Table 3. Estimates of conditional probabilities for different stages of the reproductive process for reproductively normal subjects.
Estimates of hCG ( FEC HCG) and clinical ( FEC CLIN) fecundabilities and π CLIN are derived from three hCG pregnancy studies as described in the text. π LB is calculated from published values in Wilcox 6, Zinaman 7 and Wang 8 study reports. Estimates of fertilised egg loss up to implantation, clinical recognition and birth are provided, based on three scenarios: (i) high implantation probability ( π HCG = 90%); (ii) equal implantation and fertilisation probabilities ( π FERT = π HCG); (iii) high fertilisation probability ( π FERT = 90%). The probability of sperm-ovum-co-localisation ( π SOC) was assumed to be 0.80.
Derived Fecundabilities and Conditional
Probabilities For Fertile Women |
Wilcox (1988) | Zinaman (1996) | Wang (2003) | ||||||
---|---|---|---|---|---|---|---|---|---|
FEC HCG
FEC CLIN π CLIN π LB |
0.432 0.339 0.783 0.877 |
0.381 0.333 0.875 0.790 |
0.462 0.349 0.754 0.871 |
||||||
% loss from implantation to live birth | 31.3 | 30.9 | 34.2 | ||||||
If π SOC = 0.80, then π FERT × π HCG = If π FERT = π HCG, then π FERT = π HCG = If π FERT = 0.90, then π HCG = If π HCG = 0.90, then π FERT = |
0.540 0.735 0.600 |
0.476 0.690 0.529 |
0.578 0.760 0.642 |
||||||
Estimated losses of fertilised eggs when… |
π HCG
= 0.90 |
π FERT
= π HCG |
π FERT
= 0.90 |
π HCG
= 0.90 |
π FERT
= π HCG |
π FERT
= 0.90 |
π HCG
= 0.90 |
π FERT
= π HCG |
π FERT
= 0.90 |
% loss before implantation % loss before clinical recognition % loss before live birth |
10.0 29.5 38.2 |
26.5 42.4 49.5 |
40.0 53.0 58.7 |
10.0 21.3 37.8 |
31.0 39.6 52.3 |
47.1 53.7 63.4 |
10.0 32.1 40.8 |
24.0 42.7 50.0 |
35.8 51.6 57.8 |