Table 3.
Randomized treatment arm and treatment type | No. couples who initiated treatment (%) | No. cycles initiated | Clinical pregnancy ratesa | Live birth rates | ||||
---|---|---|---|---|---|---|---|---|
| ||||||||
No. | Per cycle %, 97.5% CI | Per couple %, 97.5% CI | No. | Per cycle %, 97.5% CI | Per couple %, 97.5% CI | |||
CC/IUI (n = 51) | ||||||||
CC/IUI | 45 (88.2) | 87 | 6 | 6.9, 2.5–17.7b | 13.3, 4.3–28.8b | 3 | 3.4, 0.7–16.1b | 6.7, 1.1–20.1b |
IVF | 39 (86.7) | 95 | 21 | 22.1, 13.0–35.0 | 53.8, 38.5–68.5 | 15 | 15.8, 7.9–29.1 | 38.5, 21.6–57.6 |
Total | 182 | 27 | 14.8, 9.7–22.1 | 60.0, 42.3–76.0 | 18 | 9.9, 5.5–17.0 | 40.0, 24.0–57.7 | |
FSH/IUI (n = 52) | ||||||||
FSH/IUI | 48 (92.3) | 91 | 7 | 7.7, 2.8–19.6c | 14.6, 5.3–29.7c | 6 | 6.6, 2.1–18.9c | 12.5, 4.0–27.1c |
IVF | 37 (77.1) | 96 | 24 | 25.0, 14.7–39.1 | 64.9, 45.2–81.5 | 15 | 15.6, 7.5–29.6 | 40.5, 24.8–57.9 |
Total | 187 | 31 | 16.6, 11.0–24.3 | 64.6, 47.4–79.4 | 21 | 11.2, 6.3–19.1 | 43.8, 27.7–60.8 | |
Immediate IVF (n = 51) | ||||||||
1st 2 IVF | 47 (92.2) | 85 | 21 | 24.7, 16.1–35.7 | 44.7, 28.4–61.9 | 13 | 15.3, 7.6–28.3 | 27.7, 14.3–44.7 |
≥ 3rd IVF | 23 (48.9) | 33 | 8 | 24.2, 10.5–46.6 | 34.8, 14.5–60.1 | 5 | 15.2, 4.5–40.4 | 21.7, 6.3–46.7 |
Total | 118 | 29 | 24.6, 16.1–35.7 | 61.7, 44.4–77.1 | 18 | 15.3, 8.2–26.7 | 38.3, 22.9–55.7 | |
All treatment initiated | 140 (90.9) | 487 | 87 | 17.9, 14.3–22.1 | 62.1, 52.4–71.3 | 57 | 11.7, 8.8–15.4 | 40.7, 31.8–50.2 |
Abbreviations: CC = Clomiphene citrate; FSH = Gonadotropins; IUI = Intrauterine insemination; IVF = In vitro fertilization.
Note: For IVF treatment cycles, 2 of the cycles in the CC/IUI arm, 2 of the cycles in the FSH/IUI arm, and 3 of the cycles in the immediate IVF arm used cryopreserved embryos that had been collected in an earlier cycle and frozen for use in subsequent cycles.
Number of clinical pregnancies includes all ultrasound confirmed pregnancies, including pregnancy losses.
P values for comparison between CC/IU vs. 1st 2 immediate IVF cycles: P = 0.0015 for clinical pregnancy rate per cycle; P=0.0012 for clinical pregnancy rate per couple; P=0.0085 for live birth rate per cycle; P=0.0119 for live birth rate per couple.
P values for comparison between FSH/IUI vs. 1st 2 immediate IVF cycles: P=0.0033 for clinical pregnancy rate per cycle; P=0.0016 for clinical pregnancy per couple; P=0.09 for live birth rate per cycle; P=0.08 for live birth rate per couple.