Showing posts with label IVF. Show all posts
Showing posts with label IVF. Show all posts

Tuesday, June 21, 2011

IVF Use in America: State IVF Rates and Rankings (Map), by Abbie Waters

Here is an interesting article by Abbie Waters of Fertility Nation in IVF
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Americans love in vitro fertilization.

Despite the fact that IVF is expensive and most insurance plans don’t cover it, more than 50,000 American children a year are born using the procedure. That works out to more than 1 percent of US births annually!

The people of Washington D.C. use IVF more than any other state and almost twice as much as the second-ranked state (Massachusetts), while those in Maine, Montana, and Wyoming don’t use IVF treatments at all — at least in their home states.

Scroll down for the complete rankings.


Via: Fertility Nation

The United States of IVF: State IVF Rates and Rankings

Rank State Per Capita IVF Rate
For Every 100,000 People
1 Washington D.C. 227.1
2 Massachusetts 127.9
3 Maryland 98.3
4 New York 92.6
5 New Jersey 90.9
6 Connecticut 90.1
7 Illinois 67.4
8 Rhode Island 62.9
9 Delaware 58.1
10 Hawaii 55.4
11 California 44.1
12 Nevada 42.3
13 Colorado 40.5
14 Minnesota 37.0
15 Virginia 33.9
16 Washington 33.3
17 Florida 31.6
18 Kansas 31.4
19 Ohio 31.1
19 Utah 31.1
21 Texas 30.9
22 Pennsylvania 30.5
23 Michigan 29.5
24 Oregon 29.2
25 North Carolina 27.6
26 Nebraska 27.2
27 Arizona 27.1
28 Iowa 26.6
29 Missouri 26.1
30 Georgia 25.7
31 North Dakota 24.0
32 Indiana 22.9
33 South Dakota 22.1
34 Idaho 20.5
35 South Carolina 20.1
36 Louisiana 19.2
36 Vermont 19.2
38 Alabama 19.0
39 Wisconsin 18.1
40 Oklahoma 17.3
41 Alaska 16.0
42 Tennessee 15.7
43 New Hampshire 13.1
44 Arkansas 11.3
45 New Mexico 11.0
46 Mississippi 8.6
47 Kentucky 8.3
48 West Virginia 5.3
49 Maine* 0
49 Montana** 0
49 Wyoming** 0

* Maine had one fertility clinic fail to report its success rates.
** Montana and Wyoming have no fertility clinics.
States That Use IVF the Most
All of the top five and eight of the top ten states for IVF are located on the east coast (Washington D.C., Massachusetts, Maryland, New York, New Jersey, Connecticut, Rhode Island, and Delaware).

It’s also interesting that all of the top ten states have lower-than-average percentages of people without health insurance coverage (the national average was 15.8).


States That Use IVF the Least
The ten lowest-ranked states are spread over more regions, tend to be located in low-density states with low populations and low average household incomes.

This helps explain why so few IVF procedures are performed in these places. Because IVF treatments cost a lot of money out-of-pocket, people in these states can’t afford as many procedures as their top-ranked counterparts.

How I Created State IVF Rates and Rankings
Using 2008 data on fertility clinic success rates from the CDC and 2008 state populations from the US Census Bureau, I created per capita IVF rates for each state. Per capita IVF rates tell us how many IVF cycles were started in each state for every 100,000 people living there.

These statistics count the total number of IVF cycles started using a woman’s own fresh and frozen eggs. Some IVF cycles may include additional fertility treatments such as GIFT, ZIFT, ICSI, and blastocyst transfers.

These statistics don’t count IVF treatments that used donor eggs, nor do they indicate states’ IVF success rates (live birth rates).


Wednesday, May 11, 2011

Number of Eggs Retrieved Helps Predict IVF Success: Study - US News and World Report



 



WEDNESDAY, May 11 (HealthDay News) -- Retrieving about 15 eggs from a woman's ovaries in a single in vitro fertilization (IVF) cycle offers the best chance of achieving a live birth while avoiding complications from fertility medications, according to a new study.

