Evidence map›Paper›PMID 42402542›Full record

ArticleJournal of assisted reproduction and genetics2026

Long-term maternal health outcomes following autologous in vitro fertilization compared with medically unassisted conceptions and with nulliparas.

Hila Shalev-Ram, Amir Wiser, Roni Rahav-Koren, Einat Haikin-Herzberger, Roei Shlezinger, Mattan Levi, Netanella Miller

Abstract read
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Article in Journal of assisted reproduction and genetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Hila Shalev-RamIVF Unit, Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel. hilashalev7@gmail.com.ORCID https://orcid.org/0000-0002-8263-7026
Amir WiserIVF Unit, Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel.
Roni Rahav-KorenIVF Unit, Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel.
Einat Haikin-HerzbergerIVF Unit, Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel.
Roei ShlezingerDepartment of Statistics and Data Science, Hebrew University of Jerusalem, Jerusalem, Israel.
Mattan LeviIVF Unit, Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel.
Netanella MillerIVF Unit, Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe use of in vitro fertilization (IVF) has increased substantially, raising interest in the long-term health outcomes of women undergoing these treatments.

objectiveTo assess the association between conception through autologous IVF and the long-term incidence of chronic diseases, compared with two reference groups: women who conceived through medically unassisted conception (UC) and age-matched nulliparous women.

methodsThis retrospective cohort study used electronic health records from a large health maintenance organization and included women who delivered before age 45 between 2000 and 2018. Three pairwise comparisons were performed: IVF mothers versus UC mothers, IVF mothers versus nulliparous women, and UC mothers versus nulliparous women. For the IVF versus UC comparison, each IVF mother was matched to a UC mother by age and parity at delivery. For comparisons with nulliparous women, controls were matched by age according to the mother's age at first delivery. The delivery date served as the index date for follow-up. Primary outcomes were chronic diseases diagnosed after the index pregnancy and persisting for at least three years.

resultsThe study included 17,425 IVF mothers matched to 17,425 UC mothers, 10,358 IVF mothers matched to 10,358 nulliparous women, and 38,810 UC mothers matched to 38,810 nulliparous women. Compared with UC, IVF was associated with a higher risk of thyroid disease (HR 1.11, p < 0.05). Compared with nulliparous women, IVF mothers had higher risks of thyroid disease (HR 2.07), rheumatologic disease (HR 1.87), neurologic disease (HR 2.51), and psychiatric conditions (HR 1.34) (all p < 0.05). UC mothers also had higher risks of thyroid disease (HR 1.67), rheumatologic disease (HR 1.79), cardiology disease (HR 1.47), and psychiatric conditions (HR 1.47) compared with nulliparous women (all p < 0.05).

conclusionsLong-term health outcomes after autologous IVF were largely comparable to those after UC, except for a modestly increased risk of thyroid disease. Compared with nulliparous women, both IVF and UC mothers had higher risks of several chronic conditions, suggesting that pregnancy itself may contribute to long-term maternal health trajectories. Thyroid function monitoring may be considered for women who conceive through autologous IVF.

Indexed as

Fertilization in VitroMaternal HealthParityAdultChronic DiseaseFemaleHumansPregnancyPregnancy OutcomePregnancy RateRetrospective StudiesIn vitro fertilizationLong-term morbidityMedically unassisted conceptionsNulliparousParityThyroid diseases

Identifiers

PMID42402542
PMCPMC13597992

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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.