More cycles of IVF were undertaken in the UK last year
than ever before - but there has been no rise in the success rate, figures
released today show.
They reveal more than two-thirds of women
undergoing treatment are aged 37 and under, while the average age for treatment
remains static at 35.
Women over 40 represent the minority of all patients
treated, with women aged over 45 accounting for just two per cent of treatment.
The report, from the UK's fertility
watchdog, also shows that the majority of these older women are using
donor eggs rather than their own when trying to conceive.
In 2013, 49,636 women
had a total of 64,600 cycles of IVF, more than ever before.
And a further 2,379 women had a total of 4,611 cycles
of donor insemination - also up from the previous year.
However the overall success rate has remained constant
at around 25 per cent, according to the Human Fertilisation and Embryology
Authority (HFEA).
The new figures also reflect changes in society.
The number of IVF treatment cycles involving same-sex
female couples has increased by nearly 20 per cent year-on-year, rising from
766 treatments in 2011 to 902 in 2012.
Meanwhile, donor insemination cycles involving
same-sex couples rose by nearly 15 per cent, from 1,271 in 2011 to 1,458 in
2012.
However these amount to a minority of all treatments
undertaken, the HFEA said.
The report also shows that the number of IVF treatment
cycles using both donor eggs and donor sperm has doubled over the last five
years, while the use of frozen embryos is now involved in more than 20 per cent
of all treatments.
Elsewhere, the campaign
to reduce multiple births is shown to have had good impact, with numbers
declining.
Having a multiple birth (twins, triplets or more) is
the single greatest health risk associated with fertility treatment, so
guidelines now state only a single embryo can be transferred at a time.
Multiple births carry risks to both the health of the
mother and to the health of the unborn babies, with twins or triplets more
likely to be premature and to have a below-normal birth weight.
The report shows that multiple births occurred in 16.9
per cent of treatment cycles in 2012, down from 18.8 per cent in 2011.
Sally Cheshire, Chair of the HFEA, said: 'This report
offers unrivalled insight into one of the world's most advanced IVF sectors,
helping to inform the decisions of patients and clinicians alike.
'We are very pleased to see that outcomes in most
categories are improving each year, and are particularly heartened by the
continuing downward trend in multiple births, something we've worked hard with
professionals to achieve.
'But as well as providing data, over time these
reports offer us a unique insight into the changing nature of social norms,
whether that is same-sex parenting or older mums.
'In that sense they have become a fascinating resource
not just for patients and clinicians, but for everyone.'
Commenting on the
figures, Professor Sheena Lewis, Chair of the British Andrology Society, and
Professor of Reproductive Medicine, Queen's University Belfast (QUB), said: 'It
is very disappointing that success rates have not improved, yet again.
'In my opinion, one of the reasons for the low success
rate is an unsatisfactory diagnosis of the male partner.
'We should test the man's sperm at a molecular level,
looking at his sperm DNA quality to help guide couples to the best treatment
for them.'
Dr Allan Pacey, a fertility expert from the University
of Sheffield, added: 'The data shows that treatments such as IVF are now very
much in the mainstream of UK medical practice.
'IVF is now performed more frequently than other well-
know procedures such as having tonsils removed (there were 47,141 of those in
the NHS in 2012-13).
'Therefore, it remains disappointing that in many
parts of the NHS Assisted Conception is still a Cinderella Service with the
NICE funding guidance being ignored and many patients having to pay for their
own treatment.'
However he said the report also shows the continued
coordinated efforts of professionals to reduce the number of multiple births.
'While twins and triplets may seem like an instant
family, health outcomes for children are better if they are born 'one at a
time',' he explained.
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