TY - JOUR
T1 - Couples offered free assisted reproduction treatment have a very high chance of achieving a live birth within 4 years
AU - Lande, Yechezkel
AU - Seidman, Daniel S.
AU - Maman, Ettie
AU - Baum, Micha
AU - Dor, Jehoshua
AU - Hourvitz, Ariel
PY - 2011/2
Y1 - 2011/2
N2 - Objective: To assess the long-term success rate among couples with primary infertility offered unrestricted, free in vitro fertilization (IVF) treatments. Design: Historical prospective cohort study. Setting: University-based tertiary medical center with unlimited coverage of IVF for couples' first two children. Patient(s): Women aged <35 years, with primary infertility, referred for their first IVF treatment to the Sheba Medical Center IVF unit between 2001 and 2002. Intervention(s): Relevant data were obtained from patient files and supplemented by a standardized telephone questionnaire. Main Outcome Measure(s): Pregnancies, live births, adoptions, divorces, and discontinuations of further treatment. Result(s): During the 5- to 7-year follow-up period, 95.5% of couples conceived, and 89.6% of couples gave birth to a live infant. Of these couples, 81.3% achieved a live birth within the first 4 years of the follow-up period, and 85.1% within eight treatment cycles. Of the 14 couples (10.4%) who did not give birth to a live infant, five adopted, two divorced, four are still undergoing IVF treatments, and three (1.8%) decided not to become parents. Conclusion(s): Young couples beginning IVF treatment in an environment free of economic hurdles can be reassured that they have an excellent chance (∼90%) of achieving a live birth within 4 years. When IVF is provided free of cost, very few couples discontinue treatment before a live birth is achieved.
AB - Objective: To assess the long-term success rate among couples with primary infertility offered unrestricted, free in vitro fertilization (IVF) treatments. Design: Historical prospective cohort study. Setting: University-based tertiary medical center with unlimited coverage of IVF for couples' first two children. Patient(s): Women aged <35 years, with primary infertility, referred for their first IVF treatment to the Sheba Medical Center IVF unit between 2001 and 2002. Intervention(s): Relevant data were obtained from patient files and supplemented by a standardized telephone questionnaire. Main Outcome Measure(s): Pregnancies, live births, adoptions, divorces, and discontinuations of further treatment. Result(s): During the 5- to 7-year follow-up period, 95.5% of couples conceived, and 89.6% of couples gave birth to a live infant. Of these couples, 81.3% achieved a live birth within the first 4 years of the follow-up period, and 85.1% within eight treatment cycles. Of the 14 couples (10.4%) who did not give birth to a live infant, five adopted, two divorced, four are still undergoing IVF treatments, and three (1.8%) decided not to become parents. Conclusion(s): Young couples beginning IVF treatment in an environment free of economic hurdles can be reassured that they have an excellent chance (∼90%) of achieving a live birth within 4 years. When IVF is provided free of cost, very few couples discontinue treatment before a live birth is achieved.
KW - Cost-free cycles
KW - IVF
KW - live birth rate
KW - long-term follow-up
UR - http://www.scopus.com/inward/record.url?scp=78751574339&partnerID=8YFLogxK
U2 - 10.1016/j.fertnstert.2010.06.005
DO - 10.1016/j.fertnstert.2010.06.005
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C2 - 20643401
AN - SCOPUS:78751574339
SN - 0015-0282
VL - 95
SP - 568
EP - 572
JO - Fertility and Sterility
JF - Fertility and Sterility
IS - 2
ER -