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"Simplified IVF": program for developing countries
A Rojanasakul1, W Choktanasiri, C Suchartwatanachai
1Department of Obstetrics & Gynecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Summary
This study shows that a simplified In Vitro Fertilization (IVF) program, adapted for limited resources, achieved successful pregnancy rates comparable to conventional methods. This approach enhances patient convenience and reduces costs, making IVF more accessible.
Area of Science:
- Reproductive Medicine
- Assisted Reproductive Technology
Background:
- The Ramathibodi Hospital has offered In Vitro Fertilization (IVF) services since 1991.
- Conventional IVF procedures were modified due to resource limitations, creating a "Simplified IVF" program.
Purpose of the Study:
- To evaluate the outcomes of the "Simplified IVF" program at Ramathibodi Hospital.
- To determine if procedural simplifications compromise IVF success rates.
Main Methods:
- Utilized a short protocol of gonadotropin-releasing hormone agonist/human menopausal gonadotropin (GnRHa/HMG) for ovarian stimulation.
- Follicular development monitored solely by ultrasound (2-3 scans/cycle).
- Oocyte retrieval via transvaginal ultrasound, with simple transport to a separate embryo laboratory; luteal support with micronized progesterone.
Main Results:
- 105 stimulation cycles were performed in 85 couples, with 100 oocyte retrievals (OR).
- A fertilization rate of 75% was achieved, with embryo transfer (ET) in 97 cycles.
- Clinical pregnancy occurred in 25 cycles, yielding a pregnancy rate of 25% per OR and 25.8% per ET. Nineteen patients delivered live births.
Conclusions:
- Simplifying IVF procedures allows for service provision in resource-limited settings without sacrificing results.
- The simplified approach offers benefits including improved patient convenience, cost savings, reduced time commitment, and decreased patient stress.