Page last updated at 23:00 GMT, Tuesday, 29 September 2009 00:00 UK

IVF clinics' success rates online

Screen grab of website
For the first time the site will give a predicted chance of success

IVF success rates are now almost indistinguishable among clinics, so patients need to take other factors into account, the regulator says.

The HFEA is launching a new website providing patients with detailed information on every UK clinic, from waiting times to multiple birth rates.

But it will not include data on cost, or mishaps such as embryo mix-ups.

For the first time the predicted chance of a fertility clinic delivering a baby based on key factors will be given.

The number of IVF treatments continues to rise and for women under 42 the success rates are up.

But for those aged 43 and above the already low success rate fell again between 2006 and 2007, the last year for which figures are available.

Predicting babies

The website - Choose a Fertility Clinic - will allow would-be patients to examine details of the diagnosis, age and length of infertility of those typically treated at the clinic.

For the first time, it will give a prediction of the chances of a live birth based on a range of factors.

SUCCESS RATES IN 2007
Under 35: 32.3%
35-37: 27.7%
38-39: 19.2%
40-42: 11.9%
43-44: 3.4%
Over 44: 3.1%

Traditionally, statistics have failed to differentiate between a small clinic where three out of 10 patients have delivered a baby and a larger one where 30 out of 100 have done so.

Both have a nominal success rate of 30%, but if the smaller clinic delivers one more baby the rate jumps to 40%, while for the larger clinic it rises by just 0.7%.

Now a new way of displaying data will enable patients to gain a more accurate picture of success rates.

It will also allow them to search for clinics providing specialist services such as pre-genetic diagnosis (PGD).

New legislation coming into force on Thursday will allow clinics to have more freedom as to which inherited diseases they can screen for.

More than one

The HFEA's will also allow patients to look at statistics on multiple births, and will urge patients to look for a clinic which has both a good success rate and a high number of single births.

Multiple births are risky for both mother and baby, but some clinics prefer to transfer more than one embryo at once to increase the chances of a live birth and reduce the prospect of another round of expensive treatment.

At 32.3%, the overall success rate from IVF was highest for the under 35s - up slightly from the previous year.

And the chances of having a baby via IVF increased between 2006 and 2007 for all age groups up to 42.

But the rates fell to just 3.4% for those aged 43-44, and 3.1% to those over 44.

The majority of clinics offer success rates within these figures, and while there are "some who come top and some who come bottom", patients should ask themselves whether it is really worth travelling many miles for marginal increases in success rates, the HFEA said.

"Every patient is different and most clinics have live births around the national average. These factors make it even more important for patients to see in detail what each clinic has to offer," said Professor Lisa Jardine, chair of the HFEA.

"Fertility treatment is big business in the UK. People can spend thousands of pounds in the hope of having a baby.

"It is only right that they have as much information as possible to help them make a choice about where they go for their treatment."

No price tags

Clare Lewis Jones, of the Infertility Network, also urged patients not just to consider success rates but to use the site to find a clinic which met "their own specific treatment needs".

A lack of transparency about cost is one of the key issues raised by patients, but the HFEA says it has no "statutory authority" to include this information on the site, and that in any event it would rapidly become out-of-date.

Private IVF treatment costs on average £3,500, but fees incurred by extra drugs and diagnostic tests can push this up to over £8,000.

The HFEA said it would be inappropriate to provide information on where there had been mishaps, such as embryo mix-ups.



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SEE ALSO
'My fight to stop IVF mix-ups'
27 Aug 09 |  Health
Embryo mix up couple to speak out
15 Jun 09 |  Wales
NHS access to IVF 'improves'
18 Jun 09 |  Health
'Human errors' led to IVF mix-up
22 Jun 04 |  West Yorkshire

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