Success Rates of our Fertility Treatment Center - The Fertility and Gynecology Center - Monterey Bay IVF Program - Dr Edward Ramirez MD, Board Certified Reproduction Specialist, IVF, In Vitro Fertilization, ZIFT, ICSI, GIFT, Endometriosis, Infertility Treatment, Egg Retrieval, Donor Egg, Blastocyst Transfer, Assistive Reproductive Technology, ART, Embryo Transfer, Surrogacy, Clomiphene, Ovridel, Endometriosis,Laparoscopy, AI, IUI, IVF

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2009 Results

2008 Results

2006 Results

2005 Results

Cumulative
1994-2003 Results

Cumulative Pregnancy Rates Since Moving to New Facility in May 2008

May 2008 - November 2009	< 35	35-37	38-40	41-42	43+	Total

YTD Transfers	27	18	19	12	4	80
YTD Pregnancies	20	11	13	6	1	51
YTD Deliveries	17	8	13	4	0	42
YTD Preg Rate	74%	61%	68%	50%	25%	64%
YTD Delivery Rate	63%	44%	68%	33%	0%	53%

November 2009 Pregnancy Rates

November 2009	< 35	35-37	38-40	41-42	43+	Total

No Pts	4	4	1	2	0	11
Total Transfers	3	4	0	2	0	9
Pregnancies	3	3	0	2	0	8
Deliveries	1	2	0	2	0	5
Total 1st attempt	2	0	0	0	0	2
Total 1st attempt PR	1	0	0	0	0	1
Total Frozens	0	0	0	0	0	0
Frz Pregnancies	0	0	0	0	0	0
Pregnancy Rate	100%	75%	0%	100%	0	89%
Delivery Rate	33%	50%	0%	22%	0	56%
1st attempt PR	50%					100%
Frozen PR

Year to date 2009 Cumulative Rates

YTD Transfers	16	14	9	7	3	49
YTD Pregnancies	12	7	7	5	1	32
YTD Deliveries	9	5	6	3	0	23
YTD Preg Rate	75%	50%	78%	71%	33%	65%
YTD Delivery Rate	56%	36%	67%	43%	0%	47%

In Vitro Fertilization Results Year 2008 Cycles Only	F&GC**	*USA (per CDC) 2007**
Total Fresh Pregnancies per Transfer:	42%	33.7%
On-going (Clinical) Pregnancies***per Transfer:	35%	34.0%
1st Attempt**** Pregnancies/Transfer	62%	No equivalent avaliable
Frozen embryo Pregnancies per Transfer:	33%	No equivalent avaliable
Frozen embryo on-going Pregnancies per Transfer	33.%	27.5% (age dependent)
Donor Pregnancies per Transfer:	50%	No equivalent avaliable
Donor Ongoing Pregnancies/Transfer	50%	43.4% (age dependent)
Singleton Pregnancies	70%
Twin Pregnancies	17%	24.6% (age dependent)
Triplet Pregnancies	17%	1.5% (triplet or more)
Greater than Three	0%
Overall Multiple Rate	30%

Pregnancy Rates Per Age Group

USA Rates

Age	Pregnant	On-Going Pregnancy	Pregnant	Clinical
<35	47%	47%	45.8%	39.9%
35-37	67%	56%	37.2%	30.5 %
38-40	43%	29%	28.2%	21%
41-42	14%	14%	18.5%	11.7%
> 43	0%	0%

* SART statistics do not include patients > 40 years old AND are for the year 2007 only.

** The Fertility and Gynecology Center’s statistics include all patients of all ages and are calculated for patients who undergo embryo transfers only. This excludes patients who do not have embryos to transfer despite undergoing retrieval, patients who are cancelled because of a lack of response or patients who are cancelled because of any other reason.

*** On-going pregnancies are patients that are currently still pregnant past the initial four BHCG (pregnancy test) testing but not yet delivered. Some patients may be past the 9 week gestation ultrasound and some have progressed beyond 12 weeks gestation. Although patients may become pregnant in an IVF cycle, miscarriage can occur in up to 40% of all pregnancies including IVF pregnancies.

**** These are the percentage of patients that achieved pregnancy in their first attempt of IVF.

NOTE: F&GC changed facilities in April 2008, after which pregnancy rates went up significantly. The above numbers are from both facilities. In the new facility, overall pregnancy rates were 56% with 50% ongoing. Pregnancy / Delivery rates by age were: <35 – 73% / 73%, 35-37 – 100% / 75%, 38-40 – 50% / 40%, 41-42 20% / 20%, 43+ 0%.

