Book contents
- Subfertility, Reproductive Endocrinology and Assisted Reproduction
- Subfertility, Reproductive Endocrinology and Assisted Reproduction
- Copyright page
- Contents
- Contributors
- Chapter 1 The Patient’s Perspective
- Chapter 2 Epidemiology of Infertility
- Chapter 3 Investigation of Male Infertility
- Chapter 4 Female Fertility
- Chapter 5 Unexplained Infertility
- Chapter 6 Overview of Management of Male Infertility
- Chapter 7 Semen Analysis and Sperm Function Tests
- Chapter 8 Assessment of Fallopian Tube Patency
- Chapter 9 Endometriosis
- Chapter 10 Congenital Uterine Abnormalities
- Chapter 11 Fibroids and Fertility
- Chapter 12 Tubal Factor Infertility and Tubal Surgery
- Chapter 13 Fertility and the Hypogonadal Male
- Chapter 14 Causes and Investigation of Ovarian Infertility
- Chapter 15 Ovulation Induction for Anovulatory Infertility
- Chapter 16 The Role of Regulation in Reproductive Medicine
- Chapter 17 Common Stimulation Regimens in Assisted Reproductive Technology
- Chapter 18 Oocyte Retrieval and Embryo Transfer
- Chapter 19 Gamete Preparation and Embryo Culture
- Chapter 20 Single Embryo Transfer
- Chapter 21 The Risks of Assisted Reproduction
- Chapter 22 Gamete and Embryo Cryopreservation
- Chapter 23 Quality Management in Reproductive Medicine
- Chapter 24 Early Pregnancy
- Chapter 25 Evaluation and Management of Recurrent Miscarriage
- Chapter 26 Sperm Retrieval
- Chapter 27 Preimplantation Genetic Testing
- Chapter 28 Adjuvant Treatment and Alternative Therapies to Improve Fertility
- Chapter 29 Male Fertility Preservation
- Chapter 30 Female Fertility Preservation
- Chapter 31 Donor Recruitment
- Chapter 32 Gamete Donation
- Chapter 33 Training Opportunities in Reproductive Medicine
- Index
- References
Chapter 20 - Single Embryo Transfer
Published online by Cambridge University Press: 03 June 2019
- Subfertility, Reproductive Endocrinology and Assisted Reproduction
- Subfertility, Reproductive Endocrinology and Assisted Reproduction
- Copyright page
- Contents
- Contributors
- Chapter 1 The Patient’s Perspective
- Chapter 2 Epidemiology of Infertility
- Chapter 3 Investigation of Male Infertility
- Chapter 4 Female Fertility
- Chapter 5 Unexplained Infertility
- Chapter 6 Overview of Management of Male Infertility
- Chapter 7 Semen Analysis and Sperm Function Tests
- Chapter 8 Assessment of Fallopian Tube Patency
- Chapter 9 Endometriosis
- Chapter 10 Congenital Uterine Abnormalities
- Chapter 11 Fibroids and Fertility
- Chapter 12 Tubal Factor Infertility and Tubal Surgery
- Chapter 13 Fertility and the Hypogonadal Male
- Chapter 14 Causes and Investigation of Ovarian Infertility
- Chapter 15 Ovulation Induction for Anovulatory Infertility
- Chapter 16 The Role of Regulation in Reproductive Medicine
- Chapter 17 Common Stimulation Regimens in Assisted Reproductive Technology
- Chapter 18 Oocyte Retrieval and Embryo Transfer
- Chapter 19 Gamete Preparation and Embryo Culture
- Chapter 20 Single Embryo Transfer
- Chapter 21 The Risks of Assisted Reproduction
- Chapter 22 Gamete and Embryo Cryopreservation
- Chapter 23 Quality Management in Reproductive Medicine
- Chapter 24 Early Pregnancy
- Chapter 25 Evaluation and Management of Recurrent Miscarriage
- Chapter 26 Sperm Retrieval
- Chapter 27 Preimplantation Genetic Testing
- Chapter 28 Adjuvant Treatment and Alternative Therapies to Improve Fertility
- Chapter 29 Male Fertility Preservation
- Chapter 30 Female Fertility Preservation
- Chapter 31 Donor Recruitment
- Chapter 32 Gamete Donation
- Chapter 33 Training Opportunities in Reproductive Medicine
- Index
- References
Summary
Worldwide 95% of the adults express their desire for a child. Between 8 and 12% of reproductive-aged couples worldwide have problems conceiving. The probable global average for infertility is estimated to affect 9% of women. In some regions of the world, the rates of infertility are much higher, reaching up to 30% in some populations [1]. Over the past decade, there has been a significant increase in the number of centres offering Assisted Reproduction Techniques (ART). The number of ART cycles performed worldwide has increased clearly over time: a 5–10% increase per annum. The International Committee for Monitoring Assisted Reproductive Technologies reported >1,251,881 procedures with ART in their World Report on Assisted Reproductive Technologies for 2007 [2]. This Committee yearly summarises the data collection set from 2,419 of 3,354 (72.1%) known ART clinics in 55 countries. In 2007, in the United Kingdom, availability of ART was estimated to have been at 766 cycles per million inhabitants. Availability of ART treatments varies by country from 12 (Guatemala) to 4,140 (Israel) treatments per million population. The latter is the result of substantial economic support for patients undergoing in vitro fertilisation (IVF). Australia, New Zealand, and European countries, especially northern Europe, also strongly support ART treatments. The overall worldwide delivery rate per fresh aspiration stood at 20.3% in 2007, ranging from 8% to 33%. For frozen-embryo transfer (FET), delivery rates were 18.4%, resulting in a cumulative delivery rate of 25.8%. In the United Kingdom in 2013, a delivery rate of 26% per cycle started was noted [3]. In Europe, the delivery rate after cycle of intrauterine insemination (IUI) with husband’s semen was 8.9% and 13.8% after IUI with donor semen [4].
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- Publisher: Cambridge University PressPrint publication year: 2019