Researchers analyzed more than 400,000 IVF cycles in the United Kingdom between 1991 and 2008 and found a strong association between live birth rates and the number of eggs retrieved in one cycle.

The live birth rate rose with an increasing number of eggs up to about 15, leveled off between 15 and 20 eggs, and declined steadily beyond 20 eggs.

The study appears online in the journal Human Reproduction. "Our data show that around 15 eggs may be the best number to aim for in an IVF cycle in order to maximize the chances of a live birth while minimizing the risk of ovarian hyperstimulation syndrome (OHSS), which is associated with a high number of eggs, usually over 20," Dr. Arri Coomarasamy, a clinical reader and consultant in reproductive medicine and surgery at the University of Birmingham, said in a journal news release.

"Mild stimulation protocols aim to retrieve less than six to eight eggs; a standard stimulation should aim for 10-15 eggs, and we believe this is what is associated with the best IVF outcomes," said Coomarasamy. "When the egg number exceeds 20, the risk of OHSS becomes high."

Ovarian hyperstimulation syndrome can occur when women are given hormone drugs to stimulate the production of eggs for collection for IVF cycles. Abdominal pain, swelling, nausea and vomiting often appear in mild or moderate OHSS. In rare, severe cases, OHSS can be a life-threatening medical emergency.




Tuesday, May 10, 2011

My Take: Catholic Church should reverse opposition to in vitro fertilization - CNN blog post

My Take: Catholic Church should reverse opposition to in vitro fertilization
 
 



 Editor's note: Sean Savage is coauthor of "Inconceivable: A Medical Mistake, the Baby We Couldn't Keep, and Our Choice to Deliver the Ultimate Gift" and a cradle Catholic who lives in Sylvania, Ohio, with his wife and three children.

 By Sean Savage, Special to CNN


According to the Roman Catholic Church, the only moral route to conceiving a child is through sexual intercourse. As a Catholic, I find the church's position to be discriminatory against couples who have medical conditions that prevent them from conceiving in that manner.

I never intended to challenge the church when my wife and I pursued in vitro fertilization in an effort to expand our family after a decade of unsuccessful infertility treatments. We loved our two boys and we'd always wanted a big family. After a successful IVF procedure in 2007 brought us our daughter in 2008, we tried again so that we could fulfill our commitment to give every embryo we created a chance at life.

When a fertility center made a critical error by transferring another couple's embryos to my wife, we were thrust into an unusual pregnancy and eventually found ourselves at the center of an intense media storm. On September 24, 2009, the day Carolyn gave birth to a very loved baby boy, who was immediately turned over to his genetic parents, the Catholic Diocese of Toledo released a statement to The Toledo Blade condemning IVF as "morally unacceptable."

Because we were the focus of the news, we felt as though the diocese was really condemning us.
The statement hurt Carolyn and me tremendously. We had hoped for the church's support and prayer on one of the hardest days we've ever faced.

Carolyn and I have always believed in our stewardship responsibilities to the church. I'd given thousands of hours over the years to coaching youth through my local parish, have raised funds for Catholic churches and schools and have given charitably to church causes. Carolyn had dedicated her career to teaching and working as a principal in Catholic schools.


Instead of support, the church branded us in a very public way with the apparently shameful letters IVF. Why couldn't the church recognize our journey for what it was - an affirmation of the sanctity of life? Their negative response motivated me to look closer at the issue.

I believe there is an ethical path a couple can take when pursuing IVF and I ask the Roman Catholic Church to consider adopting a new doctrine that provides moral guidance for Catholic couples on how to do so.
While I share many concerns with the Catholic Church about abuses within the science of IVF, I disagree with a number of points the church makes on the issue. The church spelled out its stance in Donum Vitae, a 1987 doctrine on biomedical issues released by the Congregation for the Doctrine of the Faith - an office then led by Cardinal Joseph Ratziner, who is now Pope Benedict XVI - and in 2008's Dignitas Personae, another influential church document.

