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[Are French results in assisted reproductive techniques so bad?]
1FIVNAT, unité Inserm 569, CHU de Kremlin-Bicêtre, hôpital de Bicêtre, 82, rue du Général-Leclerc, 94276 Le Kremlin-Bicêtre cedex, France. jlpouly@chu-clermontferrand.fr
Objective:
Comparative analysis of French results in Assisted Reproductive Techniques (ART) versus those from other European countries and the United States.
Population And Methods:
The study was achieved by using the officially available data. The analysis was faced with a lot of difficulties in relation with the various methods of collecting data in the different countries.
Results:
Nevertheless, it appears clearly that French results are among the lowest in Europe with a 22% rate for pregnancy per ovum pick-up with IVF and 23.4% with ICSI, when most of the other countries report rates that are close to or over 30%. Neither the patients' pick-up recruitment nor specific practices of ART can explain this difference that certainly comes from a deficient quality of the French IVF centres.
Discussion And Conclusion:
We think that four main end-points can explain this situation: the lack of financial support, the lack of human force, the lack of transparency and finally the opposition between clinician and biologist that has blocked the set-up of integrated ART centres, and probably a poor quality culture.
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