Over the past 28 years, the ART Fertility Program of Alabama has helped bring more than 9,000 babies to joyful parents.
This record makes our Program the largest and most experienced Program for assisted reproductive technology and infertility care in the state. We are well known for our consistently high success rates in assisted reproductive technology procedures. The success rates include patients with a high chance for success who tend to be younger females with good ovarian reserve, to couples with a lower chance of success ~ those with decreased ovarian reserve and/or advanced age. We also offer couples the opportunity to decrease the chance of a high-risk, high order pregnancy (triplets or greater). With the use of blastocyst culture, we rarely transfer more than two embryos to women under age 35 and yet have very high pregnancy rates. We follow the current ASRM guidelines for the number of embryos to transfer. Every couple has a goal of having a healthy pregnancy and baby. Even a twin pregnancy may have risks; primarily the risk of prematurity.
Although many infertility patients would be pleased with a twin pregnancy, some do not want to take the risk and desire a singleton pregnancy. Through our blastocyst culture program, we have offered 175 couples, who are candidates, the opportunity for a single-embryo transfer. Eighty-four accepted and 74% are ongoing or have delivered. The choice is up to the couple based on their desires after receiving counseling regarding outcome data. In these cycles, there would also be embryos cryopreserved from that cycle for a later attempt for pregnancy. When reviewing success rates, a couple should be aware there are tests which can help them determine in which group (high or low success) they belong. Tests for ovarian reserve will be performed before they proceed to IVF and include day 3 FSH-C levels, antral count and/or anti-mullerian hormone levels.
Success rates from IVF programs are reported to SART (Society for Assisted Reproductive Technology). Each program may have different types of patients. The results are separated by age alone (these are the only subsets in the data). The age of a woman significantly determines the chances of success with any fertility treatment. For most women, after age 30, pregnancy rates per procedure or cycle begin to decrease. Infertility rates increase with age as do miscarriage rates. The chance to conceive and deliver a baby rapidly decreases after age 40. Couples need to be careful when comparing program results by age alone as they may be misleading. Each couple should meet with their physician to discuss their unique situation to estimate their results from our Program data.