Factors influencing success rate of IVF/ET:analysis of 770 treatment cycles

摘要

Objective: To evaluate the factors influencing success ra te of in vitro fertilization /embryo transfer(IVF/ET).Methods: A retrospective study of 770 consecutive cycles under gone IVF/ET or intracytoplasmic sperm injection (ICSI) from March 1999 to June 2 001.Estradiol and progesterone concentrations on the day of hCG administration w ere measured. Factors effecting embryo transfer on the effects of clinical pregn ancy rate were evaluated.Results: The overall clinical pregnancy rate in 770 cycles was 40.8%. Take home baby rate was 31%. No significantly differences rate were obse rved between groups with different estradiol levels.If the progesterone concentr ation on the day of hCG administration was >6.36 nmol/L, the implantation and cl inical pregnancy rate was lower(P<0.003). The lowest clinical pregnancy rat e was observed when the duration of infertility was ≥10 years. The average numb er of embryos transferred was 2.23±0.83.Conclusion: This study demonstrated that the most important fac tor on clinical pregnancy rate was low progesterone concentration on the day of hCG administration. The other two important variables influencing success rate o f IVF/ET were the duration of infertility, the number of high-grade embryos tra nsferred.