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Infertile patients cannot afford to wait for treatment while their eggs get older.

Dr. Sherman Silber, Infertility Center of St. Louis, is offering video consultations for patients who need to plan now for their treatment while stay-at-home orders are in place. He is talking to and evaluating patients in their home to comply with social distancing measures.

Dr. Silber is discovering that patients actually prefer this method of telemedicine consultation over the conventional office visit. Patients have conveyed that “it is so much more convenient and less stressful” to have a telemedicine personal consultation than to take a day off from work to travel to the doctor’s office and sit with other nervous patients in the waiting room.

The COVID-19 pandemic is thus changing much of the way we will do things in the future, and for the better. “Our patients are surprisingly much happier with this approach. Of course, at some point we need to perform hands on treatment. But with this new manner of seeing patients, we can come to the right diagnosis and treatment plan for most patients more efficiently, quickly, and painlessly, with no loss of personal one-on-one communication.” This is a very welcome new era of telemedicine that has been forced on us by the current difficult times.

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Current ART Pregnancy Rates for the Infertility Center of St. Louis

Overall pregnancy rates with the various assisted reproduction procedures performed at our center have consistently been very good since the beginning of our program in the late 1980s, despite taking on the most difficult cases. It should also be noted that we do not cancel cycles because of a low number of follicles or eggs in order to artificially increase success rate reporting.

The following reflects our success rates broken down by age for patients with a good ovarian reserve (15 or more eggs retrieved):

Patient AgePregnancy Rates
< 30 years old62% (164/264)
30-39 years old62% (224/396)
≥ 40 years old31% (11/35)

Typically, patients who undergo Mini IVF are in a lower prognosis category due to a lower ovarian reserve. The following reflects our success rates broken down by age for patients who had Mini IVF and a frozen transfer of embryo(s):

Patient AgePregnancy Rates
< 30 years old47% (58/123)
30-39 years old43% (274/634)
≥ 40 years old23% (99/431)

Finally, with our newest protocol, Denmark Mini IVF, which we began using this year, our cumulative success rates, all ages, are as follows:

Procedure PerformedPregnancy Rates
Denmark Mini IVF w/frozen embryo transfer59% (23/39)

*It must be emphasized that lower or higher overall pregnancy rates are not the only determinant of your chance for pregnancy in any specific IVF program. Programs that take on more difficult cases, such as older women, women with fewer eggs, couples with severe sperm problems in the husband, etc., will have lower pregnancy rates than programs that mostly take on “easier” cases, even though they may be higher quality programs.

Many programs either do not accept or cancel women with low numbers of eggs in order to artificially inflate their pregnancy rate. We, however, accept the most difficult cases while maintaining excellent pregnancy rates.

A comparison of clinic success rates may not be meaningful because patient medical characteristics and treatment approaches may vary from clinic to clinic.

If you have any questions, you may call us at (314) 576-1400.