Introduction. Infertility affects 15-17% of reproductive age couples in our
country. In vitro fertilization brought revolution in treatment of this
problem, bringing hope to many couples around the world for more than 3
decades. The aim of this paper was to present results and experiences of
implementation of this method of treatment at the Clinic of Gynecology and
Obstetrics in Nis. Material and Methods. The study included the first 402
women who had undergone in vitro fertilization program at the Clinical Center
of Nis. The data were statistically analyzed by basic descriptive methods.
The main outcome measures were demographic features, cause of infertility,
duration of stimulation, average gonadothropine consumption, number of
oocytes per aspiration and embryos transferred, mode of conception as well as
clinical pregnancy and aspiration rate. Results. The two main factors were
the male infertility and tubal factor inferitily, being 51.61% and 48.39%,
respectively. The classical method of in vitro fertilization constituted
72.40% of all cycles, while intra cytoplasmic sperm injection method was used
in 27.60% of all cycles. The average number of embryos transferred was 2.75.
The cycle cancellation rate was 15.05%. The clinical pregnancy rate per
embryo transfer was 35.44%; while the live birth rate per embryo transfer was
26.53%. Discussion and Conclusion. Our success rates are comparable with
those in other European countries, where for in vitro fertilization the
clinical pregnancy rates per aspiration and per transfer were 29.0 and 32.4%,
respectively in the observed period. For intra cytoplasmic sperm injection,
the corresponding rates were 29.9 and 33.0%. The main difference from the
European average was the average number of transferred embryos and lower
percentage rate of intra cytoplasmic sperm injection as a method of
conception.
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