scholarly journals Male adiposity impairs clinical pregnancy rate by in vitro fertilization without affecting day 3 embryo quality

Obesity ◽  
2013 ◽  
Vol 21 (8) ◽  
pp. 1608-1612 ◽  
Author(s):  
Zaher O. Merhi ◽  
Julia Keltz ◽  
Athena Zapantis ◽  
Joshua Younger ◽  
Dara Berger ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Pregnancy Rate ◽  
Embryo Quality ◽  
Clinical Pregnancy ◽  
Clinical Pregnancy Rate ◽  
Vitro Fertilization ◽  
Day 3 Embryo

Effect of Female Body Mass Index on Clinical Pregnancy Rate After In Vitro Fertilization

2017 ◽  
Vol 23 (7) ◽  
pp. 7009-7011 ◽  
Author(s):  
Shabrina Narasati ◽  
Oki Riayati ◽  
Budi Wiweko ◽  
Achmad Kemal Harzif ◽  
Gita Pratama ◽  
...  
Keyword(s):  
Body Mass Index ◽  
In Vitro Fertilization ◽  
Pregnancy Rate ◽  
Body Mass ◽  
Female Body ◽  
Clinical Pregnancy ◽  
Clinical Pregnancy Rate ◽  
Vitro Fertilization ◽  
Female Body Mass

scholarly journals Auxiliary reproductive technologies in the samara region: efficiency, complications, perspective strands of work

2020 ◽  
Vol 20 (1-2) ◽  
pp. 19-27
Author(s):  
Mikhail A. Ratmanov ◽  
Armen S. Benyan ◽  
Ludmila S. Tshelkovich ◽  
Olga V. Tumina ◽  
Regina B. Balter ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Pregnancy Rate ◽  
Reproductive Function ◽  
Scientific Work ◽  
Correct Choice ◽  
Reproductive Technologies ◽  
Clinical Pregnancy ◽  
Clinical Pregnancy Rate ◽  
Vitro Fertilization

The paper studies the performance of Samara fertility specialists. It is noted that in 2019 the Samara Region conducted twice as many successful IVF cycles as compared to 2012, when it was 1840 cycles. The clinical pregnancy rate in the region is 47%, which is significantly higher than the same indicator of 38.5% in Russia. The trends of scientific work of reproductologists in Samara are presented in the article. The purposes of their work are the correct choice of the in vitro fertilization protocol, the prevention of complications of induced pregnancy, the restoration of reproductive function after unsuccessful IVF attempts.

P–726 Analysis of the results of conjugal artificial insemination in a third-level public health hospital

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
I A Castill. Cantero ◽  
J C Garcí. Lozano ◽  
J Guisad. Fernández ◽  
M D Lozan. Arana ◽  
B Sanche. Andujar
Keyword(s):  
Public Health ◽  
In Vitro Fertilization ◽  
Pregnancy Rate ◽  
Artificial Insemination ◽  
Expectant Management ◽  
Clinical Pregnancy ◽  
Clinical Pregnancy Rate ◽  
Vitro Fertilization ◽  
Health Hospital

Abstract Study question Our objective was to compare the results and costs between conjugal intrauterine insemination (IAC) and in vitro fertilization (IVF) in a third-level public health hospital. Summary answer The direct estimated cost for achieving a clinical pregnancy was € 3808.24 for IAC and € 14,195.88 for IVF. What is known already There is a belief among patients, professionals, and media in favor of the results offered by IVF. Studies on the results, risks, complications and costs are difficult to understand, thus making IVF the most widespread and in demand reproduction technique among fertility clinics. In 2013 the National Institute of Health and Care Excellence conducted a study comparing artificial insemination using 25 mg of clomiphene citrate vs. expectant management of sterility, without finding significant differences. After this, in their guide they recommended the elimination of insemination from the couples’ treatment protocols, proposing to replace it with three cycles of IVF. Study design, size, duration This is a retrospective observational study of a total of 1384 conjugal insemination cycles carried out in our center between 2007–2019 and 646 cycles of in vitro fertilization, intracytoplasmic injection (ICSI) or mixed. Participants/materials, setting, methods All IAC were included. IVF cycles analyzed were those made under the diagnose of tubal factor, to homogenize the samples. The calculation of the direct costs of each technique has been carried out by the collection of the costs of these procedures from the registry of public costs of the Andalusian public health system. The pharmacy spending in an average cycle has been obtained from the public prices of prescriptions made in our service. Main results and the role of chance The direct estimated cost for achieving a clinical pregnancy with the cumulative clinical pregnancy rate found in our sample was € 3808.24 for IAC and € 14,195.88 for IVF. The additional cost of a pregnancy achieved by IVF compared to one achieved by IAC was € 10,387.64. The mean age of the patients was higher in the group undergoing in vitro fertilization treatment (34.41 years) compared to those undergoing artificial insemination treatment (32.18 years), the differences between both being statistically significant ( p < 0.005). We also found statistically significant differences between the clinical pregnancy rate (12.2% in the group that underwent an AI and the 25.8% in which an IVF was performed) and the live newborn rate between both groups (8.7% in the group that underwent AI and 16% in which IVF was performed), both being higher for the group subjected to in vitro fertilization. In the twin pregnancy rate, we also found significant differences (p 0.005) between both groups, being 6.8% in the patients undergoing IVF compared to 0.8% in the inseminations. Limitations, reasons for caution Regarding the costs per cycle, indirect costs of these have not been taken into account, such as values in the cost of pregnancy and delivery of single or multiple pregnancies, or costs of complications derived from the techniques (ovarian hyperstimulation syndrome, fetal reductions, terminations for other reasons, etc.) Wider implications of the findings: The recommendations made by the NICE promote IVF treatment to couples with infertility of unknown origin. In our opinion, this recommendation should be subjected to a more extensive cost-effectiveness analysis of both techniques, given that IVF requires a considerably higher investment of resources, finding results not so different as expected. Trial registration number Not applicable

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