What Is Assisted Reproductive Technology (ART)?

PFCLA
10/16/2024

Assisted Reproductive Technology (ART) encompasses a variety of medical techniques designed to aid individuals and couples facing infertility. ART plays a crucial role in helping families realize their dreams of parenthood when natural conception is not possible. In this blog, we'll explore the different ART techniques, success rates, and how personalized fertility care can significantly impact outcomes. 

Assisted Reproductive Technology (ART) Explained

Assisted Reproductive Technology (ART) encompasses medical procedures used to address infertility and assist in the conception of a child. This technology includes methods such as in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), and other advanced techniques that aid in overcoming reproductive challenges.

The origins of ART date back to the late 20th century. The first major breakthrough came in 1978 with the birth of Louise Brown, the world's first baby conceived through IVF. Since then, advancements in medical science have significantly improved the success rates and accessibility of ART, making it a viable option for many families.

ART is necessary for individuals and couples facing infertility due to various reasons, including medical conditions, age-related factors, and unexplained infertility. It provides hope and solutions for those who might otherwise be unable to conceive naturally. ART helps a diverse range of individuals, including:

  • Couples struggling with infertility
  • Single parents looking to conceive
  • Same-sex couples wanting to build a family
  • Individuals with genetic conditions seeking to prevent transmission to offspring

According to the CDC, approximately 2.3% of all infants born in the United States are conceived using ART. This statistic underscores the significant impact and success of these technologies in helping families grow.

Types of Assisted Reproductive Technology Techniques

There are multiple forms of ART, covering a wide range of techniques and fertility services. The ideal ART depends on your specific circumstances. While the list is extensive, some of the more popular ones include:

  • In Vitro Fertilization (IVF)
  • Intrafallopian Transfer (ZIFT and GIFT)
  • Frozen Embryo Transfer (FET)
  • Intracytoplasmic Sperm Injection (ICSI)
  • Gestational Surrogacy

By understanding these different ART techniques, individuals and couples can make informed decisions about their fertility treatment options. Below we delve into the most popular ART methods.

In Vitro Fertilization (IVF)

As mentioned earlier, In Vitro Fertilization (IVF) is the most popular and effective ART today, accounting for 99% of all ART procedures. IVF involves extracting eggs and fertilizing them. During the procedure, fertility physicians combine the egg and sperm before transferring the resulting embryos into the uterus via an embryo transfer (IVF-ET). 

Who Does It Help?

IVF can help individuals and couples who face challenges in conceiving naturally. This includes women with blocked tubes, older patients, people with polycystic ovary syndrome, and those with premature ovarian failure. It also benefits men with severe infertility factors and same-sex couples wanting to build a family.

When Is IVF Recommended?

A doctor may recommend IVF if it is determined that other fertility treatments are less likely to work based on an infertility diagnosis. IVF is ideal for severe diagnoses such as severe male infertility factor, blocked fallopian tubes, advanced maternal age, and more.

IVF Success Rates

IVF boasts high success rates. According to recent data, many patients who would otherwise be unable to conceive are able to achieve pregnancy through IVF. Success rates can vary depending on factors such as age, health conditions, and the quality of the embryos.

Factors Affecting IVF Outcome

Several factors can influence the success of IVF:

  • Age: Younger patients typically have higher success rates due to better egg quality.
  • Health Conditions: Underlying health issues can impact IVF outcomes.
  • Embryo Quality: The quality and viability of the embryos play a significant role.
  • Lifestyle: Healthy lifestyle choices, such as maintaining a balanced diet and avoiding smoking, can positively affect success rates.

IVF is not restricted to the baby's biological mother. It can be used by a surrogate or gestational carrier, enabling a range of individuals and couples to become parents and participate in the pregnancy experience.

Intrafallopian Transfer

Intrafallopian transfer works similarly to IVF but leverages laparoscopic surgery to deliver gametes directly to the fallopian tube. Some people may prefer this method due to religious reasons or if their insurance only covers this type of ART.

Types of Intrafallopian Transfers Include:

Gamete intrafallopian transfer (GIFT): GIFT involves collecting sperm and eggs in a tube after which specialists place gametes directly into the fallopian tube using laparoscopic surgery. Because it doesn't involve an IVF procedure, you cannot choose the embryo to transfer.

