Objective: The aim of this study is to assess the factors that affect IVF success in
women of critical ages of “38-40 years”.
Method: 468 women aged
38-40 years who were admitted for IVF between January 2013 to
December 2017 were enrolled in the study. Ovarian stimulation characteristics,
number of oocytes retrieved, number of embryos transferred and pregnancy rates
,cancellation rate ,live birth rate were analyzed.
Results: The overall
clinical pregnancy rate was 17.9% . Cancellation rate was 22.4%. The
miscarriage rate was 25% (21/84).The live birth rate was 13.4%
(63/468).Comparing the patients who did and did not achieve conception, we
found statistically meaningful differences in terms of antral follicular count,
retrieved oocyte count, number of embryos obtained, embryo count that was
transferred,. Logistic regression analysis showed that the following factors
were significantly related to higher pregnancy rates: number of embryos
transferred, HMG usage in the stimulation protocol, basal FSH and blastocyst
transfer.
Conclusions: The most important parameters which predict pregnancy in 38-40 year-old
women are the transfer of a high number of embryos, HMG usage in the
stimulation protocol, low basal FSH level and blastocyst transfer.
Birincil Dil | İngilizce |
---|---|
Konular | Sağlık Kurumları Yönetimi |
Bölüm | Cerrahi Tıp Bilimleri Araştırma Yazıları |
Yazarlar | |
Yayımlanma Tarihi | 28 Mart 2019 |
Kabul Tarihi | 26 Mart 2019 |
Yayımlandığı Sayı | Yıl 2019Cilt: 41 Sayı: 1 |