Ten years of in vitro fertilization in Indonesia: Access to infertility care in a developing country

Budi Wiweko; Eliza Mansyur; Tita Yuningsih; Ivan Sini; Vita Silvana; Mila Maidarti; Achmad Kemal Harzif; Gita Pratama; Kanadi Sumapraja; Raden Muharam; Andon Hestiantoro; Soegiharto Soebijanto; Nurin Aisyiyah Listyasari; Batara Sirait; Hendy Hendarto; Tono Djuwantono; Binarwan Halim; Ilyas Angsar; Nusratuddin Abdullah; Putra Adnyana; Shofwal Widad; Samsulhadi Samsulhadi; Syarief Thaufik Hidayat; Hartanto Bayuaji; Wiryawan Permadi; Dedy Hendry; Syahnural Lubis; Pritta Ameilia Iffanolida; Kresna Mutia; Tri Septyani; Fahreza Akbar Siregar; Namira Khairani; Axel Jovito; Yuli Hayatunnufus; Ni Putu Cahya; Dafi Yulinda; Sarah Susanto; Tiara Berliana Azzahra

doi:10.1002/ijgo.15322

Ten years of in vitro fertilization in Indonesia: Access to infertility care in a developing country

Budi Wiweko, Eliza Mansyur, Tita Yuningsih, Ivan Sini, Vita Silvana, Mila Maidarti, Achmad Kemal Harzif, Gita Pratama, Kanadi Sumapraja, Raden Muharam, Andon Hestiantoro, Soegiharto Soebijanto, Nurin Aisyiyah Listyasari, Batara Sirait, Hendy Hendarto, Tono Djuwantono, Binarwan Halim, Ilyas Angsar, Nusratuddin Abdullah, Putra AdnyanaShofwal Widad, Samsulhadi Samsulhadi, Syarief Thaufik Hidayat, Hartanto Bayuaji, Wiryawan Permadi, Dedy Hendry, Syahnural Lubis, Pritta Ameilia Iffanolida, Kresna Mutia, Tri Septyani, Fahreza Akbar Siregar, Namira Khairani, Axel Jovito, Yuli Hayatunnufus, Ni Putu Cahya, Dafi Yulinda, Sarah Susanto, Tiara Berliana Azzahra

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: This research was conducted to assess access to assisted reproductive technologies (ART) and the current status of the in vitro fertilization (IVF) program that have been implemented in Indonesia over the last 10 years. Methods: We established a retrospective cohort study and descriptive analysis of the current state of access to infertility care in Indonesia. The data were collected from all IVF centers, clinics, and hospitals in Indonesia from 2011 to 2020, including the number of IVF clinics, total ART cycles, retrieved fresh and frozen embryos, average age of IVF patients, IVF pregnancy rate, and causes of infertility. Results: The number of reported fertility clinics in Indonesia has increased from 14 clinics in 2011 to 41 clinics by 2020. As many as 69 569 ART cycles were conducted over the past 10 years, of which 51 892 cycles used fresh embryos and 17 677 cycles used frozen embryos. The leading cause of consecutive infertility diagnosis was male infertility. Nearly half of the women who underwent IVF procedures (48.9%) were under 35 years old. The pregnancy rate outcome of women who underwent IVF ranged from 24.6% to 37.3%. Conclusion: Developments in ART in Indonesia have led to improvements in the ART cycles performed throughout the 10 year period. The identification of key areas that require improvement can provide an opportunity to enhance access to infertility care.

Original language	English
Pages (from-to)	1144-1150
Number of pages	7
Journal	International Journal of Gynecology and Obstetrics
Volume	165
Issue number	3
DOIs	https://doi.org/10.1002/ijgo.15322
Publication status	Published - Jun 2024

Keywords

Indonesia
assisted reproductive technology
female infertility
fertility clinics
in vitro fertilization
infertility
infertility care
male infertility

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10.1002/ijgo.15322

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Wiweko, B., Mansyur, E., Yuningsih, T., Sini, I., Silvana, V., Maidarti, M., Harzif, A. K., Pratama, G., Sumapraja, K., Muharam, R., Hestiantoro, A., Soebijanto, S., Listyasari, N. A., Sirait, B., Hendarto, H., Djuwantono, T., Halim, B., Angsar, I., Abdullah, N., ... Azzahra, T. B. (2024). Ten years of in vitro fertilization in Indonesia: Access to infertility care in a developing country. International Journal of Gynecology and Obstetrics, 165(3), 1144-1150. https://doi.org/10.1002/ijgo.15322

