Natural cycle in vitro fertilization

Natural Cycle IVF is in vitro fertilisation (IVF) using either of the following procedures: Natural Cycle IVF is in vitro fertilisation (IVF) using either of the following procedures: The first baby conceived through this method of IVF was Louise Brown, the world's first 'test-tube baby.' However, as the field of infertility medicine progressed the protocol drifted from away from this method and began incorporating the use of fertility drugs to promote greater production of eggs during one cycle. The idea behind this was to increase the number of eggs a woman can produce per cycle, thus increasing their chance of producing an embryo that will result in a live birth. However, as this protocol to use more and more infertility drugs became the conventional IVF that we know today, many physicians began seeing the risks associated with conventional IVF. Dr. Osamu Kato, the founder of the Kato Ladies Clinic, spearheaded the movement to begin a more natural and mild protocols for IVF. With no hyperstimulation drugs, the treatment cycle relies on the spontaneous development of one follicle only and therefore the aspiration of only one egg from the follicle (it is possible however that the cycle can have more than one egg or no eggs). GnRH antagonists may still be given for ovulation suppression. In addition the patient will need to take hCG (as with other less invasive treatments such as ovulation monitoring and intrauterine insemination) to time egg collection as well as progesterone pessaries to supplement the body’s progesterone levels. Progesterone aids implantation and supports pregnancy in its early stages. It can be suitable for women who want to avoid ovarian stimulation or fertility drugs as a matter of choice, and for those for whom there may be no other choice, such as women at risk of hormone-related cancers. There is no suppression of the ovaries and associated menopausal symptoms and the treatment cycle is completed within a woman’s own menstrual cycle. There are no side-effects such as ovarian hyperstimulation syndrome (OHSS), bloating, mood changes or other concerns relating to ovarian stimulation. Due to the effect of ovarian stimulation drugs on the body, patients undergoing stimulation cannot pursue consecutive cycles of treatment and need to take 2–3 months break between treatment cycles. In contrast, natural cycle patients can repeat their treatment in consecutive cycles. As only one embryo is transferred in a natural cycle, there is virtually no risk of a multiple pregnancy. Furthermore, ovarian stimulation drugs are expensive and this means that the cost of each cycle is significantly less. The success rate per cycle is low compared to stimulated IVF. HFEA has estimated the live birth rate to be approximately 1.3% per IVF cycle using no hyperstimulation drugs for women aged between 40–42. There is also a small risk of spontaneous ovulation before egg collection. As a consequence, there is a need for a much larger number of cycles before achieving a live birth on average, in turn resulting in an average cost per live birth that is larger than with conventional IVF.

[ "Embryo transfer", "In vitro fertilisation", "Pregnancy rate", "natural cycle", "Oocyte" ]
Parent Topic
Child Topic
    No Parent Topic