Evidence map›Paper›PMID 40067642›Full record

ArticleJournal of assisted reproduction and genetics2025

IVF success rates in individuals accessing preimplantation genetic testing for monogenic conditions (PGT-M): a single centre retrospective cohort study of 572 IVF cycles.

Alice Poulton, Melody Menezes, Tristan Hardy, Sharon Lewis, Lisa Hui

Abstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Alice PoultonMonash IVF Group LTD, Level 1, 510 Church Street, Clayton, Cremorne, VIC, 3121, Australia. alice.poulton@monashivfgroup.com.ORCID http://orcid.org/0000-0003-3506-9035
Melody MenezesUniversity of Melbourne, Parkville, VIC, Australia.
Tristan HardyMonash IVF Group LTD, Level 1, 510 Church Street, Clayton, Cremorne, VIC, 3121, Australia.
Sharon LewisUniversity of Melbourne, Parkville, VIC, Australia.
Lisa HuiUniversity of Melbourne, Parkville, VIC, Australia.

Funding

Monash IVF Group PhD support stipendMurdoch Children's Research Institute PhD top up scholarshipNational Health and Medical Research Council Medical Research Future Fund #1196010University of Melbourne Australian Government Research Training Program Scholarship
6 · The paper itself

Abstract

purposeTo evaluate live birth rates per embryo transfer where the primary indication for assisted reproduction was preimplantation genetic testing for monogenic conditions.

methodsAll oocytes were fertilized using intracytoplasmic sperm injection. On days 5-7, ~ 5 trophectoderm cells were biopsied. Whole genome amplification was performed on biopsy samples, followed by a karyomapping protocol. Embryos underwent concurrent 24-chromosome screening. Outcomes included the number of stimulated cycles resulting in embryo biopsy, monogenic and aneuploidy screening results, embryo transfers, and clinical pregnancies and live births. Generalized Estimating Equations were used to analyze the relationship between binary clinical outcomes and fertility covariates.

resultsBetween 2015 and 2022, the laboratory biopsied and tested 2344 embryos for monogenic indications, from 527 stimulated cycles. Eight hundred forty-nine biopsied embryos were euploid and low probability of the condition of interest. Five hundred and thirteen embryos were transferred, resulting in 263 clinical pregnancies, and 230 live births. This translated to clinical pregnancy and live birth rates per embryo transfer of 51.3% (95% CI, 47.0-55.6%) and 44.8% (95% CI, 40.6-49.2%). Compared with patients undergoing preimplantation genetic testing without a subfertility factor, patients with a subfertility factor were 48% less likely to achieve a clinical pregnancy per embryo transfer (β = - 0.4797474, p = 0.026) and 42% less likely to achieve a live birth (β = - 0.4172361, p = 0.052).

conclusionsIndividuals accessing preimplantation genetic testing for monogenic conditions have higher clinical pregnancy and live birth rates than couples accessing in vitro fertilization for other indications such as subfertility. These findings confirm that preimplantation genetic testing is an effective reproductive option for Australian carrier individuals.

Indexed as

Fertilization in VitroGenetic TestingPreimplantation DiagnosisAdultAneuploidyBirth RateEmbryo TransferFemaleHumansLive BirthPregnancyPregnancy RateRetrospective StudiesSperm Injections, Intracytoplasmic24-chromosome aneuploidy screeningKaryomappingMonogenic disorderPGT-MPreimplantation genetic testingSingle gene disorder

Identifiers

PMID40067642
PMCPMC12167401

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.