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In vitro fertilization program based on programmed cycles monitored by ultrasound only.
V Vlaisavljevic1, B Kovacic, V Gavric
1Department of Gynecology, Maribor Teaching Hospital, Slovenia.
Summary
Programmed oocyte retrieval in in vitro fertilization (IVF) programs offers significant economic benefits. This method simplifies scheduling and reduces costs for IVF treatment, making fertility services more accessible.
Area of Science:
- Reproductive Medicine
- In Vitro Fertilization (IVF)
Background:
- In vitro fertilization (IVF) programs can be costly and labor-intensive.
- Optimizing scheduling and resource allocation is crucial for IVF efficiency.
Purpose of the Study:
- To evaluate the economic benefits of programmed oocyte retrieval in IVF.
- To simplify the workflow for IVF teams.
Main Methods:
- A programmed oocyte retrieval protocol was implemented in 77 patients undergoing IVF.
- Menstrual cycles were synchronized using estrogen-progesterone contraceptive pills.
- Ovarian stimulation involved clomiphene citrate and human menopausal gonadotropin (HMG), with ultrasound monitoring.
Main Results:
- The implantation rate was 22.4% per embryo transfer.
- A low average of 2.6 embryos per transfer eliminated the need for cryopreservation.
- High fertilization (82%) and embryo transfer (87%) rates were observed, with a 14.3% take-home baby rate.
Conclusions:
- Programmed oocyte retrieval allowed for 70% of oocyte retrievals to be concentrated within a 3-day period.
- This approach demonstrated significant economic advantages and operational efficiencies for IVF programs.