Treatment of patients with long-standing unexplained subfertility with in vitro fertilization
- PMID: 10685539
- DOI: 10.1016/s0015-0282(99)00518-x
Treatment of patients with long-standing unexplained subfertility with in vitro fertilization
Abstract
Objective: To evaluate whether IVF is an effective treatment for long-standing unexplained subfertility.
Design: Retrospective cohort study.
Setting: Tertiary care infertility center in a university hospital.
Patient(s): Two hundred two couples with unexplained subfertility of 2 years' duration or more who attended the center for their first IVF attempt.
Intervention(s): Couples were placed on a waiting list for IVF. They received no treatment until IVF was started.
Main outcome measure(s): Pregnancy rate (PR) while on the waiting list and PR after IVF treatment.
Result(s): Complete data sets were available for 131 couples. Seventeen of 131 women became pregnant while waiting for IVF treatment (PR 0.9% per exposure cycle), whereas 45 of 119 receiving IVF treatment became pregnant (PR 17% per IVF attempt).
Conclusion(s): IVF treatment has substantial added value over waiting and is an efficient treatment for long-standing unexplained subfertility.
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