In-vitro fertilization in Western Australia. A viable service programme

Area of Science:

• Reproductive Medicine
• In-Vitro Fertilization (IVF)
• Embryo Transfer (ET)

Background:

• Established in Western Australia following a 1981 pilot study.
• Aims to provide accessible IVF and ET services.

Purpose of the Study:

• To present the initial eight-month results of a new IVF and ET service program.
• To evaluate the efficiency and success rates of the simplified IVF program.

Main Methods:

• Simplified monitoring of the follicular phase in stimulated cycles.
• Oocyte retrieval and embryo transfer performed during routine daytime work schedules.
• Utilized a double-lumen aspiration/flushing needle for oocyte collection and a double-catheter technique for embryo transfer.

Main Results:

• 13 pregnancies generated and 10 healthy infants delivered in the first eight months.
• Mean of 2.3 mature oocytes collected per patient.
• 98% of patients undergoing laparoscopy had oocytes collected.
• 94% of patients proceeded to embryo transfer.
• Pregnancy rate of 20.8% per laparoscopy and 22.7% per embryo transfer.

Conclusions:

• The established IVF and ET program demonstrates successful outcomes.
• Simplified procedures and integration into routine schedules are effective.
• The program offers a viable option for infertility treatment in the region.