The original doctrine states that "even if it (IVF) is considered in the context of 'de facto' existing sexual relations, the generation of the human person is deprived of its proper perfection; namely, that of being the result and fruit of a conjugal act." Dignitas Personae echoes this position by stating "human procreation is a personal act of a husband and wife, which is not capable of substitution."

I am personally opposed to the intentional destruction and discarding of unwanted embryos and understand why this is condemned by the church. But to state that a child born of IVF is less perfect than a child created through sexual intercourse is absurd. Is the church truly claiming that our beautiful and innocent daughter, conceived through an IVF procedure, is somehow "less" because of how her physical life began? In her, Carolyn and I see God's precious creation.

Of course, the creation of a child through a conjugal act is the preferred method because it is the most natural, least expensive and least stressful. But that shouldn't mean it should be the only acceptable route to conception.

What about Catholic men and women who have legitimate medical conditions, like endometriosis, which Carolyn has and which caused infertility despite efforts at surgical intervention?

Carolyn and I would have been happy to save thousands of dollars and a decade of emotional ups and downs by conceiving the "old-fashioned way," but that wasn't possible. We turn to medicine for a litany of medical maladies and impairments, but infertile Catholics are supposed to avoid treating a medical condition which prevents them from building or expanding their family?

Yes, adoption is a wonderful option for the couples who decide it's right for them, but adoption should never be forced on anyone.

The Donum Vitae doctrine also states that "in vitro fertilization is in itself illicit and in opposition to the dignity of procreation and of the conjugal union even when everything is done to avoid the death of the human embryo."

The term "illicit" has such a grave connotation and to use it in this context seems quite out of place. Should a couple that seeks a child through IVF, and that does so with a commitment to allow every embryo a chance at life, be considered to be participating in an illicit activity?

The most perplexing and pejorative language from Donum Vitae is that "marriage does not confer upon the spouses the right to have a child... the child has the right, as already mentioned to be the fruit of the specific act of the conjugal love of his parents and has the right to be respected as a person from the moment of conception."

Babies born of IVF are here because their parents loved, respected and longed for these children well before conception. These children could not get here through the conjugal love of their parents and it took a very deep love, respect, and commitment to pursue the medical treatment needed to conceive through IVF. There is no doubt in my mind that God is working through loving parents and ethical doctors to allow these children to come into this world.

Now for the ironic in Donum Vitae: "Scientists are to be encouraged to continue their research with the aim of preventing causes of sterility and of being able to remedy them so that sterile couples will be able to procreate in full respect for their own personal dignity and that of the child to be born."

So although there are solutions for sterile couples today, those should not be sought because they are outside of the conjugal act? If Carolyn and I were to wait until the scientific advances described in this statement before pursuing additional children, we would not have our daughter - or the opportunity to welcome two more children into this world this August.

If science can advance to the point that all procreation can happen within the confines of the conjugal act, that would be incredible. But what do couples do while waiting the years and probable decades before these advances come to fruition?

The challenge for the church is to see the beauty in the science and that there is a path within IVF that is worthy of God's grace and approval.

The church's presence in this field could help limit abuses and disregard for human life through advocacy, education, and support. Perhaps it could provide counselors as couples pursue IVF and face many technical and nuanced decisions. And maybe the church could help couples navigate even more complex situations, like embryo adoption.

Carolyn and I were victims of the worst IVF mistake on record. But we remain proponents of the science and understand the good that is done by God through ethical physicians in this industry. We value and support the sanctity of life, even if it's created with the help of IVF.

The opinions expressed in this commentary are solely those of Sean Savage.

Posted by: The Editors - CNN Belief Blog


Monday, October 4, 2010

In-vitro pioneer wins Nobel Prize

British physiologist Robert Edwards, whose work led to the birth of the first ''test-tube baby'' in 1978, is awarded the Nobel Prize for medicine and physiology. (01:44)

Wednesday, September 29, 2010

Egg Sharing: A better way to cheaper eggs? By Guest Blogger Sharon LaMothe

Although I am not an egg donation expert by any means, I would like to broach the subject of egg sharing. It's not a common situation however, with the cost of IVF and Egg Donation in general, more Intended Parents are looking at ways to cut back the costs of ART and egg sharing can be one way.

