Embryo transfer practices in the United States: A survey of clinics registered with the Society for Assisted Reproductive Technology

Emily S. Jungheim, Ginny L. Ryan, Eric D. Levens, Alexandra F. Cunningham, George A. MacOnes, Kenneth R. Carson, Angeline N. Beltsos, Randall R. Odem

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

Objective: To gain a better understanding of factors influencing clinicians' embryo transfer practices. Design: Cross-sectional survey. Setting: Web-based survey conducted in December 2008 of individuals practicing IVF in centers registered with the Society for Assisted Reproductive Technology (SART). Patient(s): None. Intervention(s): None. Main Outcome Measure(s): Prevalence of clinicians reporting following embryo transfer guidelines recommended by the American Society for Reproductive Medicine (ASRM), prevalence among these clinicians to deviate from ASRM guidelines in commonly encountered clinical scenarios, and practice patterns related to single embryo transfer. Result(s): Six percent of respondents reported following their own, independent guidelines for the number of embryos to transfer after IVF. Of the 94% of respondents who reported routinely following ASRM embryo transfer guidelines, 52% would deviate from these guidelines for patient request, 51% for cycles involving the transfer of frozen embryos, and 70% for patients with previously failed IVF cycles. All respondents reported routinely discussing the risks of multiple gestations associated with standard embryo transfer practices, whereas only 34% reported routinely discussing single embryo transfer with all patients. Conclusion(s): Although the majority of clinicians responding to our survey reported following ASRM embryo transfer guidelines, at least half would deviate from these guidelines in a number of different situations.

Original languageEnglish (US)
Pages (from-to)1432-1436
Number of pages5
JournalFertility and Sterility
Volume94
Issue number4
DOIs
StatePublished - Sep 2010
Externally publishedYes

Keywords

  • ASRM embryo transfer guidelines
  • Embryo transfer practices
  • IVF insurance coverage
  • single embryo transfer

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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