Predictive value of the results of a first in-vitro fertilization cycle on the outcome of subsequent cycles

Human Reproduction
C CroucherR M Winston

Abstract

This study examines the relationship between the first cycle of in-vitro fertilization (IVF) and subsequent cycles. The results of all IVF cycles conducted at The Hammersmith Hospital or The Royal Masonic Hospital between 1988 and 1995 were studied including those cycles where egg recovery was abandoned due to poor ovarian response. All patients underwent a standardized treatment protocol. Of those women who achieved a clinical pregnancy during their first IVF attempt, 33% achieved a pregnancy during their second cycle, statistically significantly different from the 24% of patients conceiving during a second cycle who had failed to conceive during their first. 36% of those who achieved a biochemical pregnancy in their first cycle became pregnant in their second. Age was an important factor in the success of IVF treatment, with pregnancy rates of 48% in the 20-25 year age group falling to 8% in those aged > or =41 years. Cumulative pregnancy rates were 26% after one cycle, increasing to 43% after two cycles and reached 80% after seven cycles. A previous pregnancy significantly improved a couple's probability of conception in a later IVF cycle. Overall pregnancy rates per cycle were constant for the first three attempts. Cumulati...Continue Reading

Citations

Dec 14, 2006·Journal of Assisted Reproduction and Genetics·Lars D M OttosenHans Jakob Ingerslev
Jan 12, 2011·Journal of Assisted Reproduction and Genetics·Emmanuel KaluHossam Abdalla
Feb 1, 2002·Fertility and Sterility·G Wright Bates, Elizabeth S Ginsburg
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Mar 4, 2014·Reproductive Biomedicine Online·Lukasz T PolanskiNicholas J Raine-Fenning
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