The latest data on the success rate of in vitro fertilization and the advice of fertility experts on improving the pregnancy rate of in vitro fertilization have shown us how to improve the success rate!

Success rate of in vitro fertilization

For in vitro fertilization, data is crucial for women and families seeking the best opportunity to conceive. Two reports suggest that families seeking data on the success rate of in vitro fertilization should pay special attention.

Firstly, the latest report from the Centers for Disease Control and Prevention, the "Report on the Success Rate of Fertility Outpatients," has just released data for 2020. It provides data on the assisted reproductive therapy cycle from 448 infertility clinics, which began in 2017 and has been implemented, and provides cycle results.

According to data from the Centers for Disease Control and Prevention (CDC) in the United States, approximately 1.7% of newborns in the United States conceive with antiretroviral therapy each year, and the use of antiretroviral therapy has doubled in the past decade.

The report found that in 2017, 448 reporting clinics in the United States conducted 284385 ART cycles. These lead to:

1.68908 live births (giving birth to one or more live births). 2.78052 IVF infants. Out of the 284385 ART cycles conducted, 87535 are egg or embryo bank cycles that are intended to be frozen in future ART cycles and are not expected to lead to pregnancy or childbirth. This means that without these cycles, 196850 people would have planned to conceive. The second report consists of the Society for Assisted Reproductive Therapy (SART), a subsidiary of the American Society of Reproductive Medicine, and a major organization of in vitro fertilization professionals in the United States. It also released the annual summary report of SART member clinics, accounting for 90% of ART clinics in the United States.

Therefore, the scope of data in this report is broad, but more accurate reports are required from SART affiliated clinics. SART conducted more in-depth research on the specific categories of live births, with a focus on single births (one child per IVF cycle), rather than twins, triplets, or higher. This is because the focus is on single birth, which is safer for both mothers and babies.

They also pay attention to the age range of women receiving IVF and provide the percentage of women under 35 years old. 35 to 37 years old; 38-40 years old; 41 to 42 years old; 42 years old and above. 1、 Single birth success rate: 1.35 years old and below: 33.6%. 2.35-37 years old: 26%. 3.38-40 years old: 16.9%. 4.41-42 years old: 8.5%. Over 5.42 years old: 2.8%. 2、 The success rate of non single birth: 1.35 years old and under: 38.6%. 2.35-37 years old: 29.5%. 3.38-40 years old: 19.0%. 4.41-42 years old: 9.4%. Over 5.42 years old: 3.0%. How to increase the probability of success in IVF? 1. Maintain a healthy weight. Dr. Linnea Goodman, Assistant Professor of Obstetrics and Gynecology at UNC Medical School, said: "Maintaining a healthy weight is extremely important for fertility and in vitro fertilization." "We know about obesity (body mass index>35) and underweight (body mass index).

It is best to change diet and activities with the help of professionals.

Collaborating with nutritionists and incorporating cardiovascular metabolic weight loss programs into some programs can help achieve these goals, "said Zaraq Khan, a reproductive endocrinologist and medical doctor at the Mayo Clinic in Rochester, Minnesota

2. Optimize sperm health. Dr. Khan said, "Using multiple vitamins and maintaining optimal weight, using boxed shorts on briefs can improve sperm quality With appropriate care, men can also start using drugs that help improve the quantity and quality of sperm, which is beneficial for in vitro fertilization. In some cases, sperm directly drawn from the testicles due to ejaculation may also be beneficial. Any form of abnormal infertility in semen analysis is crucial for experts

3. Collaborate with excellent doctors and embryo laboratories. There are two aspects to choosing an excellent reproductive endocrinologist: in addition to experience and commitment to evidence-based medicine, you should also find someone who makes you feel comfortable and connected. Your doctor will accompany you on this exciting journey. It is important for you to feel supported and listen, "said Elizabeth Fino, a fertility expert at New York University's Lonnie Center for Fertility. Seeking advice from relatives and friends who know you best can help you find a knowledgeable doctor, and you will feel at home

Finding an excellent embryology laboratory is a lengthy search process. The Association for Assisted Reproductive Technology is one of them, which provides detailed information on the number of clinics and live birth rates. “

4. Reduce stress.

Dr. Khan said: "The basic stress level will affect the natural pregnancy rate and the assisted pregnancy rate." "Reducing the stress in the IVF stimulation cycle may be one of the most difficult things for couples to accomplish. Some reports show that through the use of acupuncture and moxibustion and other stress relief techniques (such as participation in psychosomatic projects, stress relief and resilience training seminars).

Dr. Khan said, "Smoking significantly reduces the chances of success in IVF because it affects the quality of eggs and sperm

But you don't have to do it yourself.

Quitting smoking is not an easy task and usually requires a lot of personal and professional support. Please try to involve your friends and family and encourage them to participate in quitting smoking. For quitting smoking, it has been proven that quitting smoking, structured planning, and/or medication assistance can achieve maximum success, "said Dr. Fei.

6. Consider taking supplements. Dr. Fino said, "Dehydroepiandrosterone and coenzyme Q10 are some supplements related to increased egg quantity and quality, which have shown some hope." "Talk to your doctor and see if he or she recommends it to you

Dr. Khan added that multiple vitamins may also be helpful.

7. Ensure that you have sufficient levels of vitamin D. More than 40% of people lack vitamin D, and data is constantly emerging on its relationship with infertility and worsening in vitro fertilization outcomes, "said Tarun Jain, medical director of Northwestern Medicine's Oakbrook Terrace Medicine. Please have your doctor check your vitamin D levels and consider taking vitamin D supplements

8. Focus on persistence and patience. Many patients require more than one IVF cycle to obtain embryos for transfer, and the results of each cycle may vary greatly, "said Shannon DeVore, MD, Nylangone Fertility Center

If your first cycle is not successful, your doctor may adjust medication to optimize subsequent medications. Other times, this simply means sticking to it. Don't be discouraged by suboptimal results and setbacks - you will do everything well. The most important thing to remember is that most (or all) Everything is beyond your control. No one likes to lack control, but sometimes letting go can help you endure the hassle of traveling. When things don't go smoothly, blame yourself. You are not alone, you often need an opportunity to start a family. “