Friday, July 22, 2016

Low Cost fertility treatment

According to the American Pregnancy Association, the cost for a single IVF cycle can range from at least $12,000-$17,000, and the success rate for each IVF cycle in the U.S. is as follows:
41-43% for women under age 35
33-36% for women ages 35 to 37
23-27% for women ages 38 to 40
13-18% for women ages over 40.

Out-of-pocket Costs/fee-for-service

The cost of undergoing IVF and intracytoplasmic sperm injection is highest in the United States, compared with other developed countries (30). The estimated cost for one cycle of IVF (approximately $12,500) represents 44% of annual disposable US income (30). The cost of undergoing intracytoplasmic sperm injection is usually $3,000 to $5,000 higher. The average cost per delivery using IVF is estimated to be more than $56,000 31 and 32.
These costs, combined with limited health insurance coverage, mean that out-of-pocket expenses for couples seeking infertility care are substantial. Wu et al. (33) analyzed cost diaries from 332 couples receiving care at eight different community and academic reproductive endocrinology clinics. Couples were treated with either medical therapy for ovulation induction medication, medical therapy for ovulation induction combined with IUI, or with IVF. Median out-of-pocket expenses ranged from $912 for couples using medication only to $19,234 for couples pursing IVF (33).
Men undergoing surgery for azoospermia may face costs in addition to the costs of ART. For those with nonobstructive azoospermia, outpatient testicular or epididymal biopsies alone, whether diagnostic or therapeutic, cost more than $500, with microsurgical epididymal or testicular sperm extraction costing upward of $5,000. Vasal reconstructive surgery or vasectomy reversal, for those with obstructive azoospermia, can cost up to $10,000. Out-of-pocket expenses are likely to be an important factor in the willingness and ability of couples to pursue evaluation and treatment for male factor infertility. These costs place significant financial strain on a family, even for couples with higher income and better insurance coverage, compared with the national average (Elliot et al. unpublished data). In one study of men seeking care for infertility, 64% spent more than $15,000 in out-of-pocket infertility-related expenses, which represented 16%–20% of their annual income. Forty-seven percent experienced financial strain, and 46% had treatment options limited by cost (Elliot et al. unpublished data).

As the  percentage  of  people  coming  for  IVF  showed  a downward trend in the last few years  mainly due to the cost involved  there is  rethinking  in reproductive medicine circles  about  Lowering the cost of  fertility treatments.

I think  this  has a great  relevance to a country like  India
  

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