Success Rate Resources:
With 30 years of experience diagnosing and treating infertility, The Utah Center for Reproductive Medicine is a national leader in infertility care. Our success rates are as important to us as they are to our patients. In 2012, there were 370 clinics performing in vitro fertilization. The Utah Center for Reproductive Medicine (UCRM) remains one of the select IVF clinics in the United States with success rates that far exceed the national average, particularly in light of the complexity of the cases we treat.
There are many factors that that affect success rates from clinic to clinic. Two important factors for women undergoing IVF using their own eggs are the age of the woman and testing that gives us further insight into ovarian reserve (eggs available). Success rates decline as ovarian reserve diminishes with age. Additionally, diminished ovarian reserve can occur in younger women. A number of treatment options can be considered in cases having diminished ovarian reserve. While the data reported does differentiate success rates by age, it does not differentiate success rates between patients with normal compared to diminished ovarian reserve. We feel patients are able to make the best informed decisions regarding treatment by understanding their ovarian reserve. The Utah Center for Reproductive Medicine continues to be a leader in IVF success for both patients with normal and diminished ovarian reserve.
Figure 1: 2011 Pregnancy and live birth rate in UCRM per patient prognosis.
|Good prognosis patient||Patient age||<35||35-37||38-40||41-42||42 or more|
|Live birth rate||60%||46%||50%||0/4||0/2|
|Patient with low ovarian reserve*||Pregnancy rate||53%||43%||53%||1/2||0/0|
|Live birth rate||30%||43%||33%||0/2||0/0|
|* Patients with low ovarian reserve defined as needing gonadotropins dose in the upper 75th percentile (These patients needed high dose medication because of low ovarian reserve).|
The graphic displayed shows overall delivery rates per transfer for those with normal as well as diminished ovarian reserve (Figure 1). As seen, diminished ovarian reserve reduces the overall chances for success and depending on the mix of normal and diminished ovarian reserve patients in a given year the overall success rates can vary substantially (over 25 percentage points). We also allow patients to determine when and if they cancel a cycle in order to utilize their finances in the manner they feel is most advantageous to their goal.
Figure 2: Success Rates in Frozen Embryo Transfer cycles from Vitrification
|Freeze Type||Patent age||All Ages|
|Live Birth Rate||65%|
Programs like ours, with a long history of patient care, have large volumes of embryos frozen using techniques that were state of the art five to 15 years ago but now are known to be less effective than current vitrification techniques. Thus, we have provided current success rates for vitrification cycles for your review (Figure 2).
While success rates are an important factor in considering a fertility specialist, we also believe that the satisfaction of our patients, whatever the outcome of their fertility treatment, is equally important. We strive to deliver the best individual treatment plan and personalized care to all of our patients. The University of Utah’s health care system has been ranked in the top 10 of university health care organizations for the last three years. Additionally, we recently chose to publish all patient satisfaction comments to indicate our commitment to providing evidence-based, compassionate and cost effective care. Our first delivery is hope—in a friendly, professional, caring, evidence-based, time sensitive, convenient and cost effective manner.
Disclaimer: Our success rates may not contain all the information that a woman or couple needs to decide which ART clinic or procedure is best for their treatment. A comparison of clinic success rates may not be meaningful because patient medical characteristics, treatment approaches and entrance criteria for ART may vary from clinic to clinic.
In Vitro Fertilization Helps Couple Become a Family
Melissa and Sam Olson always wanted children. However, their attempts to conceive had been unsuccessful due to a condition called endometriosis which affected Melissa’s reproductive organs. Melissa found about her condition soon after marrying Sam, but she was still hopeful that one day she would be able to have a child. After struggling to conceive naturally, the Olson’s turned to University of Utah Health Care’s Center for Reproductive Medicine for help conceiving in September of 2009. “We consulted a few places about in vitro fertilization but we decided on the U because of the professionalism of the staff and the amazing access to resources.” After a successful surgery by Dr. Matthew Peterson to clear some of the damage caused by endometriosis, Melissa began in vitro fertilization.
Her first implementation resulted in a miscarriage, but Dr. Peterson did not let her lose hope. “I was pretty devastated when I miscarried and saw it as a sign that I wasn’t ever going to have kids. Dr. Peterson was always extremely positive and you could tell he really wanted what was best for us. He was very professional while at the same time being very personal.” After a second in vitro in which Dr. Peterson implanted two embryos, one took. That one embryo then split, resulting in identical twin girls.
“After a person conceives using in vitro, the doctor usually just sends the patient to the OB/GYN and moves on, but Dr. Peterson called me twice during my pregnancy to make sure everything was going smoothly. That kind of care doesn’t happen everywhere.”
Melissa gave birth to healthy, twin girls, Kate and Lauren, in December of 2010. “I know not everyone is lucky enough to have in vitro work but based on the care I received at the U of U, I could have accepted leaving with no children because I knew that I had the best medical care that could be provided.”
For the Olson’s life with their twins is a dream come true. “My girls are beautiful and I am so grateful to have them in my life. I wasn’t sure I was ever going to be able to have children so to have them is just a blessing.” Melissa credits Dr. Peterson and her “group of superstar staffers” for the positive experience she had at the U. “I had such a positive experience even though I was going through something so challenging.”