Skip to main content
Log in

The effect of age on in vitro fertilization outcome: is too young possible?

  • Assisted Reproduction Technologies
  • Published:
Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

Abstract

Purpose

The negative correlation between fecundity and age in women has been extensively documented although data on reproductive performance in very young women is sparse. The objective of this study was to determine whether age ≤25 years has an impact on reproductive outcome in women undergoing IVF-ET.

Methods

IVF outcome in 85 infertility patients aged 19–25 years was compared to that in 69 infertility patients aged 30–35 years. Primary outcomes included fertilization rates and embryo quality. Secondary outcomes were clinical pregnancy and miscarriage rates.

Results

The young patients (≤25 years) demonstrated a lower fertilization rate, and reduced number of top quality embryos. Although clinical pregnancy, and implantation rates were similar to their older counterparts (30–35 years), the young women had a significantly higher miscarriage rate.

Conclusion

Our results demonstrating poorer reproductive performance in very young patients were surprising and need further investigation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Bentov Y, Esfandiari N, Burstein E, Casper RF. The use of mitochondrial nutrients to improve the outcome of infertility treatment in older patients. Fertil Steril. 2010;93(1):272–5.

    Article  PubMed  CAS  Google Scholar 

  2. Munné S, Sandalinas M, Magli C, Gianaroli L, Cohen J, Warburton D. Increased rate of aneuploid embryos in young women with previous aneuploid conceptions. Prenat Diagn. 2004;24(8):638–43.

    Article  PubMed  Google Scholar 

  3. Fragouli E, Escalona A, Gutiérrez-Mateo C, Tormasi S, Alfarawati S, Sepulveda S, et al. Comparative genomic hybridization of oocytes and first polar bodies from young donors. Reprod Biomed Online. 2009;19(2):228–37.

    Article  PubMed  CAS  Google Scholar 

  4. Rodríguez-González M, Serra V, Garcia-Velasco JA, Pellicer A, Remohí J. The “vanishing embryo” phenomenon in an oocyte donation programme. Hum Reprod. 2002;17(3):798–802.

    Article  PubMed  Google Scholar 

  5. World Health Organization. WHO laboratory manual for the examination of human sperm and semen-cervical mucus interaction. 4th ed. New York: Cambridge University Press; 1999.

    Google Scholar 

  6. Casper RF, Meriano JS, Jarvi KA, Cowan L, Lucato ML. The hypo-osmotic swelling test for selection of viable sperm for intracytoplasmic sperm injection in men with complete asthenozoospermia. Fertil Steril. 1996;65(5):972–6.

    PubMed  CAS  Google Scholar 

  7. Jurisicova A, Varmuza S, Casper RF. Programmed cell death and human embryo fragmentation. Mol Hum Reprod. 1996;2:93–8.

    Article  PubMed  CAS  Google Scholar 

  8. Ziebe S, Lundin K, Loft A, Bergh C. Nyboe Andersen A, Selleskog U, et al. FISH analysis for chromosomes 13, 16, 18, 21, 22, X and Y in all blastomeres of IVF pre-embryos from 144 randomly selected donated human oocytes and impact on pre-embryo morphology. Hum Reprod. 2003;18:2575–81.

    Article  PubMed  CAS  Google Scholar 

  9. Wilding M, Di Matteo L, Dale B. The maternal age effect: a hypothesis based on oxidative phosphorylation. Zygote. 2005;13(4):317–23.

    Article  PubMed  CAS  Google Scholar 

  10. Bartmann AK, Romão GS, Ramos Eda S, Ferriani RA. Why do older women have poor implantation rates? A possible role of the mitochondria. J Assist Reprod Genet. 2004;21(3):79–83.

    Article  PubMed  Google Scholar 

  11. Simón C, Cano F, Valbueña D, Remohí J, Pellicer A. Clinical evidence for a detrimental effect on uterine receptivity of high serum oestradiol concentrations in high and normal responder patients. Hum Reprod. 1995;10:2432–7.

    PubMed  Google Scholar 

  12. Valbuena D, Martin J, de Pablo JL, Remohí J, Pellicer A, Simón C. Increasing levels of estradiol are deleterious to embryonic implantation because they directly affect the embryo. Fertil Steril. 2001;76:962–8.

    Article  PubMed  CAS  Google Scholar 

  13. Chun SY, Hsueh AJ. Paracrine mechanisms of ovarian follicle apoptosis. J Reprod Immunol. 1998;39(1–2):63–75.

    Article  PubMed  CAS  Google Scholar 

  14. Nelson JR, Feinman M, Wilcox J, Batzofin J. Preimplantation genetic diagnosis in embryos created from oocyte donation. Fertil Steril 2001 pp. S76 ASRM abstract.

  15. Munné S, Ary J, Zouves C, Escudero T, Barnes F, Cinioglu C, et al. Wide range of chromosome abnormalities in the embryos of young egg donors. Reprod Biomed Online. 2006;12(3):340–6.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Robert F. Casper.

Additional information

Capsule

Our results demonstrated that very young women had poorer reproductive performance compared to patients in their early thirties.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nazemian, Z., Esfandiari, N., Javed, M. et al. The effect of age on in vitro fertilization outcome: is too young possible?. J Assist Reprod Genet 28, 101–106 (2011). https://doi.org/10.1007/s10815-010-9499-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10815-010-9499-z

Keywords

Navigation