Frozen Embryo Transfer or Fresh - Which is Better? | Infertility TV

Frozen embryo transfer success has peaked in recent years. Does it now make sense to skip a fresh transfer completely?

Hello this is Dr. Randy Morris. I am a Board Certified Fertility Expert and the Medical Director at the world renowned IVF1 fertility center in Naperville, Illinois. I'm here with the second of a few special editions of Infertility TV.

Recently the international infertility conference known as ESHRE wrapped up in Helsinki Finland. ESHRE is the European Society of Human Reproduction and Embryology. Meetings such as this one allow physicians and scientists to present their latest research to their peers.

These meetings can serve as an early indicator of which directions fertility treatment may go in the future, what new technologies may become valid treatments and which ones were not able to withstand the rigors of scientific scrutiny.

In today’s special ESHRE Episode, we are going to talk about freezing embryos

We have covered this topic on Infertility TV before. Click the link above to view our previous episode.

The basic question is this - If you are doing IVF - Is it better to put the embryos into the uterus right away? Which is known as a “fresh” transfer OR is it better to freeze all the embryos and put them into the uterus at a later time? - which is known as a deferred or frozen transfer

In the past, the answer was to do a fresh transfer since pregnancy rates on frozen transfers were usually a bit lower. However, over the years freezing technology has been improved.

At ESHRE this summer Dr Karen Hunter Cohn presented a study in which she examined more than 16,000 IVF treatments performed at 12 fertility centers.

After matching for different variables, their analysis showed that in certain groups - freezing all of the embryos and having a deferred transfer produced more pregnancies than a fresh transfer.

Among the groups that showed improvement were
Women over 35 years old -- 46% of these couples became pregnant using deferred transfer compared to 33% who became pregnant with a fresh transfer.

There was also a benefit found in patients with elevated levels of the hormone progesterone - prior to egg retrieval - and this was evident whether they were younger or older.

Because of this and other studies, fertility experts are now debating whether other patients may benefit from the “freeze all approach”.

Come back next week for another ESHRE special episode. If you liked this video remember to like “THIS” video and share it in your support groups and on your favorite social media channels

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