The Risks and Successful Rate Associated With In Vitro Fertilization
Ovary stimulation carries the risk of hyper-stimulation, where the ovaries become swollen and painful.
This condition, €Ovarian Hyper stimulation Syndrome€, is usually rare, mild, and involves the following potential side affects: nausea, vomiting, lack of appetite, or a feeling of being bloated. More severe symptoms that occur in 1% of cases, include the following:
Severe abdominal pain
Severe nausea or vomiting
Decreased urinary frequency
Dark-colored urine
Shortness of breath
Ten pound weight gain within three to five days
Egg retrieval and the use of laparoscopy carry the typical risks associated with receiving anesthesia. Additionally, there is a slight risk of bleeding, infection, and damage to the bowel, bladder, or blood vessel. Less than 1 patient in 1,000 will require surgery to repair damage caused during the egg retrieval process.
The chance of a multiples pregnancy is increased in all assisted reproductive procedures. There are additional risks and concerns related to multiples during pregnancy including the increased risk of premature delivery. Assisted reproductive technology (ART) involves a significant physical, financial, and emotional commitment on the part of a couple. Psychological stress and emotional problems are common, especially if IVF is unsuccessful.
The success rate of IVF clinics depends on a number of factors including patient characteristics and treatment approaches. It is also important to understand that pregnancy rates are not the same as live birth rates.
In the United States, the live birth rate for each IVF cycle started is approximately:
30 to 35% for women under age 35
25% for women ages 35 to 37
15 to 20% for women ages 38 to 40
6 to 10% for women ages over 40
The success rates of individual clinics are published on the web site of the Centers for Disease Control and Prevention.
When comparing success rates of different clinics, it is important to know what type of pregnancies are being compared. A chemical pregnancy is one confirmed by blood or urine tests, but in a clinical pregnancy where pregnancies are typically verified through ultrasound, a miscarriage may occur before the pregnancy can be confirmed. After a clinical pregnancy has been verified, a miscarriage may still occur, but it is less likely.
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