Managing your fertility with IVF

Factors that may influence your chances for a successful IVF cycle

For most fertile couples trying to conceive, there is about a 15% to 25% chance of becoming pregnant in each ovulatory cycle.a For patients with fertility issues, in vitro fertilization (IVF) may help achieve similar pregnancy rates per cycle. Below are some resources you can use to help increase those chances.

aData from WebMD.com.

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Fertility clinic information

The Society for Assisted Reproductive Technology’s (SART) website provides useful information about specific clinics, which can help you make a more informed choice about the clinic that’s right for you.

There are several important factors to consider before choosing the right clinic and fertility specialist for you. You can find helpful information on our Reproductive Endocrinologist finder and our 10 factors to consider when choosing an IVF clinic.

Preimplantation genetic testing

Embryos can be tested for genetic abnormalities before they are transferred, such as:

  • A gain or loss of chromosome(s)
  • Chromosome rearrangements (called translocations)
  • Gene(s) that may produce a specific disease

Genetic testing may help a physician choose a better embryo(s) to transfer. This may improve the chance for successful implantation, though it does not guarantee a pregnancy. You can learn more about new ART-associated technologies that may impact IVF outcomes here.

If you are interested in

preimplantation genetic diagnosis (PGD)
a screening test used to determine if specific genetic or chromosomal disorders are present in embryos.
PGD
or
preimplantation genetic screening (PGS)
a test used to screen embryos for chromosome abnormalities.
PGS
, you should consult with a fertility specialist to decide if such testing is right for you and your IVF treatment plan.

Embryos may be affected by age. Learn more.

Multiple cycles of IVF

If you had a previous IVF cycle and it was unsuccessful, there’s still a chance your next IVF cycle could end in success.

The ART national summary report shows that women who previously had 1 or more unsuccessful ART cycles can find success in a subsequent cycle.

There are studies that show going through a second and third cycle may increase your chance of a successful outcome. One study of almost 1000 women aged 21 to 40 with an average age of 32.5 years going through IVF treatment showed that women who underwent 3 fresh IVF/ICSI cycles, including subsequent frozen-thawed cycles, had a 63% cumulative live birth rate. This rate is higher than the rate for those who went through only 1 or 2 cycles.

Egg freezing

Egg freezing is an option that allows a woman to preserve her ability to have a child in the future. Egg freezing typically works best for women in their 20s to early 30s, and is not usually recommended for women over 38 yearsb.

In many ways, the process of preserving fertility through egg freezing is similar to traditional IVF. However, once the eggs are retrieved, they are frozen instead of combined with sperm and implanted back into the patient.

There are many egg banking facilities capable of freezing and thawing eggs. Speak with your reproductive endocrinologist for more information.

bData from ASRM.org.