Results Updated on 6/26/09 9:34 AM

In Vitro Fertilization Results Cumulative 1994-2004	F&GC**	*USA (per CDC) 2002**
Total Pregnancies/Transfer	58.9%	34.3%
Total Deliveries/Transfer	41.1%	34.8%
Total 1st Attempt Pregnancies/Transfer	65%
1st Attempt Ongoing Pregnancies/Transfer	51%	19.9%
Frozen embryo Pregnancies/Transfer	33.3%	No equivalent avaliable
Frozen embryo Ongoing Pregancies/Transfer	16.7%	24.8%
Donor Pregnancies/Transfer		No equivalent avaliable
Donor Ongoing Pregnancies/Transfer		50.0%

Total Percent Multiple Gestation rate	57%	36.1%
Percent Singleton	57.8%	58.1%
Percent Twins	37.1%	28.4%
Percent Triplets	4.3%	7.7% (3 or more)
Percent Quadruplets or more	4.3%

Pregnancy Rates Per Age Group

Age

Pregnant (%)

Deliveries (%)

USA Rates

	94-03	94-03	Pregnant	Delivery
<30	44.9%	31.9%
30-35	54.0%	38.7%	43%	37% (<35 yo)
36-39	50.9%	29.8%	36%	31% (35-37 yo)
			28%	21% (38-40 yo)
40-42	36.5%	17.3%	17%	11% (41-42 yo)
>42	10.5%	5.3%	9%	4%

* USA statistics do not include patients > 40 years old.
** The Fertility and Gynecology Center’s statistics include all patients of all ages.
IVF Results Updated on 7/29/05 1:28 PM

2006 Pregnancy Results	Egg Retrievals	Embryo Transfers	Overal Pregnancies	Overall Deliveries	Cancellations

	57	48	29 (60%)	21 (44%)	6

Patient Age/Category	# of Embryo Transfers	Pregnancy	Percentage	Clinical Pregnancy	Percentage

< 35 years	29	16	55%	14	48%
35-39 years	17	11	65%	7	41%
40-42 years	6	0	0%	0	0%
> 43 years	3	1	33%	0	0%
Egg Donors	5	-	-	2	40%
Frozen Transfers	12	-	-	1	12%

*Clinical pregnancy is defined as a gestational sac(s) or heartbeat at 6 wks gestation. A comparison of clinic success rates may not be meaningful because of different patient and clinic characteristics.

2005 On-Going Pregnancy Results: (January-May)	Egg Retrievals	Embryo Transfers	Cancellations

	39	35	4

Patient Age/Category	# of Embryo Transfers	Clinical Pregnancy	Percentage

< 35 years	14	9	64%
35-39 years	14	7	50%
40-42 years	4	2	50%
> 43 years	2	0	0%
Egg Donors	2	2	100%
Frozen Transfers	2	0	0%

In Vitro Fertilization Results Cumulative 1994-2004	F&GC**	*USA (per CDC) 2002**
Total Pregnancies/Transfer	58.9%	34.3%
Total Deliveries/Transfer	41.1%	34.8%
Total 1st Attempt Pregnancies/Transfer	65%
1st Attempt Ongoing Pregnancies/Transfer	51%	19.9%
Frozen embryo Pregnancies/Transfer	33.3%	No equivalent avaliable
Frozen embryo Ongoing Pregancies/Transfer	16.7%	24.8%
Donor Pregnancies/Transfer		No equivalent avaliable
Donor Ongoing Pregnancies/Transfer		50.0%

Total Percent Multiple Gestation rate	57%	36.1%
Percent Singleton	57.8%	58.1%
Percent Twins	37.1%	28.4%
Percent Triplets	4.3%	7.7% (3 or more)
Percent Quadruplets or more	4.3%

Pregnancy Rates Per Age Group

Age

Pregnant (%)

Deliveries (%)

USA Rates

	94-03	94-03	Pregnant	Delivery
<30	44.9%	31.9%
30-35	54.0%	38.7%	43%	37% (<35 yo)
36-39	50.9%	29.8%	36%	31% (35-37 yo)
			28%	21% (38-40 yo)
40-42	36.5%	17.3%	17%	11% (41-42 yo)
>42	10.5%	5.3%	9%	4%

* USA statistics do not include patients > 40 years old.
** The Fertility and Gynecology Center’s statistics include all patients of all ages.
IVF Results Updated on 7/29/05 1:28 PM

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