Is ICSI used only for couples diagnosed with male factor infertility? Figure 27

Figure 27 is a pie chart representing use of ICSI (intracytoplasmic sperm injection) in fresh–nondonor cycles among couples with and without diagnoses of male factor infertility, 2002. (Note: This is based on 45,334 cycles that used ICSI).

• ICSI use among couples diagnosed with male factor infertility, 55.9%
• ICSI use among couples without a diagnosis of male factor infertility, 44.1%

What are the success rates for couples with male factor infertility when ICSI is used? Figure 28

Figure 28 is a bar graph representing percentage of live births per retrieval for ART cycles using fresh nondonor eggs or embryos among couples diagnosed with male factor infertility who used IVF with ICSI (intracytoplasmic sperm injection) in comparison to IVF without ICSI, by woman’s age, 2002. (Note: Cycles using donor sperm and cycles using GIFT or ZIFT are excluded. The comparison group of IVF without ICSI includes couples with all diagnoses except male factor infertility.)

• Age <35 Live births per retrieval, IVF without ICSI 42.6%, IVF with ICSI 41.3%
• Age 35–37 Live births per retrieval, IVF without ICSI 37.0%, IVF with ICSI 35.2%
• Age 38–40 Live births per retrieval, IVF without ICSI 26.5%, IVF with ICSI 24.4%
• Age 41–42 Live births per retrieval, IVF without ICSI 15.3%, IVF with ICSI 11.7%
• Age >42 Live births per retrieval, IVF without ICSI 7.0%, IVF with ICSI 4.3%
   

What are the success rates for couples without a diagnosis of male factor infertility when ICSI is used? Figure 29

Figure 29 is a bar graph representing the percentage of live births per retrieval for ART cycles using fresh nondonor eggs or embryos among couples not diagnosed with male factor infertility, by use of ICSI (intracytoplasmic sperm injection) and woman’s age, 2002. (Note: Cycles using GIFT and ZIFT are excluded.)

• Age <35 Live births per retrieval, IVF without ICSI 42.6%, IVF with ICSI 37.5%
• Age 35–37 Live births per retrieval, IVF without ICSI 37.0%, IVF with ICSI 32.0%
• Age 38–40 Live births per retrieval, IVF without ICSI 26.5%, IVF with ICSI 23.0%
• Age 41–42 Live births per retrieval, IVF without ICSI 15.3%, IVF with ICSI 12.2%
• Age >42 Live births per retrieval, IVF without ICSI 7.0%, IVF with ICSI 4.5%

What are the success rates for women who use gestational carriers? Figure 30

Figure 30 is a bar graph representing a comparison of live births per transfer between cycles that used gestational carriers and those that did not (both using fresh nondonor embryos), by ART patient’s age, 2002.
(Note: Age categories reflect the age of the ART patient, not the age of the gestational carrier.)

• Age <35 Live births per transfer, did not use gestational carrier, 42.9%
• Age <35 Live births per transfer, used gestational carrier, 55.3%
• Age 35–37 Live births per transfer, did not use gestational carrier, 37.0%
• Age 35–37 Live births per transfer, used gestational carrier, 47.3%
• Age 38–40 Live births per transfer, did not use gestational carrier, 26.4%
• Age 38–40 Live births per transfer, used gestational carrier, 28.1%
• Age >40 Live births per transfer, did not use gestational carrier, 12.1%
• Age >40 Live births per transfer, used gestational carrier, 26.3%

Note: We were unable to further subdivide ages >40 because the number of such cycles is very small.

Are success rates affected by the day of embryo transfer? Figure 31

Figure 31 is a bar graph representing live births per transfer for ART cycles using fresh nondonor eggs or embryos, by day of embryo transfer, 2002. (Note: Cycles using GIFT and ZIFT are excluded. This comparison is limited to transfers on day 3 and day 5. Embryo transfers performed on days 1, 2, 4, and 6 are not included because each of these accounted for a small proportion of procedures).

• Age <35 Live births per transfer, day three 41.9%, day five 49.7%
• Age 35–37 Live births per transfer, day three 36.8%, day five 42.7%
• Age 38–40 Live births per transfer, day three 25.7%, day five 35.1%
• Age 41–42 Live births per transfer, day three 14.5%, day five 20.9%
• Age >42 Live births per transfer, day three 6.2%, day five 14.3%

Does the size of the clinic affect its success rate? Figure 32

Figure 32 is a bar graph representing live birth rates for ART cycles using fresh nondonor eggs or embryos, by clinic size, 2002. (Note: clinic size is determined by number of cycles performed in 2002).

• Clinic size <61 Live births per cycle 27.4%
• Clinic size 61–118 Live births per cycle 28.3%
• Clinic size 119–251 Live births per cycle 29.7%
• Clinic size >251 Live births per cycle 28.0%