Paternal age predicts live birth in women above 40 years of age undergoing in-vitro fertilization (IVF)

Purpose: To determine which factors predict pregnancy outcome in women aged 40 years and above who underwent in-vitro fertilization. Method: We conducted a retrospective case-control study of 631 women aged 40-46 years, who underwent a total of 904 IVF cycles with autologous gametes. We used stepwis...

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Main Authors: Guy Shrem (Author), Nouf M. Alasmari (Author), Jacques Balayla (Author), Alexander Volodarsky-Perel (Author), Weon-Young Son (Author), Michael H. Dahan (Author)
Format: Book
Published: IMR Press, 2021-04-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Guy Shrem  |e author 
700 1 0 |a Nouf M. Alasmari  |e author 
700 1 0 |a Jacques Balayla  |e author 
700 1 0 |a Alexander Volodarsky-Perel  |e author 
700 1 0 |a Weon-Young Son  |e author 
700 1 0 |a Michael H. Dahan  |e author 
245 0 0 |a Paternal age predicts live birth in women above 40 years of age undergoing in-vitro fertilization (IVF) 
260 |b IMR Press,   |c 2021-04-01T00:00:00Z. 
500 |a 0390-6663 
500 |a 10.31083/j.ceog.2021.02.2275 
520 |a Purpose: To determine which factors predict pregnancy outcome in women aged 40 years and above who underwent in-vitro fertilization. Method: We conducted a retrospective case-control study of 631 women aged 40-46 years, who underwent a total of 904 IVF cycles with autologous gametes. We used stepwise logistic regression analysis to develop predictors of pregnancy, clinical pregnancy and live birth outcomes. Data are presented as mean ± SD, percentage and confidence intervals. Results: Predictors of live birth included maternal (95% CI: 0.36-0.78) and paternal (95% CI: 0.62-0.94) age, the number of follicels > 14 mm (95% CI: 1.2-3.2), the number of oocytes collected (95% CI: 1.3-2.9) the number of metaphase II oocytes (95% CI: 1.3-2.4) and the number of cleavage stage embryos (95% CI: 1.8-2.6). The predictors of pregnancy and clinical pregnancy were similar but did not include male age (P > 0.05). To further determine the role of male age in live birth a control group of women younger than 40 years was collected. Male age was not a significant predictor of live birth among younger women (P = 0.42). Conclusions: Female age and better ovarian stimulation were confirmed as predictors of outcomes in older women doing IVF. However, male age was also noted to be a significant individual predictor of live birth in women over 40 years of age, but not in younger women doing IVF. 
546 |a EN 
690 |a advanced maternal age 
690 |a advanced paternal age 
690 |a biologic clock 
690 |a ivf 
690 |a in-vitro fertilization 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n Clinical and Experimental Obstetrics & Gynecology, Vol 48, Iss 2, Pp 299-306 (2021) 
787 0 |n https://www.imrpress.com/journal/CEOG/48/2/10.31083/j.ceog.2021.02.2275 
787 0 |n https://doaj.org/toc/0390-6663 
856 4 1 |u https://doaj.org/article/ebae6d9f2a8440eca50d7b374fcea1c0  |z Connect to this object online.