Assisted Reproductive Technologies in Kazakhstan (2020 National ART Registry data)
Lokshin V.N. Suleimenova M.D. Karibaeva S.K. Baikoshkarova S.B. Ibragimov A.K. Azhetova Z.R. Dzhusubaliev N.M. Yakhyarova M.P. Mukhamedyarov D.A. Akhmetova A.A. Kovaleva N.K. Nigmatova N.P. Chalova L.R. Aripova R.S. Imtosimi D.G. Lapina E.V. Otarbaev M.K. Basarova G.J. Begaidarova A.B.
2024Kaz Med Print LLP
Reproductive Medicine (Central Asia)
2024#2024Issue 18 - 16 pp.
Relevance: The article presents aggregate data on the programs of assisted reproductive technologies (ART) implemented in 2020 in Kazakhstani clinics specializing in treating infertility using ART. The study aimed to analyze the structure and results of ART cycles conducted and Registered in the Republic of Kazakhstan from 1 January 2020 to 31 December 2020. Materials and Methods: A retrospective analysis of data from reports of 17 ART clinics in Kazakhstan, which were voluntarily submitted to the Kazakhstan Association of Reproductive Medicine (KARM), was conducted. The reports included information on IVF cycles, ICSI, embryo cryopreservation, oocyte donation (OD), surrogacy, and preimplantation genetic testing (PGT). Results: The total number of ART cycles available for analysis in 2020 was 17,743, resulting in the birth of 5,932 newborns. The accessibility of ART treatment amounted to 952 cycles per 1 million population. Analysis of the ART structure revealed that IVF cycles accounted for 11.9% of all ART cycles in clinics in Kazakhstan, while ICSI was 33.4%. A combined method of fertilization, using both IVF and ICSI (50/50), was performed in 13.0% of cycles. Frozen embryo transfer (FET) was conducted in 47.4% of cycles, while OD programs were carried out in 11.4% of cycles and PGT in 5.3% of cycles. The pregnancy rate per aspiration in 2020 was 20.9% for IVF cycles, 20.4% for ICSI cycles, and 42.5% for FET cycles. When calculated per transfer, the pregnancy rate was 38.5% for IVF cycles and 39.5% for ICSI cycles. For OD programs, the pregnancy rate per aspiration was 50.6%. In 2020, live birth rates were 30.7% in fresh IVF cycles, 32.4% in ICSI cycles, 33.4% in FET cycles, and 42.0% in OD programs. In 2020, 1,103 programs were conducted in Kazakhstan. The Registry of pregnant women and women of fertile age reported the pregnancy rate of 46%, the live birth rate of 26%, and the frequency of multiple births of 21.8%. Conclusion: According to the Registry, the number of ART programs increased by 1.1% in 2020 vs. the previous year. The negative impact of COVID-19 on this indicator is unquestionable. The pregnancy and live birth rates remained stable and corresponded to the average ESHRE indicators.
2020 ART report , ART accessibility , assisted reproductive technologies (ART) , IVF
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International Clinic of Reproductive Health “PERSONA,”, Almaty, Kazakhstan
Ecomed Medical Group, Almaty, Kazakhstan
Ecomed Plus, Astana, Kazakhstan
Institute of Reproductive Medicine, Almaty, Kazakhstan
ECO Center, Almaty, Kazakhstan
ECOMED clinic, Astana, Kazakhstan
Astana ECOLIFE, Astana, Kazakhstan
IVF Center “Family Doctor and Co,”, Aktobe, Kazakhstan
GENOM CLINIC, Astana, Kazakhstan
Health and Science Center M1, Astana, Kazakhstan
SCOG&P, Almaty, Kazakhstan
IVF CPP, Astana, Kazakhstan
Akzhan, Karaganda, Kazakhstan
ECOMED clinic, Almaty, Kazakhstan
ECOMED clinic, Atyrau, Kazakhstan
ECOMED clinic, Shymkent, Kazakhstan
International Clinic of Reproductive Health “PERSONA
Ecomed Medical Group
Ecomed Plus
Institute of Reproductive Medicine
ECO Center
ECOMED clinic
Astana ECOLIFE
IVF Center “Family Doctor and Co
GENOM CLINIC
Health and Science Center M1
SCOG&P
IVF CPP
Akzhan
ECOMED clinic
ECOMED clinic
ECOMED clinic
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