Cumulative success rates following mild IVF in unselected infertile patients: a 3-year, single-centre cohort study

Reprod Biomed Online. 2014 May;28(5):572-81. doi: 10.1016/j.rbmo.2014.01.002. Epub 2014 Jan 24.


A 3-year, retrospective, single-centre cohort study was conducted in a private infertility centre to determine cumulative live birth rates (LBR) per scheduled oocyte retrieval following minimal ovarian stimulation/natural-cycle IVF in unselected infertile patients. A total of 727 consecutive infertile patients were analysed who underwent 2876 (median 4) cycles with scheduled oocyte retrieval from November 2008 to December 2011. Natural-cycle IVF or clomiphene-based minimal ovarian stimulation was coupled with single-embryo transfer and increased use of delayed vitrified-warmed blastocyst transfer. Main outcome measures were crude and expected age-specific cumulative LBR per scheduled oocyte retrieval. Crude cumulative LBR were 65%, 60%, 39%, 15% and 5% in patients aged 26-34, 35-37, 38-40, 41-42 and 43-44 years, respectively. No live births occurred in patients aged ⩾ 45 years. Dropout rates per cycle were 13-25%. Success rates gradually reached a plateau, with few additional live births after six cycles. Most of the expected success rate was reached within 6 months with almost maximal rates within 15 months of the first oocyte retrieval. Acceptable cumulative LBR are reached with an exclusive minimal ovarian stimulation/single-embryo transfer policy especially in patients aged <38 years but also in intermediate aged patients (38-40 years).

Keywords: cumulative live birth; in-vitro fertilization; minimal ovarian stimulation; natural-cycle IVF; poor responder; single-embryo transfer.

MeSH terms

  • Adult
  • Embryo Culture Techniques
  • Female
  • Fertilization in Vitro / statistics & numerical data*
  • Humans
  • Infertility / diagnosis
  • Infertility / epidemiology*
  • Infertility / therapy*
  • Male
  • Oocyte Retrieval
  • Ovulation Induction / methods
  • Pregnancy
  • Pregnancy Rate*
  • Retrospective Studies
  • Treatment Outcome