Possibilities for predicting the effectiveness of assisted reproductive technology programs


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Abstract

Continuous improvement of assisted reproductive technologies (ART) enhances the effectiveness of infertility treatment; however, its efficiency remains individual in each clinical case. Many factors can influence the successful implementation of ART programs. A competent assessment of the chances before starting treatment allows a couple to more easily accept the possible need for repeated IVF attempts, to correctly plan financial costs, and, in some cases, to choose an alternative solution to the problem. The objective of this review - to generalize the data available in the literature on the possibility of predicting the outcomes of ART programs. The review considers issues, such as the influence of age, ovarian reserve biomarkers, body mass index, hormonal background, lifestyle, and alternative markers on the efficiency of IVF treatment. It reflects complex clinical models and calculators for assessing the chances of a positive treatment outcome. Conclusion: There are a large number of criteria that potentially affect the effectiveness of ART programs; however, each of them has a low predictive value; in this connection it is important to create complex predictive models to improve overall accuracy. The creation of clinically significant models for predicting the efficiency of ART treatment will assist clinicians and patients to fundamentally and thoroughly plan treatment, to optimally use the ovarian reserve, and to promptly recommend fertility preservation programs, thereby increasing the chances of having healthy offspring.

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About the authors

Anna E. Martynova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: a_martynova@oparina4.ru
PhD, Researcher at the 1st Gynecological Department

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