Across the last three decades, almost 595,000 people have had around 1.3 million IVF cycles and 260,000 DI cycles. By 2019, the number of cycles had increased tenfold to over 69,000.Īdvances in technology have continued to improve outcomes and there is much to celebrate about the sector and the progress that has been made. In 1991 there were around 6,700 IVF cycles recorded at licensed fertility clinics in the UK. Since the establishment of the HFEA, the fertility sector has experienced massive growth and change. To celebrate 30 years of the HFEA, this report looks at how treatment numbers have changed over the past three decades, including changes in patient demographics and progress made in treatment outcomes. We were the world’s first statutory regulatory body of assisted reproduction treatment and research involving human embryos. The HFEA was set up in 1991, following the passing of the Human Fertilisation and Embryology Act. The level of NHS funding for fertility treatment varies across the UK, with 62% of cycles funded by the NHS in Scotland in 2019, falling to 20% in some parts of England.ģ0 years of the Human Fertilisation and Embryology Authority (HFEA).There have also been changes in partner type, with DI cycles in 2019 more likely to involve a female partner than a male partner.The proportion of IVF cycles undertaken by patients aged 40 and over has more than doubled from 10% (689 cycles) in 1991 to 21% (14,761 cycles) in 2019.Despite this, only 17% of patients aged 40+ used donor eggs in 2019. The use of donor eggs considerably increases the chance of a live birth to over 30% for all age groups. Most IVF treatments involve the use of patient eggs and partner sperm (86% of IVF cycles in 2019), but the use of donor eggs and sperm has increased.The growth in IVF cycles has stabilised since 2017, but frozen embryo transfers continue to increase year on year, increasing 86% from 2014-2019.Single embryo transfer has become common practice and in 2019, one embryo was put back in 75% of IVF cycles, compared to just 13% in 1991.In 2019 the multiple birth rate reached 6%, falling from 28% in the 1990s.Patients aged 35-37 and 38-39 had a live birth rate per embryo transferred of 6% in 1991, this increased to 25% and 19% respectively in 2019.In 2019, birth rates for patients under 35 were 32% per embryo transferred, compared to below 5% for patients aged 43+ when using their own eggs.In 2019, almost 53,000 patients had 69,000 fresh and frozen IVF cycles and 5,700 DI cycles at HFEA licensed fertility clinics in the United Kingdom (UK).Since the HFEA started recording information in 1991, there have been around 1.3 million in vitro fertilisation (IVF) cycles and over 260,000 donor insemination (DI) cycles, resulting in around 390,000 babies born.There is considerable variation in NHS funding across the UK Fertility treatment enables more patients with different partner types to have genetically linked families Fertility treatment has enabled more people to have families later The use of donor eggs and sperm has increased Frozen embryo transfers have increased in use Single embryo transfer is now common practice Great progress has been made in the reduction of multiple births, which now stands at 6% IVF birth rates in 2019 were three times higher than in 1991
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