Advanced Fertility Center of Chicago Blog

Age and female fertility and waiting to have babies

• A recent report on the average age at first childbirth from the CDC’s National Center for Health Statistics showed that as of 2006, women in the US waited an average of 3.6 years longer to have their first baby, as compared to 1970.

• There is not enough discussion in our society about the effect of age on fertility.

• Women’s liberation is a good thing and women have made very significant advances over the past 40 years. Many women are pursuing advanced education and careers.

• However, there is a potential “disconnect” involved. Women are waiting longer to have children – but many are not educated about what that delay can do to their fertility.

These days, many couples try to have their first child when the woman is in her mid-to-late 30s. Some will get pregnant easily, and others end up needing fertility treatments. (continue reading…)

Octomom and IVF – before June of 2008

• In June of 2008, Nadya Suleman was a single, unemployed mother of 6 children
• According to reports, she was receiving some “public assistance”
• All six of her children were reportedly conceived through in vitro fertilization
• All 6 kids were under 7 years old, including 2 year old twins

Then, she does IVF again

• In June of 2008, her IVF doctor transferred 6 frozen-thawed embryos to her uterus.
• Apparently, all six embryos survived – and 2 split into identical twins – so she ended up with eight fetuses growing in her uterus.
• Nadya declined having a fetal reduction procedure. Reduction can be done to selectively reduce the number of fetuses.
• The vast majority octuplet pregnancies would be expected to result in death of all fetuses after a severely premature birth.
• In her case the pregnancy progressed to viability. All 8 babies were born (prematurely) in January of 2009.
• This is apparently only the second living set of octuplets ever born in the United States.

Public debate rages

• Is she a fit mother?
• Should the fertility specialist have been willing to treat her at all?
• How many embryos should the doctor have transferred to her uterus?
• Should a physician that transfers that many embryos to a 33-year-old be sanctioned – or even lose his medical license?
• Why doesn’t the government pass laws to control fertility doctors?

(continue reading…)

The Centers for Disease Control and Prevention, a US government agency, has just released a preliminary version of its 2007 Assisted Reproductive Technology (ART) Report. It expects to release the final version in December.

The Society for Assisted Reproductive Technology (SART) released its version of the report on 2007 IVF cycles several months ago. However, clinics are not required by law to report to SART. They are required to report to the CDC. Therefore, the CDC report shows success rates for more clinics than the SART report does.

The CDC report covers data from 430 fertility clinics. Over 142,000 assisted reproductive technology (or IVF) cycles were done at these “reporting clinics”.

There were (as always) some fertility clinics that broke federal law and refused to report their data. These IVF clinics are referred to as “non-reporting clinics”. If fertility doctors will go so far as to break federal law to keep their IVF outcome statistics from the public – those “non-reporting clinics” most likely have very low success rates.

Before you choose a fertility clinic for IVF – check success rates.

Links to both the CDC and the SART IVF success rate reports

See our IVF success rates

Learn about blastocyst transfer

Couples with infertility often need IVF to get pregnant.

What should they know about IVF clinic success rates?

• An interesting and unusual aspect of IVF is that there is a definitive outcome for each procedure.
• When an IVF cycle is done there is a baby born from it – or there is not. Therefore, keeping track of (and comparing) IVF live birth success rates is very straightforward.
• Medical treatments in general rarely have such “black and white” outcomes.
• Another unique aspect of IVF is that (in the US) all IVF clinics are required by federal law to report their in vitro fertilization success rates annually to the government. The CDC, a US government agency produces a report called the “Assisted Reproductive Technology (ART) Report” detailing IVF success rates for all individual clinics.
• This report is commonly called the CDC IVF success rate report. It is released to the public on the web every year (usually in December or January).
• Another useful report, the SART report (Society for Assisted Reproductive Technology), is very similar to the CDC report – and it is released about a year earlier. However, clinics are not required by law to report to SART – so some clinics are not listed there.
• These 2 annual reports allow consumers to view and compare IVF success rates for reputable fertility clinics.

(continue reading…)