ART in Europe, 2019: results generated from European registries by ESHRE†

Area of Science:

• Reproductive Medicine
• Public Health Surveillance
• Infertility Treatment Outcomes

Background:

• The European IVF-Monitoring (EIM) Consortium has collected aggregated data on assisted reproductive technology (ART) from European national registries since 1997.
• The 23rd ESHRE report presents data on ART, intrauterine insemination (IUI), and fertility preservation (FP) interventions from 2019.

Purpose of the Study:

• To analyze the trends in ART and IUI cycle numbers and their outcomes in 2019 compared to previous years.
• To report on the data and trends of fertility preservation (FP) interventions in 2019.

Main Methods:

• Data were collected from 1487 clinics in 40 European countries for ART and from 1169 institutions for IUI.
• Analysis included treatment cycles, pregnancy rates (PRs), delivery rates (DRs), and fertility preservation interventions.

Main Results:

• Over 1 million ART cycles were reported, with fresh IVF/ICSI cycles showing higher delivery rates and frozen embryo transfers (FET) showing higher pregnancy rates.
• Intrauterine insemination (IUI) cycles decreased but maintained stable outcomes.
• Fertility preservation interventions increased, with cryopreservation of sperm and oocytes being most frequent.

Conclusions:

• The 23rd ESHRE report indicates a continuous increase in reported ART and IUI treatment numbers and live births in Europe.
• There is a notable trend towards single embryo transfers, leading to reduced twin delivery rates.
• Further optimization of data collection and reporting is needed for improved surveillance in reproductive medicine.