26.03.2014

Ivf success rates ny

I have, for many years, taken issue with the way IVF success rates are recorded, verified (or more accurately, not verified) and reported to consumers.
The current system is seriously flawed, and prospective IVF patients bear the brunt of its inadequacies. As you can see by this example, the success rates for each clinic would look identical at first glance under the current reporting system. The simple step of changing the basis of success rate reporting to “Birth Rate per Embryo Transferred” would put all clinics on an even footing and, at the same time, would  remove much of the incentive to transfer larger numbers of embryos at a time in an attempt to boost success rates. When discussing IVF success rates, it is very important to understand the natural limitations of human reproduction.  In general, humans are not very efficient at reproducing.


The takeaway here is that although there are things we can do to increase the likelihood of successful IVF, we are bound and constrained by a number of genetic realities that affect the egg, most of which are outside of our control. Thus, any claim of success rates that across the board fall outside of the natural boundaries presented above should be regarded with a high level of skepticism.
Because current and prospective IVF  patients are earnestly seeking a standard by which to judge  clinics relative to one another, they are left to rely on published success rates which may or may not realistically represent their chances of conceiving at a given clinic.
It is especially relevant given the way that the practice of IVF has evolved over the last few years. This borders on (hopefully unintentional) deception and keeps the incentive in place for clinics to transfer more embryos per cycle in an effort to boost  success rates.  This, in turn, increases the incidence of high-order multiple births, which put both the mother and babies at risk of short and long-term health complications with associated costs.


The transfer of such “CGH-normal” embryos allows us to significantly surpass IVF success rates per transfer, compared to when untested embryos are transferred.
Nor does it take into account the adverse affect of anatomical and immunologic implantation dysfunction that can interfere with embryo attachment and thus, IVF outcome. Our clinic’s ongoing pregnancy rate for our age group is 32% however we have been advised that given our case, we should have a 70% chance at success.



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Stages of pregnancy development timeline


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