Evaluation of costs associated with fertility treatment leading to a live birth after one fresh transfer: A global perspective

Best Pract Res Clin Obstet Gynaecol. 2023 Jul:89:102349. doi: 10.1016/j.bpobgyn.2023.102349. Epub 2023 May 18.

Abstract

Considerable costs are associated with infertility treatment, but little evidence is available on the main drivers of treatment costs. This cost analysis investigated key costs for treatment with assisted reproductive technology (ART) and the proportion of costs attributed to the acquisition of recombinant human follicle-stimulating hormone (r-hFSH) alfa originator for one fresh embryo transfer (ET) leading to a live birth in Spain, Norway, the UK, Germany, Denmark, South Korea, Australia, and New Zealand. The total costs for one ART cycle with a fresh ET leading to a live birth varied between countries (€4108-€12,314). Costs for pregnancy and live birth were the major contributors in European countries, and the costs of oocyte retrieval, monitoring during ovarian stimulation, pregnancy, and live birth were the top contributors in the Asia-Pacific countries, included in this analysis. Acquisition costs for r-hFSH alfa originator contributed to only 5%-17% of the total costs of one ART cycle with one fresh ET leading to a live birth.

Keywords: Assisted reproductive technology (ART); Drug acquisition cost; Live birth; Real-world data; Recombinant human follicle-stimulating hormone (r-hFSH).

Publication types

  • Review

MeSH terms

  • Costs and Cost Analysis
  • Female
  • Fertility
  • Fertilization in Vitro
  • Follicle Stimulating Hormone, Human*
  • Humans
  • Live Birth*
  • Ovulation Induction
  • Pregnancy
  • Pregnancy Rate
  • Pregnancy, Multiple

Substances

  • Follicle Stimulating Hormone, Human