Results of in vitro fertilization attempts in women 40 years of age and older: The Norfolk experience

A. Romeu, S. J. Muasher, A. A. Acosta, L. L. Veeck, J. Diaz, G. S. Jones, H. W. Jones, Z. Rosenwaks

Research output: Contribution to journalArticle

Abstract

Twenty-nine patients 40 years of age or older were stimulated with gonadotropins, starting on day 3 of the cycle, in a total of 64 cycles (January 1983 to June 1985) for multiple follicular development for in vitro fertilization. Most patients' infertility was due to tubal disease (n = 8) or pelvic endometriosis (n = 14). The mean number of preovulatory and immature oocytes recovered per laparoscopy was 2.53 ± 1.73 and 1.57 ± 1.58, respectively. There were no statistically significant difference between the number of preovulatory and immature oocytes harvested, fertilized, or transferred in this group and the number in patients younger than 40 years of age. No statistically significant differences were observed between peripheral estradiol and progesterone levels in patients 40 years of age and older and levels in patients 39 years of age or younger. There were 15 pregnancies in this group of patients, for a pregnancy rate of 23.4% per stimulated cycle, 27.7% per laparoscopy, and 29.4% per transfer. The ongoing pregnancy rate (12%) was lower, and the total abortion rate (60%) was higher, in patients 40 years of age or older in comparison with patients 39 years of age or younger. Patients 40 years of age or older should be counseled regarding the high abortion rate in this group.

Original languageEnglish (US)
Pages (from-to)130-136
Number of pages7
JournalFertility and sterility
Volume47
Issue number1
DOIs
StatePublished - Jan 1 1987

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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    Romeu, A., Muasher, S. J., Acosta, A. A., Veeck, L. L., Diaz, J., Jones, G. S., Jones, H. W., & Rosenwaks, Z. (1987). Results of in vitro fertilization attempts in women 40 years of age and older: The Norfolk experience. Fertility and sterility, 47(1), 130-136. https://doi.org/10.1016/S0015-0282(16)49948-6