Zygote intrafallopian transfer (ZIFT): ZIFT combines GIFT and ZIFT. Doctors collect and simulate eggs via IVF methods. They then mix the sperm and eggs in the laboratory before returning the fertilized egg to the fallopian tube.

The main challenges of this ART method are risk and cost. Since intrafallopian transfers involve surgeries, there is a risk of complications from surgery and organ puncture. It is also more expensive than IVF.

Frozen Embryo Transfer (FET)

Frozen embryo transfer involves thawing IVF frozen embryos and transferring them to a woman's uterus. FET has gained some popularity in the USA, with a recent study revealing about 52% of people who had FET had successful ongoing pregnancies. Frozen embryo transfers are very common for those undergoing IVF treatment.

However, experts reveal there could be an increased risk of preterm birth with FET. Another risk with this method is that some frozen embryos may be damaged by the thawing process. However, these risks are rare, making FET the most common and most successful form of IVF today.

Intracytoplasmic Sperm Injection (ICSI)

Intracytoplasmic Sperm Injection (ICSI) is a technique that embryo specialists may perform alongside IVF. It involves injecting a single sperm directly into the center of an egg using a tiny needle. ICSI can fertilize between 50–80% of eggs and could be ideal for persons with sperm-related infertility.

Since ICSI is usually an add-on procedure to IVF, it can be more expensive than IVF alone. ICSI is becoming the standard for IVF because of how much it increases success rates, and ultimately lowers the cost of your IVF journey. 

Gestational Surrogacy

Gestational surrogacy is an arrangement where a female (the surrogate) carries and delivers a baby for another person or couple (the intended parents). This process is a key component of Assisted Reproductive Technology, as it provides a solution for those who cannot carry a pregnancy themselves.

Gestational surrogacy is recommended for individuals and couples who:

  • Do not have a uterus or have a medical condition that makes pregnancy risky.
  • Have experienced multiple pregnancy losses.
  • Have unexplained infertility.
  • Are single individuals or same-sex couples wishing to have a child.

Surrogacy agencies, like Hatch Fertility & Surrogacy, play a crucial role in facilitating the surrogacy process. They help match intended parents with surrogates, provide support throughout the journey, and ensure all legal and medical requirements are met.

Success Rates of Assisted Reproductive Technology (ART)

The success rates of Assisted Reproductive Technology (ART) can vary widely based on several factors. On average, ART procedures have a success rate of around 20-35% per cycle, but this can differ significantly depending on individual circumstances.

Several factors can influence the success rates of ART, including:

  • Age: Younger patients generally have higher success rates due to better egg quality and overall reproductive health.
  • Health Conditions: Underlying health issues, such as polycystic ovary syndrome (PCOS) or endometriosis, can impact success rates.
  • Lifestyle: Healthy lifestyle choices, such as maintaining a balanced diet, regular exercise, and avoiding smoking, can positively affect outcomes.
  • Embryo Quality: The quality and viability of the embryos play a significant role in the success of ART.
  • Number of Embryos Transferred: Transferring multiple embryos can increase the chances of success but also carries a higher risk of multiple pregnancies.

Personalized care can significantly improve ART outcomes. This approach involves creating individualized treatment plans tailored to the specific needs and circumstances of each patient. Good fertility doctors will consider all relevant factors and adjust the treatment protocol accordingly. Additionally, lifestyle changes and support from a dedicated medical team can enhance the chances of success.

Infertility Treatment With ART at PFCLA

Assisted Reproductive Technology (ART) offers hope and solutions to many individuals and couples facing infertility. With success rates influenced by factors like age, health, lifestyle, and embryo quality, personalized care plays a critical role in optimizing outcomes.

At PFCLA, we’ve been at the forefront of ART for over 30 years, offering comprehensive fertility treatments that cater to the unique needs of each patient. Our experienced fertility physicians and tailored treatment plans ensure that you receive the best possible care, enhancing your chances of a successful pregnancy. Trust in PFCLA's expertise and compassionate approach to guide you through your fertility journey with confidence and support.

Note: This is not intended to be a substitute for professional medical advice, diagnosis or treatment. Information provided is for general educational purposes only and is subject to change without notice. Speak to your doctor directly with any questions you may have regarding a medical condition. Any information contained herein does not replace any care plan as determined by a physician. 

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