Assisted Reproduction · Registries and Reporting
RRM Academy Synopsis
Sweden's National IVF Registry Reports 2019 Treatment Outcomes
Q-IVF is Sweden's national IVF registry. Public and private clinics report cycles started in 2019, plus donor treatments and donor insemination. About 2 out of 10 fresh IVF cycles using a woman's own eggs led to a baby, and success fell sharply as women got older.
Key Findings
- 11,093 fresh IVF/ICSI cycles used a woman's own eggs in 2019. 2,260 led to a delivery: about 20% of started cycles and 28% of the 7,791 that reached embryo transfer.
- Births per egg retrieval rose from 27.0% in 2007 to 36.3% in 2019. This counts frozen embryo transfers within one year of each retrieval.
- Single-embryo transfer in fresh cycles rose from 70% of transfers in 2007 to 88% in 2019, and 2.81% of deliveries after fresh cycles were twins.
- Insemination with donor sperm: 2,492 cycles were started in 2019, resulting in 328 live-born children.
- In the 2019 patient survey, 71% of women and 50% of partners responded; 93% rated staff approach positively and 74% rated participation in decisions positively.
Interpretation
This is a national quality registry report. The registry gathers outcomes reported by public and private IVF clinics in Sweden for treatments started in 2019. The numbers are counts and rates from one treatment year: they show what happened. They do not explain why one group did better. The report warns that results differ by clinic, since clinics treat different mixes of ages and patient histories. Rates from small groups are less reliable than national totals. The registry tracks what happens during and after IVF. The report does not say whether a cause of infertility was found or treated first.
RRM Context
Q-IVF counts how many IVF cycles led to a baby, sorted by age, egg source, and freezing method. It does not check whether a cause of infertility was found or treated first. The report says fertility problems split about evenly between the man, the woman, and both partners, with the rest called unexplained. Restorative reproductive medicine (RRM) clinicians treat those cases as not yet diagnosed, since more testing often finds a cause.
Key figures
Treatment volume, 2019
| Measure | Value | Source |
|---|---|---|
| IVF cycles started with own gametes, 2019 | 18,407 | Table 1, page 11 |
| Fresh IVF cycles started with own gametes, 2019 | 11,093 | Table 1, page 11 |
| Frozen embryo transfer cycles started with own gametes, 2019 | 7,314 | Table 1, page 11 |
| Share of all started IVF treatments that were fresh cycles, 2019 | 60% | Treatment cycle definition section |
| Share of all started IVF treatments using frozen/thawed embryos, 2019 | 40% | Treatment cycle definition section |
| Total assisted reproduction cycles started, all treatment types, 2019 | more than 23 000 | Concluding remarks |
Treatment volume, single women, 2019
| Measure | Value | Source |
|---|---|---|
| Fresh IVF/ICSI treatments started in single women, 2019 | 982 | Figure 24, page 30 |
| IUI-D treatments started in single women, 2019 | 597 | Figure 24, page 30 |
IVF with donated gametes, 2019
| Measure | Value | Source |
|---|---|---|
| IVF cycles started using donated sperm, 2019 | 1,576 | Table 6, page 26 |
| IVF cycles started using donated oocytes, 2019 | 423 | Table 6, page 26 |
| Deliveries from IVF cycles using donated sperm, 2019 | 411 | Table 6, page 26 |
| Deliveries from IVF cycles using donated oocytes, 2019 | 95 | Table 6, page 26 |
Donor insemination (IUI-D), 2019
| Measure | Value | Source |
|---|---|---|
| IUI-D cycles started, 2019 | 2,492 | Table 9, page 30 |
| Deliveries from IUI-D cycles, 2019 | 323 | Table 9, page 30 |
| Live births from IUI-D cycles, 2019 | 328 | Table 9, page 30 |
| IUI-D delivery rate per insemination, all ages, 2019 | 14.0% | Table 9, page 30 |
IVF outcomes, own gametes, 2019
| Measure | Value | Source |
|---|---|---|
| Deliveries from IVF treatments with own gametes, 2019 | 4,742 | Table 1, page 11 |
| Live born children from IVF treatments with own gametes, 2019 | 4,819 | Table 1, page 11 |
| Delivery rate per started fresh IVF cycle, own gametes, 2019 | 20% | Figure 13, page 20 |
| Delivery rate per embryo transfer, fresh IVF cycles, own gametes, 2019 | 29.0% | Figure 14, page 20 |
| Live birth rate among cycles reaching embryo transfer, fresh IVF, own gametes, 2019 | 28 percent | Figure 7 |
| Delivery rate per embryo transfer, frozen/thawed IVF cycles, own gametes, 2019 | 35.0% | Figure 14, page 20 |
IVF delivery rate by age, own gametes, 2019
| Measure | Value | Source |
|---|---|---|
| Fresh IVF delivery rate per embryo transfer, age under 30, 2019 | 39.0% | Figure 14, page 20 |
| Fresh IVF delivery rate per embryo transfer, age 30-35, 2019 | 35.3% | Figure 14, page 20 |
| Fresh IVF delivery rate per embryo transfer, age 36-37, 2019 | 25.7% | Figure 14, page 20 |
