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MaryAnn_Draye_ Lecture Slides

Assisted reproductive technologies c fewer than 3

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Assisted Reproductive Technologies c Fewer than 3% couples need ART c Over 54,000 babies born in 2006 with ART c IVF- > 3 million born worldwide c Artificial Insemination (known/ anonymous) c GIFT/ZIFT (now less~ 2% ART) c ICSI (one sperm injection into egg) c Donor Egg\Sperm c Surrogate
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IVF In-Vitro Fertilization c Most prevalent type of ART-72% c In 2007, 57,569 babies born Out of over 142,435 attempted IVF cycles BR is about 25- 35% c (odds of conception naturally = 25% per cycle) c 483 IVF Clinics in US c Cost- can be up to $15,000 per cycle c Multiple cycles might be required
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Results of IVF by Age c 37% - 41%of live births to F <35 yrs c 29% to F 35-37 yrs c 19% to F 38-40 yrs c 10% to F 41-42 yrs
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Results of Fresh, Non donor ART c Appox 31% live birth c 69% single birth c Twins 2% naturally; 40% w fertility Rx c Account for 17% multiples nationwide 20% pg with fertility drugs = 2or more babies c 5% adverse outcomes Miscarriage @15% in 20s; 50% in 40s Ectopic Pg 2-4% c @ 70% no pregnancy
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Recommended Limits on Embryo Transfer ASRM 2008 Age <35 35-37 38-40 >40 Favorable 1-2 2 3 5 Cleavage tage Stage Others 2 3 4 5 Favorable 1 2 2 3 Blastocysts Others 2 2 3 3 Fav= 1 st IVF, good embryos Previous + IVF, available for freeze
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Proportions of transfers of 1,2,3,4 or more embryos among all IVF Practice Committee. eSET. Fertil Steril 2012.
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Proportions of ART Live Born Children- Multiples Practice Committee. eSET. Fertil Steril 2012.
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  • Spring '13
  • NancyS.Jecker
  • Health care provider, multiple sex partners, Assisted reproductive technology, Practice Committee. eSET, Non donor ART

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Assisted Reproductive Technologies c Fewer than 3 couples...

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