Since the creation of our Natural Cycle IVF program in 2007, through 2008, we have established a 31% clinical pregnancy rate per transfer.

Natural Cycle IVF Success Rates, January-March 2009

Age	# Starts	# Ret	# Eggs	# Transfers	# Preg	% Pregnant / Stimulation	% Pregnant / Retrieval	% Pregnant / Egg	% Pregnant / Transfer
< 30	2	2	2	1	1	50%	50%	50%	100%
31-34	9	8	4	3	1	11%	13%	25%	33%
35-39	12	11	9	6	3	25%	27%	33%	50%
> 40	3	2	1	1	0	0%	0%	0%	0%
Total	26	23	16	11	5	19%	22%	31%	45%
< 35	11	10	6	4	2	18%	20%	33%	50%
< 40	23	21	15	10	5	22%	24%	33%	50%

Natural Cycle IVF 2007-2008

	# of Cases	% of Retrievals
# Retrievals	91	N/A
# Retrievals with Eggs	83	91.2
# Retrievals with Transfers	54	59.3
# Retrievals with Pregnancies	17	18.7
% Clinical Pregnancy Per Embryo Transfer		31%

Dominion Fertility Natural Cycle IVF Program 2007-2008

	% Pregnancy per Retrieval	% Pregnancy per Embryo Transfer
2007	14%	23%
2008	24%	48%

All pregnancies confirmed by sonography.

Based upon our experience with NCIVF, and information reported in the medical literature, we anticipate that patients undergoing 3 NCIVF procedures would have a cumulative success rate for pregnancy that equals or exceeds treatment with stimulated IVF.

Dominion Fertility is proud to have produced the first Natural Cycle IVF pregnancies in the Washington, D.C area in 2007. ?The very first patient who successfully became pregnant using NCIVF is now pregnant again following another NCIVF procedure in 2009. In its first year of existence, the program's pregnancy rate was 23%. Throughout the past year, we have learned much about Natural Cycle IVF, and this experience has allowed us to significantly raise our pregnancy rate to 48%. Our statistics now exceed the international average of 28-30%.

Dominion Fertility firmly believes that in the upcoming years Natural Cycle IVF will be practiced with increasing frequency at clinics across the country. The CDC, the American Society of Reproductive Medicine (ASRM) and other respected medical organizations have shown great interest in our work, and we look forward to a future of continued success with this technique.

Problems with NCIVF

Cycle Cancellation- Occurs in about 10% of patients because of premature ovulation or LH surging (a sudden change in hormones) that would require us not to proceed with egg retrieval. If such an event occurs, we will perform an intrauterine insemination (IUI) if at least one fallopian tube is open.
Failure to retrieve the egg- Occurs in less than 10% of patients.
Failure to fertilize the egg- Occurs in less than 10% of patients. All eggs will be fertilized using ICSI unless a special circumstance exists.
Overall, we would expect about half of our patients starting a treatment cycle to complete the treatment cycle and undergo an embryo transfer. Over the course of three treatments, we expect about 50% or more patients to achieve pregnancy.

Making miracles happen, one couple at a time.