​In the past decade, an upwards trend in the number of in-vitro fertilization treatments has been occurring. The outcomes of the treatments indicate a stable trend. In most treatment cycles, embryos were transferred. One quarter of them resulted in a pregnancy, and almost one fifth resulted in a live birth.The percentage of live births that are the result of in-vitro fertilization treatments is on an upward trend in Israel – 4.1% of births in 2009-2011, as compared to 3.3% in 2005, 3.0% in 2001 and 2.5% in 1997. The number of in-vitro fertilization treatment cycles in 2011 increased to 38,284, as compared to 34,538 in the previous year (+11%) and 18,011 in 2000 (a 2.1-fold increase). The rate increased to 20.7 per 1,000 women of reproductive age (age 15-49), as compared to 18.9 in the previous year and 11.5 in the year 2000, an increase of 10% since the previous year and of 80% since 2000.
The number of treatment cycles with embryo transfer increased in 2011 to 33,066, as compared to 29,961 in the previous year and 16,230 in 2000. The rate increased to 17.9 per 1,000 women of reproductive age (age 15-49), as compared to 16.4 in the previous year and 10.4 in the year 2000, an increase of 9% since the previous year, 35% since 2005 and 72% since 2000. In most treatment cycles, embryos were transferred – 86%-90% in the last decade.
The number of pregnancies following in-vitro fertilization increased to 8,796 in 2011, as compared to 8,123 in the previous year and 4,217 in 2000. The pregnancy rate increased to 4.7 per 1,000 women of reproductive age, as compared to 2.7 in 2000. The rate increased by 7% since the previous year, by 36% since 2005 and by two thirds (+76%) since 2000. Approximately one quarter of treatment cycles yielded pregnancy, a percentage which has been relatively stable over the past decade.   The number of pregnancies following in-vitro fertilization that ended in a live birth increased to 5,709 in 2011, as compared to 5,612 in the previous year and 2,794 in 2000. The rate was 3.1 per 1,000 women of reproductive age (age 15-49), the same rate as for the previous year, up from 2.3 in 2005 and 1.8 in 2000, an increase of 73% since 2000 and 33% since 2005. Approximately one fifth of treatment cycles ended in a live birth, a percentage which has been stable over the past decade – 15%-18% of treatment cycles and 17%-20% of treatment cycles with embryo transfer. Approximately two thirds of pregnancies following in-vitro fertilization ended in a live birth – 65% in the year 2011.
The number of lived births following in-vitro fertilization (babies born alive) increased to 6,901, as compared to 6,752 in the previous year and 3,546 in 2000. The rate increased to 3.7 per 1,000 women of reproductive age, as compared to 2.3 in the year 2000, an increase of two thirds (+64%) since 2000 and one third (+31%) since 2005.
The average number of babies per delivery following in-vitro fertilization treatment: An average of 1.2 live babies were born per delivery following in-vitro fertilization treatment. This has been at a stable level over the past decade – 1.2-1.3.
It is noted that a recommendation of the National Council for Obstetrics and Gynecology, to reduce IVF treatments in cases when, from a medical viewpoint, there is no real chance for success of the treatment, has been placed on the desk of the Director General of the Ministry of Health. The Ministry Director General will instigate a discussion with the Minister of Health in order to decide regarding the correct policy on this issue.