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In vitro fertilisation in Hong Kong: the situation in 2019.

M W Lui1, W S B Yeung1, P C Ho1

  • 1Department of Obstetrics and Gynaecology, The University of Hong Kong, Pokfulam, Hong Kong.

Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|December 5, 2019
PubMed
Summary

In vitro fertilisation (IVF) is increasingly popular for infertility and delayed pregnancies. A review of Hong Kong

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Area of Science:

  • Reproductive Medicine
  • Infertility Treatment
  • Public Health

Background:

  • Rising infertility rates and delayed pregnancy planning have driven a 40-year increase in in vitro fertilisation (IVF) popularity.
  • IVF is a key treatment for infertility, but faces challenges like multiple pregnancies and cross-border care risks.

Purpose of the Study:

  • To review the current landscape and outcomes of in vitro fertilisation (IVF) in Hong Kong.
  • To identify challenges and potential strategies for improving IVF practices in the region.

Main Methods:

  • Retrospective analysis of IVF cycle data from Hong Kong in 2018.
  • Examination of pregnancy rates and associated outcomes.
  • Literature review on strategies to mitigate IVF-related risks.
Keywords:
Embryo transferFertilization in vitroSingle embryo transferSperm injections, intracytoplasmic

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Main Results:

  • In 2018, 7995 women underwent 5055 fresh and 5050 frozen-thawed embryo IVF cycles in Hong Kong.
  • An ongoing pregnancy rate of 33.7% per transfer was achieved.
  • High rates of multiple pregnancies and risks of cross-border reproductive care were identified as significant issues.

Conclusions:

  • Single embryo transfer is a viable strategy to reduce multiple pregnancies.
  • Implementing single embryo transfer can maintain cumulative live birth rates while enhancing safety.
  • Further strategies are needed to address cross-border reproductive care concerns in Hong Kong.