Globally, between six and seven out of every ten IVF cycles will not result in pregnancies which go to term. As a result, many women will try more than once. The older a woman gets, the steeper the odds
young couples seeking to get pregnant will try for a few months before they are successful. Those who are not will try for months more, or years, before concluding they need help and stepping into the waiting room of anclinic. They often arrive in a state of acute emotional vulnerability, clutching at the hope that doctors will help.
Price tags range from zero to thousands of dollars, depending on the treatment, clinic and country. Several can be combined into each round. It is basic human psychology to think that if you pay more you might get more. The business model of many clinics trades on such hope. In some other cases there was a possibility that the add-on might, with further testing, be shown to help a specific subgroup; patients with an autoimmune disease, for example, might benefit from steroids. For the rest, though, there was not just an absence of evidence that they worked; there was sufficient evidence to be reasonably sure they did not. A meta-analysis that Dr Lensen led was similarly damning.
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