Understanding success rates

Different clinics report success in different ways. We use the chance of a baby from a single treatment cycle.  This is also the preferred way to report results for the New Zealand consumer group, fertilityNZ and SART (the Society for Assisted Reproductive Technology) in the United States

For IVF, this includes using both fresh and frozen embryos from a single egg collection.  Over half our births from IVF in younger women come from using frozen embryos. 

When selecting a clinic, it’s important to check what measure they use when reporting their success rates. Many use ‘clinical pregnancy per embryo transfer’, which excludes:

  • People who do not have any eggs
  • People whose eggs don’t fertilise
  • Pregnancy loss or miscarriage

Clinical pregnancy rate per transfer can also be increased by transferring more than one embryo at a time, which carries the risks and complications of twins and even triplets to the mother and children.

Our booklet Pathway to a Child has comprehensive information on the chance of success with IVF and other treatments. 

Here are our most recent results for a single IVF egg collection cycle.  It covers all women having an egg collection, including those who did not get any eggs, those whose eggs didn’t fertilise and those whose pregnancy sadly miscarried.

The figure above is based on all egg collections at Fertility Associates clinics over the last three years for which we have birth results

Overall, IVF gives about twice the chance of pregnancy per treatment than nature gives for fertile people of the same age per month. This is because IVF compresses several months’ worth of eggs into one treatment cycle.

DR JOHN PEEK, GENERAL MANAGER, QUALITY, INFORMATION, SCIENCE

Your personalised chance of success

It is your personal chance of success per treatment that is important. The major factors contributing to individual success are:

  • The woman’s age at egg collection
  • The number of eggs collected

If you are using an egg donor, it is the donor’s age that matters. When using frozen embryos, it is your age when the embryos were created.

 

The numbers you are likely to have in an IVF cycle can be estimated from the level of a hormone called AMH (Anti Mullerian Hormone). Our doctors customise the dose of medications and the type of ovarian stimulation based on your age, AMH level, and other information from your medical history. Having 5-10 eggs gives about twice the chance compared to having 1-2 eggs. However, having more than 10 eggs only adds a small extra benefit.

The chance is very similar whether it is your 1st, 2nd or 3rd cycle, unless some major problem or issue shows up in the first cycle.

How do we compare?

Fertility Associates has excellent success rates.  The Australian Reproductive Technology Accreditation Committee (RTAC) suggests clinics present results as birth rates per embryo transfer to allow easier comparison between clinics.

Here are our most recent results.  Keep in mind that not everyone will have an embryo suitable for transfer.  On the other hand, many people will be able to have two or more embryo transfers from a single IVF egg collection cycle. 

Birth rates are slightly higher when using fresh embryos - a fresh transfer always uses the best embryo, while thawed transfers use the next best embryo(s). 

In nearly all our embryo transfers, only one embryo is transferred at a time to optimise the mother’s and child’s safety.  ‘One at a time’ maximises your overall chance of a baby and your safety. These results are ‘every day results’ – they exclude techniques that lift birth rates per transfer further such as using donor eggs or PGS.

 

Fertility Cover

Many clinics make promises, but we put ourselves on the line with our Fertility Cover programme.

We are the only clinic in Australia and New Zealand that does this.

Just like nature, fertility treatment may take some time to achieve success. The chance of having a child after 1, 2, 3 or more cycles is called a cumulative pregnancy rate.

Our Fertility Cover programme gives you 3 chances to have a baby, with a 70% refund if you are unsuccessful. The programme has been going for 5 years, with 85% of people starting Fertility Cover having a baby.

About 85% of patients aged 39 or younger are eligible for our Fertility Cover programme.

 

 

Meet the team