Sharon LaMothe, Infertility Answers, Inc.

Egg Sharing can be done when two Intended Parents/Couples like the same egg donor and want to share her egg donation. If she has a good track record of producing many eggs per medicated cycle or there is an agreement up front of how the split will be determined then it can work out to everyone's advantage. Because an egg donor does not get compensated per egg...just per donation, she is not compromised in anyway. The IP's will split all the costs regarding her fee, medication, egg retrieval, travel etc. The eggs then would be divided per the agreement and fertilized with each IP's sperm. Then following the protocol, the embryo transfer will take place per the RE's orders.

How do you find someone willing to share an egg donor? Talk to your clinic, if they have an in-house donation program. Tell the coordinator that you are interested in egg sharing and what you are looking for in a donor. She/he can put the word out to potential patients and see if anyone is also interested in the same type of donor. This same conversation can be had with the egg donation agency. Some agencies do not advocate shared donations. Its best to know that before you sign on with them so all the options are open. (I would like to note that a couple going through IVF with more then enough eggs for themselves maybe open to "donating" the extra eggs in return for the retrieval procedure or other costs covered by the recipient couple. This is something else that can be discussed with your Doctor.)

One issue to consider is the emotional aspect. How would one party feel if the other did not conceive? Or should that information be shared in the first place? When considering the costs of IVF and ART in general, Egg Sharing may be one of the less costly solutions.
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Sharon LaMothe has been in the Infertility Industry since 1998 when she signed her first Gestational Surrogacy contract. She subsequently gave birth to twin girls and in 2000 was invited to join a FL law firm recruiting & managing surrogacy arrangements. After leaving the legal arena in 2003, Sharon then co-owned and operated Surrogacy Consultants of Florida, LLC, the first successful independent surrogacy agency in Florida. Sharon participates on many advisory boards well as being a member of the American Society of Reproductive Medicine. In January 2005 Sharon once again became a Gestational Carrier and gave birth to girl/boy twins for a same sex New York couple using Donor Eggs. She is currently the owner of Infertility Answers, Inc. & the Creator of Surrogacy 101. Sharon is also the Owner of LaMothe Services, LLC http://lamotheservices.com, an Assisted Reproductive Technology business solutions service. Sharon currently guides couples who need more information regarding their Third Party Family Options. You may follow Sharon on Twitter http://twitter.com/SharonLaMothe


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 Please note:
Heartfelt Egg Donation, LLC does not coordinate shared Egg Donation Cycles at this time. 
 

Sunday, April 25, 2010

NIAW Day 2 - Take Charge of your fertiliy: Design a plan

It's Day 2 of National Infertility Awareness Week. Resolve, The National Infertility Association can help and point you in the right direction for moving forward regarding your family building options. They are a tremendous resource and provide insurance information, options, and support.

Design A Plan (As provided by RESOLVE, The National Infertility Association):

If you or a loved one is struggling with infertility, you need to know that there are many roads one can take. Visit resolve.org to learn more about the family building options listed below. 

Medical Treatment
Medical treatment options include drug therapy, surgical procedures, intrauterine insemination (IUI), in vitro fertilization (IVF) and surgical techniques. Get the facts. 

Adoption
Adoption can take many forms: domestic or international; closed or open; private or public. If you are considering adoption as a family building option, learn all you can to make the decision that's right for you.

Donor Options
Many options exist today for couples who are facing infertility and one or both partners is unable to have a genetically-related child. Learn more about donor egg, donor sperm and donor embryo here. 

Surrogacy
Sharing a pregnancy with a surrogate or gestational carrier may be the right option for you if involvement with the pregnancy, prenatal care, genetics and being present for the birth of the child are important. 


Childfree 
Choosing to live childfree is a way to resolve your infertility. When couples experiencing infertility move through the grief over not having a pregnancy or a biologically linked child, it's an opening into a world of possibilities. 

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NIAW Homepage