In the last thirty years, advancements in in vitro fertilization (IVF) technology have significantly increased the success rates of conceiving through IVF. While the birth rate in 1991 was just 8%, it has risen dramatically to 22% in 2021, offering hope to couples struggling with infertility. However, the progress in fertility technology is hindered by outdated legislation, limiting research opportunities and slowing down the development of new methods.
Experts in the field argue that laws written in the 1980s and ’90s, when IVF was new and heavily stigmatized, continue to impede innovative research today. In the United Kingdom, legislation has not been updated since 1990, while the United States has a complex state-by-state system, making embryo research legal in only a few states. The constraints on research materials and funding inhibit the exploration of new technologies and approaches that could potentially improve IVF success rates.
One of the key initiatives for progress is the adoption of new legislation that allows for easier access to embryos for research purposes. The British Fertility Society is pushing for simplified consent forms, streamlined research license acquisition processes, and increased donation of embryos for research. In the U.S., efforts are being made to challenge existing laws and regulations that restrict embryo research, potentially paving the way for advancements in fertility technology.
While legislative barriers remain a significant challenge, there are also exciting research avenues that could revolutionize IVF. Technologies such as artificial intelligence for embryo selection and in vitro gametogenesis (IVG) have the potential to enhance IVF success rates and offer new solutions to fertility issues. However, these advancements are still in the early stages of development and raise ethical concerns that need to be addressed before widespread adoption.
In the absence of groundbreaking scientific breakthroughs, individuals can take steps to improve their chances of successful IVF. Maintaining a healthy lifestyle, managing stress levels, and being aware of fertility factors such as age and ethnic disparities can all play a role in increasing the likelihood of a successful IVF outcome. By staying informed and proactive about their fertility status, individuals can make informed decisions and seek appropriate support to navigate the challenges of conception through IVF.