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Transferring just one embryo doubles IVF success

06 November 2017

By Helen Robertson

Appeared in BioNews 925

Using just one embryo during IVF results in a much higher chance of a healthy pregnancy and birth, according to a study presented at the annual meeting of the American Society for Reproductive Medicine.

The study by scientists at the University of Colorado and Duke University, found that there was twice the likelihood of success if just one embryo was used, after controlling for other factors that influence IVF.

'The most impressive finding that has relevance for all patients undergoing IVF is that performing the transfer with one embryo greatly increases the chance of a healthy baby, the desired objective in IVF,' said Dr Alex Polotsky of CU Advanced Reproductive Medicine, who led the study.

The researchers examined data reported to the Society for Assisted Reproductive Technology from 30,000 patients in the USA who underwent IVF using donor eggs between 2012 and 2014.

The most significant finding was that double and triple embryo transfers were much more prevalent among cycles using fresh eggs, which led to a higher incidence of multiple pregnancies. It is well known that multiple births can be associated with complications for the mother and the child – including premature birth and low birth weight.

The study was also the first to compare success rates of IVF using fresh and frozen eggs. Although implantation rates of embryos were slightly better using fresh donor eggs, there was no difference in the chance of a healthy birth using either fresh or frozen eggs.

In traditional IVF using fresh eggs, the donor egg is immediately fertilised and inserted into the uterus of the recipient. For this to result in successful implantation, the hormonal schedule of the egg donor and the recipient need to be aligned.

Using frozen donor eggs offers a cheaper and more convenient way of carrying out fertility treatment. The practice of freezing eggs and cryogenically storing them for use in IVF is becoming increasingly popular.

Irrespective of the source of the donor egg, the most important factor identified as resulting in a healthy pregnancy and birth was to transfer one, instead of multiple, embryos.

'We encourage patients and physicians alike to set their focus on the horizon of achieving a healthy birth outcome. Just achieving a pregnancy is not sufficient,' said Dr Polotsky.

RELATED ARTICLES FROM THE BIONEWS ARCHIVE

11 December 2017 - by Eleanor Taylor 
Despite concerted efforts to reduce the stigma surrounding fertility struggles, there still appears to be a 'facelessness' to this incredibly common issue, which suggests that fertility is still very much a taboo subject...

04 September 2017 - by Anna Leida 
A new imaging technique can help assess the quality of early-stage embryos...
09 January 2017 - by Ayala Ochert 
Implanting two embryos can reduce IVF success by a quarter if one of the embryos is of poorer quality, new research suggests...
21 November 2016 - by Antony Blackburn-Starza 
An online calculator that can estimate the cumulative success rate of IVF over multiple cycles has been released...
15 August 2016 - by Dr Barbara Kramarz 
Women with polycystic ovary syndrome who undergo IVF using frozen embryos are more likely to have successful pregnancies than those using fresh embryos, a study suggests...

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