| Fresh IVF delivery rate per embryo transfer, age 38-39, 2019 | 20.2% | Figure 14, page 20 |
| Fresh IVF delivery rate per embryo transfer, age 40-41, 2019 | 15.7% | Figure 14, page 20 |
| Fresh IVF delivery rate per embryo transfer, age 42 and older, 2019 | 5.6% | Figure 14, page 20 |
| Frozen/thawed IVF delivery rate per embryo transfer, age under 30, 2019 | 40.1% | Figure 14, page 20 |
| Frozen/thawed IVF delivery rate per embryo transfer, age 30-35, 2019 | 38.7% | Figure 14, page 20 |
| Frozen/thawed IVF delivery rate per embryo transfer, age 36-37, 2019 | 33.2% | Figure 14, page 20 |
| Frozen/thawed IVF delivery rate per embryo transfer, age 38-39, 2019 | 30.7% | Figure 14, page 20 |
| Frozen/thawed IVF delivery rate per embryo transfer, age 40-41, 2019 | 20.2% | Figure 14, page 20 |
| Frozen/thawed IVF delivery rate per embryo transfer, age 42 and older, 2019 | 15.9% | Figure 14, page 20 |
Embryo transfer practice, 2019
| Measure | Value | Source |
|---|---|---|
| Blastocyst (day 5-6) transfers as share of fresh IVF embryo transfers, 2019 | 35% | Figures 12a-12b, page 19 |
| Blastocyst (day 5-6) transfers as share of frozen/thawed embryo transfers with own gametes, 2019 | 94% | Figures 12a-12b, page 19 |
| Survival rate through freezing and thawing for day 5-6 blastocyst embryos, 2019 | 97-98 percent | Embryo culture duration section |
Multiple births, IVF cycles 2019
| Measure | Value | Source |
|---|---|---|
| Multiple birth rate per delivery, fresh IVF/ICSI cycles, 2019 | 2.85% | Figure 11a, page 18 |
| Twin birth rate per delivery, fresh IVF/ICSI cycles, 2019 | 2.81% | Figure 11a, page 18 |
| Triplet birth rate per delivery, fresh IVF/ICSI cycles, 2019 | 0.04% | Figure 11a, page 18 |
| Multiple birth rate per delivery, frozen/thawed IVF cycles, 2019 | 1.93% | Figure 11a, page 18 |
| Twin birth rate per delivery, frozen/thawed IVF cycles, 2019 | 1.89% | Figure 11a, page 18 |
| Triplet birth rate per delivery, frozen/thawed IVF cycles, 2019 | 0.04% | Figure 11a, page 18 |
Complications, fresh IVF cycles started 2019
| Measure | Value | Source |
|---|---|---|
| OHSS cases requiring hospitalization, fresh IVF cycles started 2019 | 60 | Table 4, page 16 |
| Oocyte retrievals underlying complications reporting, fresh IVF cycles started 2019 | 10,421 | Table 4, page 16 |
| OHSS hospitalization rate per oocyte retrieval, fresh IVF cycles started 2019 | 0.58% | Table 4, page 16 |
| Bleeding complication cases, fresh IVF cycles started 2019 | 18 | Table 4, page 16 |
| Infection complication cases, fresh IVF cycles started 2019 | 10 | Table 4, page 16 |
PGT and fertility preservation, 2019
| Measure | Value | Source |
|---|---|---|
| PGT fresh IVF cycles started, 2019 | 335 | Figure 8, page 15 |
| Deliveries after PGT IVF cycles, fresh and frozen transfers combined, 2019 | 76 | Figure 8, page 15 |
| Oocyte freezing cycles performed, 2019 | 591 | Figures 27-28, page 33 |
| Oncologic oocyte freezing cycles, 2019 | 187 | Figures 27-28, page 33 |
| Non-medical oocyte freezing cycles, 2019 | 400 | Figures 27-28, page 33 |
| Other medical oocyte freezing cycles, 2019 | 39 | Figures 27-28, page 33 |
| Year over year increase in oocyte freezing cycles, 2019 vs 2018 | 40% | Figures 27-28, page 33 |
| Oocyte freezing cycles, 2018 (context, prior year for comparison) | 421 | Figures 27-28, page 33 |
Cumulative live birth, 2007-2017
| Measure | Value | Source |
|---|---|---|
| Cumulative live birth rate per oocyte retrieval, all women, 2007 to 2017 | 27.0% to 36.3% | Figure 21, page 24 |
Trends, SET rate 2007-2019
| Measure | Value | Source |
|---|---|---|
| Single embryo transfer rate, fresh IVF cycles, 2007 to 2019 | 70% to 88% | Figure 10a, page 17 |
| Single embryo transfer rate, frozen/thawed IVF cycles, 2007 to 2019 | 77% to 99% | Figure 10b, page 17 |
Trends, registry totals
| Measure | Value | Source |
|---|---|---|
| Cumulative registered ART cycles in the registry since inception, as of the 2019 report | over 230 000 | Concluding remarks |
Patient experience, IVF-KUPP survey 2019
| Measure | Value | Source |
|---|---|---|
| IVF-KUPP satisfaction with medical care, 2019 | 92% | Figure 33, page 40 |
| IVF-KUPP satisfaction with availability, 2019 | 84% | Figure 33, page 40 |
| IVF-KUPP satisfaction with information provided, 2019 | 88% | Figure 33, page 40 |
| IVF-KUPP satisfaction with staff approach, 2019 | 93% | Figure 33, page 40 |
| IVF-KUPP satisfaction with participation in decisions, 2019 | 74% | Figure 33, page 40 |
| IVF-KUPP survey questionnaires sent to patients and partners, autumn 2019 | 4 855 | Patient satisfaction (IVF-KUPP) section |
| Share of IVF-KUPP responders whose treatment included donated sperm, previous survey to 2019 survey | 6% to 13% | Patient satisfaction (IVF-KUPP) section |
Our summary of the report's published figures, each citing its table, figure or section. The full report is at the publisher's link.
