Due to the fact that several follicles can mature during a stimulated cycle, the probability of multiple pregnancy is increased compared to natural conditions.
In rare cases, the so-called hyperstimulation syndrome, an overreaction of the ovaries, can occur. This is accompanied by the formation of ovarian cysts, in extreme cases with accumulation of fluid in the lungs and abdominal cavity. An in-patient stay in the clinic is rarely necessary.
The average pregnancy rate according to IVF or ICSI is approx. 32% (Yearbook 2004/German IVF Register).
With a transfer of two embryos, the probability of the occurrence of a twin pregnancy is approx. 20 %, with a transfer of three embryos, the probability of the twin pregnancy is approx. 27 % and the occurrence of a triple pregnancy approx. 3-4 % depending on the age of the mother.
Individual examinations indicate that assisted reproductive medicine only leads to a very slight increase in the incidence of malformations. For the most part, this is due to a somewhat increased genetic background risk of the couples concerned with an unfulfilled desire to have children.
For legally insured, married couples, new cost regulations by the health insurance funds will apply with the GMG from 1 January 2004. After that, half of all treatment costs must be borne by the insured! The number of treatments (insemination in the stimulated treatment cycle, in vitro fertilisation [IVF] and intracytoplasmic sperm injection [ICSI]) is limited to three cycles; there is no longer an exception for further cycles. Without the possibility of an exemption, it is also stipulated that both partners must have reached the age of 25. Women who have reached the age of 40 and men who have reached the age of 50 are not entitled to (partly) paid treatment from the statutory health insurance funds
- Artificial insemination guidelines
- Current judgements on assumption of costs or reimbursement of costs for fertility treatments (IVF and ICSI treatments)