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Related Experiment Videos

Expectations of assisted conception for infertility.

M G Hull1, H A Eddowes, U Fahy

  • 1University of Bristol IVF Unit, BUPA Hospital.

BMJ (Clinical Research Ed.)
|June 6, 1992
PubMed
Summary

Assisted conception offers good prognosis for most subfertile couples. Persistent treatment, especially with in vitro fertilisation (IVF) or gamete intrafallopian transfer (GIFT), significantly improves live birth rates.

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Area of Science:

  • Reproductive Medicine
  • Infertility Treatment
  • Prognostic Studies

Background:

  • Couples seeking assisted conception require reliable prognostic information.
  • Subfertility affects numerous couples, necessitating effective treatment strategies.
  • Understanding success rates is crucial for managing patient expectations.

Purpose of the Study:

  • To provide accurate prognostic data for couples undergoing assisted conception.
  • To evaluate the effectiveness of different assisted reproductive technologies.
  • To inform clinical decision-making and patient counseling.

Main Methods:

  • Analysis of 1280 assisted conception cycles over four years (1988-1991).
  • Inclusion of 804 couples with diverse causes of subfertility.

Related Experiment Videos

  • Comparison of outcomes for in vitro fertilisation (IVF), gamete intrafallopian transfer (GIFT), and intrauterine insemination (IUI) with superovulation.
  • Main Results:

    • For women under 40 with normal sperm, IVF achieved a 30% pregnancy rate per cycle.
    • GIFT showed a 36% pregnancy rate per cycle, while IUI yielded 18%.
    • After six cycles, cumulative pregnancy probability reached 82%, with a 70% take-home baby rate.

    Conclusions:

    • Prognosis for conception is poorer for women over 40 and men with sperm dysfunction.
    • Couples without these specific issues have a favorable prognosis for live birth with persistent treatment.
    • Assisted reproductive technologies offer a viable path to parenthood for many subfertile couples.