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Related Experiment Videos

In vitro fertilization and embryo transfer: a randomized controlled trial

J F Jarrell1, R Labelle, R Goeree

  • 1Department of Obstetrics and Gynaecology, University of Calgary, Alberta, Canada.

The Online Journal of Current Clinical Trials
|July 2, 1993
PubMed
Summary

In vitro fertilization (IVF) increases pregnancy and live birth rates, but requires a longer patient commitment. This study compared IVF to delayed treatment, finding IVF effective despite longer patient involvement.

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Area of Science:

  • Reproductive Medicine and Endocrinology
  • Infertility Treatments
  • Clinical Trial Research

Background:

  • Clinical indications for in vitro fertilization (IVF) have broadened beyond tubal disease.
  • Spontaneous pregnancy cures are common in infertile couples.
  • The comparative effectiveness of IVF versus spontaneous cure or other fertility treatments lacks rigorous evaluation.

Purpose of the Study:

  • To evaluate the relative merit of in vitro fertilization (IVF) treatment compared to awaiting IVF treatment.
  • To assess clinical pregnancy rates and time to pregnancy in couples undergoing IVF.

Main Methods:

  • A randomized controlled clinical trial was conducted.
  • Couples seeking fertility treatment were randomized to either a control group (awaiting IVF) or an experimental group (undergoing IVF).

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  • Clinical pregnancy rate and adjusted time to pregnancy were the primary outcome measures.
  • Main Results:

    • The intention-to-treat analysis revealed an increased proportion of pregnancies from 8% to 17.4% and parturitions from 4.9% to 11.6% in the experimental IVF group.
    • This increase in pregnancy rates with IVF required significantly more patient-time.
    • Survival analysis showed no significant difference in time-to-event between groups, though a long-term trend favored IVF.

    Conclusions:

    • In vitro fertilization (IVF) is effective in proportionally increasing pregnancy, live birth, and parturition rates.
    • The benefits of IVF are associated with a significantly longer patient commitment.
    • Further research is needed to conclusively assess long-term benefits, especially with variations in treatment access and patient selection.