Klassische IVF vs. Natural-Cycle- und Minimal-Stimulation-IVF View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2020-08-03

AUTHORS

Michael von Wolff, Isotta Magaton

ABSTRACT

BackgroundIn addition to conventional in vitro fertilization (IVF) therapies, nonconventional therapies such as IVF therapies without ovarian stimulation (natural cycle IVF) or IVF therapies with very low dose gonadotropin stimulations (minimal stimulation IVF) are increasingly performed. However, these nonconventional IVF therapies are controversially discussed among reproductive physicians.ObjectivesWhat is the difference between these IVF therapies and why are they controversially discussed?Materials and methodsThe different IVF therapies are described, compared, and discussed according to the scientific literature and to own data.Results and discussionNonconventional IVF therapies can be performed on a monthly basis. Compared to conventional IVF, treatment costs per cycle are lower, treatments are less stressful for women, and treatments are less risky. In contrast, pregnancy rate per cycle is lower. However, as around 4 nonconventional IVF cycles require the same time that one complete conventional IVF does, the treatment duration, the number of consultations and the costs per achieved pregnancy are similar. Both treatments should not compete with each other but should be seen as complementary. They can be offered based on the medical prerequisites and wishes of the couple, contribute to personalized and patient-oriented IVF treatment and a change from one treatment to the other is possible. Nonconventional IVF treatments require specific knowledge and logistics. The reimbursement policy in Germany supports conventional IVF treatments. Due to the advantages of nonconventional IVF treatments, an adaptation of the German reimbursement policy should be supported. More... »

PAGES

588-596

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00129-020-04641-z

DOI

http://dx.doi.org/10.1007/s00129-020-04641-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1129843478


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