What’s the Real Success Rate of Assisted Reproductive Technology (ART)

Obie Editorial Team

If you’re considering fertility treatments, you might be wondering: What are my actual chances of success? The answer depends on several factors, including age, overall health, and the type of treatment used. Understanding ART success rates can help you set realistic expectations and make informed decisions.

Success rates for ART treatments are usually measured by the percentage of cycles that result in a live birth. However, it’s important to remember that multiple factors can influence these rates, and they vary significantly between individuals.

Average Success Rates for Common ART Treatments

  • IVF (In Vitro Fertilization)
    • Women under 35: ~50-55% success per cycle
    • Women 35-37: ~40%
    • Women 38-40: ~25-30%
    • Women over 40: ~5-15%
  • IUI (Intrauterine Insemination): ~10-20% per cycle (higher if paired with fertility medications)
  • Egg Freezing (when used later for pregnancy): Success rates depend on the woman’s age at the time of egg freezing, with younger eggs having higher chances of leading to a live birth

Factors That Affect ART Success Rates

  • Age: The most significant predictor of ART success, as egg quality declines with age.
  • Ovarian Reserve: A measure of how many eggs remain in the ovaries.
  • Sperm Quality: Male factor infertility can impact fertilization and embryo development.
  • Uterine Health: Conditions like fibroids or endometriosis can affect implantation.
  • Lifestyle Factors: Smoking, excessive alcohol use, and high stress levels can reduce success rates.

How to Improve Your Chances of Success

While some factors are beyond your control, others can be optimized to improve ART outcomes:

  • Maintain a healthy diet and weight.
  • Avoid smoking, alcohol, and excessive caffeine.
  • Manage stress through mindfulness, therapy, or support groups.
  • Follow your fertility specialist’s recommendations for medications and supplements.

Key Takeaway

ART can be life-changing, but success is not guaranteed. Understanding the realistic probabilities can help you prepare mentally, emotionally, and financially. Speak with your doctor about your specific chances based on your health and fertility history.

 

Source:
Sunkara, S.K., et al. "Live birth and perinatal outcomes following assisted reproductive technology: A systematic review and meta-analysis." JAMA Network Open, vol. 2, no. 11, 2019, pp. e1914625. DOI: 10.1001/jamanetworkopen.2019.14625