Assisted Reproductive Technology (ART) & IVF

Overview of ART Techniques

Assisted Reproductive Technology (ART) has become a vital part of reproductive medicine in Australia, offering hope to thousands of individuals and couples who face challenges in conceiving naturally.

ART encompasses several techniques designed to aid the conception and pregnancy processes. These techniques are highly sophisticated, involving the manipulation of sperm and eggs outside the body. Here are the most prominent methods used:

  • In Vitro Fertilisation (IVF): IVF is the cornerstone of ART. It involves stimulating the ovaries to produce multiple eggs, which are then retrieved and fertilised with sperm in a lab environment. The embryos created are monitored for development, with one or more being transferred back into the woman’s uterus.
  • Intracytoplasmic Sperm Injection (ICSI): This technique is particularly beneficial for severe cases of male infertility. ICSI involves injecting a single sperm directly into an egg to facilitate fertilisation, followed by the transfer of the resulting embryo into the uterus. It is also used where frozen eggs are being thawed and prepared for use.
  • Frozen Embryo Transfer (FET): Often, IVF procedures produce more viable embryos than can be used in a single cycle. Excess embryos of good quality can be frozen for future use. FET refers to the thawing and transfer of these embryos into the uterus in subsequent cycles.
  • Egg and Sperm Donation: This option involves using eggs or sperm provided by a donor, which is an alternative for individuals who cannot use their own gametes due to various health reasons.
  • Gestational Surrogacy: Surrogacy is an arrangement where another woman carries and gives birth to a child for someone who cannot carry a pregnancy to term. The embryo implanted in the surrogate can be created using the intended parents’ own eggs and sperm or those from donors.

The use and efficacy of ART have been steadily documented in Australia. According to the latest reports from the Australian Institute of Health and Welfare (AIHW), ART plays a significant role in the reproductive lives of Australians:

  • Usage Rates: It’s estimated that approximately 4% of all children born in Australia are conceived using ART, a clear indication of the prevalence and integration of these technologies in addressing infertility.
  • Success Rates: The success of ART treatments varies notably with the age of the woman. For women under 30, the live birth rate per initiated ART cycle can be as high as 25-30%. However, this rate decreases significantly with age, dropping to below 10% for women over 40 using their own eggs.
  • Growth in Popularity: The number of ART cycles performed annually in Australia has been increasing, reflecting both the advancements in ART technologies and broader societal acceptance.

IVF treatment is a TEAMWORK endeavour! Excellent results come from a good team of nurses, embryologist, reception and admin staff, and counsellors. And of course, your fertility specialist.

Everyone has an important role to play in the journey.

The success of IVF treatment depends on multiple factors.

  • Age: Your age plays an important part in success rates. The younger you are, the better the outcome.
  • BMI: High BMI reduces the chance of a successful outcome. It also increases pregnancy related complications. We treat patients below a BMI of 40.
  • Drugs: Smoking, vaping, alcohol, and recreational drugs must be stopped before and after treatment.
  • Egg and sperm Quality: It is not just the quantity but quality, which is important to achieve the best result.

Conclusion

Assisted Reproductive Technology has fundamentally changed the landscape of reproductive health in Australia, providing essential options for those struggling with infertility. As these technologies evolve and become more effective, they offer profound hope and opportunity to many, underscoring the importance of ongoing research, ethical discourse, and regulatory vigilance to ensure that ART remains a safe, effective, and accessible family-building avenue.

Dr Shree Mane is a Sydney Obstetrician and Gynaecologist, and Fertility Medicine sub-specialist with 30+ years of experience. She has achieved specialist registration in India, the United Kingdom and Australia.

She consults and operates across Western Sydney and offers Saturday appointments, as well as telehealth bookings.

If you have a question about a condition or treatment, or would like to book an appointment, please contact us and one of our friendly staff members will happily assist you.