title: Pregnancy outcomes decline in recipients over age 44: an analysis of 27,959 fresh donor oocyte in vitro fertilization cycles from the Society for Assisted Reproductive Technology.
abstract: OBJECTIVE
  To use a large and recent national registry to provide an updated report on the effect of recipient age on the outcome of donor oocyte in vitro fertilization (IVF) cycles.
  
  
  METHODS
  Retrospective cohort study.
  
  
  METHODS
  United States national registry for assisted reproductive technology.
  
  
  METHODS
  Recipients of donor oocyte treatment cycles between 2008 and 2010, with cycles segregated into five age cohorts: ≤34, 35 to 39, 40 to 44, 45 to 49, and ≥50 years.
  
  
  METHODS
  None.
  
  
  METHODS
  Implantation, clinical pregnancy, live-birth, and miscarriage rates.
  
  
  RESULTS
  In donor oocyte IVF cycles, all age cohorts ≤39 years had similar rates of implantation, clinical pregnancy, and live birth when compared with the 40- to 44-year-old reference group. Patients in the two oldest age groups (45 to 49, ≥50 years) experienced statistically significantly lower rates of implantation, clinical pregnancy, and live birth compared with the reference group. Additionally, all outcomes in the ≥50-year-old group were statistically significantly worse than the 45- to 49-year-old group, demonstrating progressive decline with advancing age.
  
  
  CONCLUSIONS
  Recent national registry data suggest that donor oocyte recipients have stable rates of pregnancy outcomes before age 45, after which there is a small but steady and significant decline.
authors.affiliation: Division of Reproductive Endocrinology and Infertility, Duke University Medical Center, Durham, North Carolina.
authors.forename: Jason S
authors.initials: JS
authors.lastname: Yeh
authors.affiliation: Division of Reproductive Endocrinology and Infertility, Duke University Medical Center, Durham, North Carolina.
authors.forename: Ryan G
authors.initials: RG
authors.lastname: Steward
authors.affiliation: Division of Reproductive Endocrinology and Infertility, Duke University Medical Center, Durham, North Carolina.
authors.forename: Annie M
authors.initials: AM
authors.lastname: Dude
authors.affiliation: Division of Reproductive Endocrinology and Infertility, Duke University Medical Center, Durham, North Carolina.
authors.forename: Anish A
authors.initials: AA
authors.lastname: Shah
authors.affiliation: University Hospitals Fertility Center, Beachwood, Ohio.
authors.forename: James M
authors.initials: JM
authors.lastname: Goldfarb
authors.affiliation: Division of Reproductive Endocrinology and Infertility, Duke University Medical Center, Durham, North Carolina. Electronic address: muashersj@gmail.com.
authors.forename: Suheil J
authors.initials: SJ
authors.lastname: Muasher
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D005307:Fertilization in Vitro / Q000379:methods / Q000639:trends*; D006801:Humans; D008423:Maternal Age; D008875:Middle Aged; D018587:Oocyte Donation / Q000379:methods / Q000639:trends*; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology; D018873:Pregnancy Rate / Q000639:trends*; D012042:Registries; D027724:Reproductive Techniques, Assisted / Q000639:trends; D012189:Retrospective Studies; D012955:Societies, Medical / Q000639:trends*; D014481:United States / Q000453:epidemiology
keywords: Oocyte recipient; age; decline; donor; success rates