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Frequently Asked Questions: IVF and Fertility Treatment

 

How much does IVF cost?

One round of IVF treatment can costs around £2000 in the UK. Three rounds of IVF treatment can cost around £3500. Fertility treatment is available free on the NHS, but availability is limited due to limited resources and so clinics have criteria for qualifying for fertility treatment. Only around 18% of IVF treatment in the UK is funded by the NHS. The success rate of IVF treatment is around 15%. Treatment in a foreign country may be cheaper.

What is the criteria for qualifying for NHS fertility treatment?

There a government guidelines on who should be eligible for fertility treatment on the NHS, however there are only a guide. This has resulted, as with other types of NHS treatments, in what is referred to as treatment according to a “postcode lottery”. The availability of certain treatment on the NHS and who will receive them is determined by the primary care trust running the NHS service in your area of the country.

The National Institute for Health and Clinical Excellence guidelines recommend that women between the ages of 23 years and 39 years should receive three cycles of fertility treatment on the NHS for free. Government guidelines say that only one cycle of free fertility treatment has to be provided, but that the NHS should work towards providing three cycles of IVF treatment to every woman.

Each fertility treatment clinic decides its own criteria for providing fertility treatment. These can include the age, health, weight, family background, smoking, either couple having had children from a previous marriage and any previous fertility treatment provided to the person involved. Under the Human Fertilisation and Embryology Act 1991, clinic must take account of the future welfare of any child born as a result of fertility treatment.

In August 2006, the British Fertility Society recommended that all fertility treatment clinics should provide treatment based on the same criteria.

Does the NHS fund all fertility treatment?

Approximately 18% of fertility treatment in the UK is funded by the NHS.

Primary care trusts receive limited funding so can not allocate enough money to the treatment of infertility in their area to meet the full demand, therefore often the money is spent mainly on the categories of people who would benefit most. It may seem shocking that the fourth richest economy in the world can afford to provide all its citizens with fertility treatment as required, but this is also true of other treatments, even for life threatening diseases like cancer.

You can try to get private, paid for fertility treatment clinic, however all clinics have a criteria on who they will treat and demand outstrips supply. An option for getting guaranteed treatment is to go abroad.

What are the ages for receiving free fertility treatment on the NHS?

The NHS national guidelines recommend that women between the ages of 23 years and 39 years should receive three cycles of fertility treatment on the NHS for free. However, these are only guidelines and each fertility treatment clinic can determine its own criteria.

A poll by the British Fertility Society in 2006 revealed that around a quarter of fertility treatment clinic in the UK only offer IVF treatment women in their late thirties.

It is believed that fertility treatment like IVF has an greatly increased chance of being unsuccessful from the age of 40 years.


How much does a person have to weigh to be eligible for fertility treatment?

The National Institute for Health and Clinical Excellence recommends a body mass index (BMI) of 19 to 30 is ok for receiving fertility treatment. Overweight pregnancies can put both the mother and the unborn child at health risk. NHS guidelines state that overweight women should be given warning about the health risks before being given fertility treatment, but do not say that treatment should be denied to overweight women.

In August 2006 the British Fertility Society recommended that women with a BMI of over 36 should be denied fertility treatment, as should women who are underweight. It said that underweight and overweight women should have to overcome their weight issues before being given IVF treatment.


How do you calculate your Body Mass Index (BMI)?

The body mass index is used in medial practitioners to decide whether a person needs to lose weight. It is calculated by dividing ones weight in kilograms by ones the square of one’s height in pounds. BMI calculators can be found on many websites – use a search engine such as the one at the foot of this page.

The BMI of an athlete should not be used in the same way as that of a normal person as the body may be composed of a higher muscle to fat ratio than normal.

What are the health risks of pregnancy in overweight women?

Pregnancy in an overweight woman can put the health of both the mother and the unborn child at risk. Common health problems include high blood pressure and gestational diabetes (diabetes during pregnancy).

Can same sex couples have fertility treatment?

Yes, however due to the fact that each fertility treatment clinic decides its on criteria for providing treatment, it may be the case that non-heterosexual couples are given lower priority in the availability of treatment or none at all.

The Human Fertilisation and Embryology Act 1991 required clinics to consider the welfare of the child in providing fertility treatment. It is thought that this may include the child’s need for a father, however the government has given indications that this clause may no longer be required.

How many babies are born each year as a result of in vitro fertilisation (IVF)?

Approximately 6000 babies are born each year as a result of IVF treatment.

What is the success rate of IVF fertility treatment?

The success rate of having a baby as a result of IVF is approximately 15%.

How many rounds of IVF are recommended?

Most couples try three rounds of IVF treatment. If its private treatment, on average it costs £3500 for the three rounds.


What are the chances of multiple births with fertility treatment?

Most couples try three rounds of IVF treatment. If its private treatment, on average it costs £3500 for the three rounds.


Should I have private fertility treatment?

The NHS offers free fertility treatment in certain cases, but even private fertility treatment clinics in the UK have their own rules about who they will treat due to limited resources. Therefore opting for private fertility treatment will not guarantee that treatment is available in the UK.

Fertility treatment abroad is another option and, if you are willing to pay for treatment, it is likely that you can guarantee the availability of treatment in other countries. IVF treatment abroad may also be cheaper, e.g. in India, whilst the quality of treatment available can still be high.

The quality of private treatment is unlikely to be of any higher quality than private treatment.


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