How time to healthy singleton delivery could affect decision-making during infertility treatment: a Delphi consensus

ConclusionsTime to healthy singleton delivery should be taken into consideration when making decisions related to infertility treatment, and it is important that fertility treatment is provided in a timely manner, avoiding over- or under-treatment. In all subfertile women <40 years old, IVF outcomes could be optimized by performing up to six single-embryo transfers and certain procedures might reduce time to healthy singleton delivery. These procedures include preimplantation genetic testing for aneuploidies, frozen replacement cycles immediately after failed fresh cycles and use of gonadotrophin-releasing hormone antagonists. Finally, the number of oocytes retrieved should be maximized to increase cumulative live birth rate.Key messageThis Delphi consensus agreed that time to healthy singleton delivery is an important factor when making treatment decisions with all patients undergoing infertility treatment, especially those aged>35 years. However, more research is needed on the impact of treatment choices on time to healthy singleton delivery.
Source: Reproductive BioMedicine Online - Category: Reproduction Medicine Source Type: research