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2006
delivery success*
* A comparison
of clinic success rates may not be meaningful because patient
medical characteristics and treatment approaches vary from clinic to
clinic.
How to understand success rates?
Although breaking down success by age has become a
standard in fertility statistics, it is by no means the most
important parameter. Dr. Navot, the founder of the Fertility
Institute has shown with his invention of the clomiphene challenge
test and establishment of the crucial link between FSH levels and
ovarian reserve, that FSH determines successful delivery rates,
above and beyond age , (The Lancet, 1987). Namely the higher
baseline FSH is, or the higher FSH rises subsequent to clomiphene (clomid)
stimulation, the less likely is the person to be able to conceive
and carry to term. While most fertility practitioners have adapted
FSH measurement, they use elevated levels to CANCELL IVF cycles. Dr.
Navot the discoverer of the link between FSH and Fertility
Potential, uses FSH to COUNSELL couples regarding their potential
success. While this
personalized care allows virtually all couples to go through
fertility treatment, it negatively affects IVF success rates. Simply
put, if only couples with the best prognosis are allowed to go
through IVF, astounding success rates can be achieved. Each couple
however, with 15% chance of success will "spoil" the
statistics for their age group in the program. We firmly believe
that it is not the fertility specialists place to deny that 15%
chance to a couple who is willing to keep fighting for a family,
despite a reduced chance of success.
The figure in this page illustrates also delivery success in cycles
with cryopreservation
and egg donation.
While
frozen embryos
are rarely available in older women and those with a high FSH,
couples who are lucky enough to have frozen embryos, enjoy an
average of an additional
30-40%
delivery rate from a single cycle of egg retrieval. While overall
success is extremely dependent on patient selection, frozen thawed
embryos' implantation
and egg donation success
is reflective of and depends on the high quality of the Embryology
Laboratory and meticulous clinical practice.
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We
continue to achieve remarkable success rates in our IVF program,
despite the fact that we allow couples to go through IVF even with
an elevated FSH and few follicles. Likewise, our cancellation rate
is extremely low.*
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