35, underwent more cycles.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Stewart LM,Holman CD,Hart R,Finn J,Mai Q,Preen DB

doi

10.1016/j.fertnstert.2011.01.130

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

1677-83

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(11)00164-6

journal_volume

95

pub_type

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