title: [What is the validity limit of patient reimbursement? Is age a criterion for refusal? No...].
abstract: The late 20th century trend to delay birth of the first child until the age at which female fecundity or reproductive capacity is lower has increased the incidence of age-related infertility. In the female, the number of oocytes decreases with age until the menopause. Oocyte quality also diminishes, due in part to increased aneuploidy. A significantly lower pregnancy rate per stimulation and delivery rate per retrieval is found in women aged 40 to 45 years when compared with women aged 25 to 39 years. However, acceptable pregnancy can be achieved in woman aged 40 to 43 years (4 to 8%). Furthermore, very few women aged over 40 ask for IVF procedure.
authors.affiliation: Service de Gynécologie Obstétrique, Hôpital Américain de Paris, 63, boulevard Victor-Hugo, 92200 Neuilly-sur-Seine, France.
authors.forename: C
authors.initials: C
authors.lastname: Brami
mesh_terms: D000328:Adult; D000367:Age Factors; D005260:Female; D005602:France; D006801:Humans; D007246:Infertility / Q000628:therapy; D007349:Insurance, Health, Reimbursement; D008297:Male; D009313:National Health Programs; D018579:Patient Selection; D016079:Refusal to Treat; D027724:Reproductive Techniques, Assisted / Q000191:economics* / Q000592:standards / Q000706:statistics & numerical data