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Less Aggressive IVF Treats Infertility

Live Birth Rate Similar Over Time With 1 Embryo Transfer, With Fewer Multiple Births

Patient Resistance

In the U.S., only a handful of states mandate coverage for infertility treatment, meaning the vast majority of infertile couples pay for such treatments out-of-pocket.

Because per cycle costs are so steep, infertile couples seeking treatment have traditionally been willing to accept the risk of multiple births in order to maximize their chances of success in one try.

The American Society for Reproductive Medicine (ASRM) recommends that no more than two embryos be transferred per cycle in women who are 37 or younger with a good chance of achieving success with IVF.

ASRM president Steven Ory, MD, tells WebMD that single-embryo transfers are increasingly being performed, but there is still far to go.

Ory says whether patients are footing the bill or not, they tend to believe that their chance of success is strongly tied to the number of embryos transferred.

“The biggest complication of IVF is the high multiple pregnancy rate, and we are working very, very hard to get that down,” he says. “We regard single-embryo transfer as the ideal for women with a good chance of achieving a pregnancy.”




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