title: [Women of 40 and older in i.v.f. and i.c.s.i.: the FIVNAT data].
abstract: The proportion of women over 40 in i.v.f. and in i.c.s.i. has been dramatically increasing to reach 12% in 2002. Tubal and unexplained infertility increases with age. Short protocols or protocols with GnRH antagonists are more and more often used for older women. Best results are nevertheless still obtained with long protocols! Up to 35 years, pregnancy rates are similar with two or three transferred embryos. Over 35, better results are observed with three embryos. However, the rate of twins only falls below 20% when the woman is over 38, in i.v.f. as well as in i.c.s.i. The decreasing pregnancy rate should be better known by patients and clinicians so that women are treated sooner for i.v.f.
authors.affiliation: FIVNAT, CHU Bicêtre, 82, avenue du Général Leclerc, 94276 Le Kremlin-Bicêtre, France. jbelaisch@promptomail.com
authors.forename: J
authors.initials: J
authors.lastname: Belaisch-Allart
authors.forename: A
authors.initials: A
authors.lastname: Devaux
authors.forename: J-P
authors.initials: JP
authors.lastname: Ayel
authors.forename: J
authors.initials: J
authors.lastname: de Mouzon
mesh_terms: D000328:Adult; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D005602:France; D006801:Humans; D008423:Maternal Age; D008875:Middle Aged; D011247:Pregnancy; D018873:Pregnancy Rate; D020554:Sperm Injections, Intracytoplasmic
vernacular_title: La femme de 40 ans et plus en FIV et en ICSI: données FIVNAT.