MaryAnn_Draye_ Lecture Slides

Fewer than 3 couples need art circle6 over 54000

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Fewer than 3% couples need ART circle6 Over 54,000 babies born in 2006 with ART circle6 IVF- > 3 million born worldwide circle6 Artificial Insemination (known/ anonymous) circle6 GIFT/ZIFT (now less~ 2% ART) circle6 ICSI (one sperm injection into egg) circle6 Donor Egg\Sperm circle6 Surrogate
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IVF In-Vitro Fertilization circle6 Most prevalent type of ART-72% circle6 In 2007, 57,569 babies born Out of over 142,435 attempted IVF cycles BR is about 25- 35% circle6 (odds of conception naturally = 25% per cycle) circle6 483 IVF Clinics in US circle6 Cost- can be up to $15,000 per cycle circle6 Multiple cycles might be required
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Results of IVF by Age circle6 37% - 41%of live births to F <35 yrs circle6 29% to F 35-37 yrs circle6 19% to F 38-40 yrs circle6 10% to F 41-42 yrs
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Results of Fresh, Non donor ART circle6 Appox 31% live birth circle6 69% single birth circle6 Twins 2% naturally; 40% w fertility Rx circle6 Account for 17% multiples nationwide 20% pg with fertility drugs = 2or more babies circle6 5% adverse outcomes Miscarriage @15% in 20s; 50% in 40s Ectopic Pg 2-4% circle6 @ 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 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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