IVF CLINICS—2011 UPDATE [1]

 

Infertility continues to plague the child-bearing population from across the world. Of the approximately 70 million women in the United States of child bearing age, about 12%, or over 7 million women, had seen an infertility specialist in their lives. 2%, or 1.5 million, sought treatment within the past year. 7% of married couples, or 2.1 million couples, are infertile (meaning that they were unable to conceive after at least one year of unprotected intercourse).

Since 1978, the date of the first child born through in vitro fertilization (IVF), clinics from across the country (and across the world) have tried to assist this ever-growing population by providing services where doctors combine the husband’s sperm with his wife’s eggs (or with donor eggs), and transfer their embryo to a surrogate, or back into the wife.

The Center for Disease Control (CDC), along with the Society for Assisted Reproductive Technology (SART) has compiled statistics under a federally-mandated reporting program about the success rates of those clinics. Periodic reports are published examining the data, and what follows is a summary of the most recent report which was published in December, 2010.

A cautionary note: the data reflected in the report was compiled in 2008, meaning that when the report was published the data was already 2 years old. There were 436 clinics that reported to the CDC about their success rates. In 2008, there were over 100,000 IVF cycles with fresh embryos. There were over 15,000 cycles with donor eggs.

When frozen embryos were used, the success rates, strangely enough, vary. For younger women, those under 37, the success rates drop by about 6%. For older women, those over 38, the success rates with frozen embryos actually increased by 6%.

The national percentage of cycles resulting in a live birth with donor eggs was significantly higher, 55.5%, because egg donors generally are much younger than women who do IVF using their own eggs. In fact, success rates from donor eggs remained largely consistent regardless of the age of the recipient of the embryos, whereas success rates drop tremendously as the age of the woman increases if she provides her own eggs.

Because most clinics transfer 2-4 embryos per cycle, there is a much greater likelihood of multiple births as compared to the general population. About 1% of all births in the U.S. are multiples. With IVF, about 30% of all births are multiples. This is actually a decrease from 10 years ago, when almost 40% of all live births were multiples.

Of the 436 reporting clinics, only 9 with 30 or more cycles had success rates of over 60%; another 50 had success rates of over 50%, meaning that only about 14% of the clinics had one live birth for every two IVF cycles. What follows is a ranking of the top 10 clinics in the U.S.

Again, this ranking is based only on the success rates using fresh embryos with women 35-37. It may or may not be useful to you, depending on your age, where you’re from, whether you will be using your eggs or not, and the quality and quantity of eggs produced.

This is a completely arbitrary cut-off point. I simply looked at the top ten clinics’ success rates. Most importantly, some of these clinics will not work with surrogates. Please contact me to discuss any questions you have about these numbers, or the clinics involved.

TOP TEN U.S. IVF CLINICS

 

Clinic

N. Houston Cen. Repro. Med.
VA Center for Repro. Med.
Col. Center for Repro. Med.
Conceptions Repro. Assoc.
E. Carolina Univ.
SW Center for Repro. Health
Oregon Repro. Med.
Advanced Fertility Care
IVF Hawaii
OK Univ. Center for Rep.

Location

Houston, TX
Reston, VA
Englewood, CO
Littleton, CO
Greenville, NC
El Paso, TX
Portland, OR
Scottsdale, AZ
Honolulu, HI
Ok. City, OK

# of cycles

32
43
260
111
35
41
177
53
30
72

% success rates

81.3
67.4
66.5
63.1
62.9
61.0
60.5
60.4
60.0
59.7


[1] The report can be viewed in its entirety at http://www.cdc.gov/art/ARTReports.htm