@article{067f43de54a24b4d8e21d3130887c297,

title = "Ten years of in vitro fertilization in Indonesia: Access to infertility care in a developing country",

abstract = "Objective: This research was conducted to assess access to assisted reproductive technologies (ART) and the current status of the in vitro fertilization (IVF) program that have been implemented in Indonesia over the last 10 years. Methods: We established a retrospective cohort study and descriptive analysis of the current state of access to infertility care in Indonesia. The data were collected from all IVF centers, clinics, and hospitals in Indonesia from 2011 to 2020, including the number of IVF clinics, total ART cycles, retrieved fresh and frozen embryos, average age of IVF patients, IVF pregnancy rate, and causes of infertility. Results: The number of reported fertility clinics in Indonesia has increased from 14 clinics in 2011 to 41 clinics by 2020. As many as 69 569 ART cycles were conducted over the past 10 years, of which 51 892 cycles used fresh embryos and 17 677 cycles used frozen embryos. The leading cause of consecutive infertility diagnosis was male infertility. Nearly half of the women who underwent IVF procedures (48.9%) were under 35 years old. The pregnancy rate outcome of women who underwent IVF ranged from 24.6% to 37.3%. Conclusion: Developments in ART in Indonesia have led to improvements in the ART cycles performed throughout the 10 year period. The identification of key areas that require improvement can provide an opportunity to enhance access to infertility care.",

keywords = "Indonesia, assisted reproductive technology, female infertility, fertility clinics, in vitro fertilization, infertility, infertility care, male infertility",

author = "Budi Wiweko and Eliza Mansyur and Tita Yuningsih and Ivan Sini and Vita Silvana and Mila Maidarti and Harzif, {Achmad Kemal} and Gita Pratama and Kanadi Sumapraja and Raden Muharam and Andon Hestiantoro and Soegiharto Soebijanto and Listyasari, {Nurin Aisyiyah} and Batara Sirait and Hendy Hendarto and Tono Djuwantono and Binarwan Halim and Ilyas Angsar and Nusratuddin Abdullah and Putra Adnyana and Shofwal Widad and Samsulhadi Samsulhadi and Hidayat, {Syarief Thaufik} and Hartanto Bayuaji and Wiryawan Permadi and Dedy Hendry and Syahnural Lubis and Iffanolida, {Pritta Ameilia} and Kresna Mutia and Tri Septyani and Siregar, {Fahreza Akbar} and Namira Khairani and Axel Jovito and Yuli Hayatunnufus and Cahya, {Ni Putu} and Dafi Yulinda and Sarah Susanto and Azzahra, {Tiara Berliana}",

note = "Publisher Copyright: {\textcopyright} 2024 International Federation of Gynecology and Obstetrics.",

year = "2024",

month = jun,

doi = "10.1002/ijgo.15322",

language = "English",

volume = "165",

pages = "1144--1150",

journal = "International Journal of Gynecology and Obstetrics",

issn = "0020-7292",

publisher = "John Wiley and Sons Ltd",

number = "3",

}

Wiweko, B, Mansyur, E, Yuningsih, T, Sini, I, Silvana, V, Maidarti, M, Harzif, AK, Pratama, G, Sumapraja, K, Muharam, R, Hestiantoro, A, Soebijanto, S, Listyasari, NA, Sirait, B, Hendarto, H, Djuwantono, T, Halim, B, Angsar, I, Abdullah, N, Adnyana, P, Widad, S, Samsulhadi, S, Hidayat, ST, Bayuaji, H, Permadi, W, Hendry, D, Lubis, S, Iffanolida, PA, Mutia, K, Septyani, T, Siregar, FA, Khairani, N, Jovito, A, Hayatunnufus, Y, Cahya, NP, Yulinda, D, Susanto, S & Azzahra, TB 2024, 'Ten years of in vitro fertilization in Indonesia: Access to infertility care in a developing country', International Journal of Gynecology and Obstetrics, vol. 165, no. 3, pp. 1144-1150. https://doi.org/10.1002/ijgo.15322

TY - JOUR

T1 - Ten years of in vitro fertilization in Indonesia

T2 - Access to infertility care in a developing country

AU - Wiweko, Budi

AU - Mansyur, Eliza

AU - Yuningsih, Tita

AU - Sini, Ivan

AU - Silvana, Vita

AU - Maidarti, Mila

AU - Harzif, Achmad Kemal

AU - Pratama, Gita

AU - Sumapraja, Kanadi

AU - Muharam, Raden

AU - Hestiantoro, Andon

AU - Soebijanto, Soegiharto

AU - Listyasari, Nurin Aisyiyah

AU - Sirait, Batara

AU - Hendarto, Hendy

AU - Djuwantono, Tono

AU - Halim, Binarwan

AU - Angsar, Ilyas

AU - Abdullah, Nusratuddin

AU - Adnyana, Putra

AU - Widad, Shofwal

AU - Samsulhadi, Samsulhadi

AU - Hidayat, Syarief Thaufik

AU - Bayuaji, Hartanto

AU - Permadi, Wiryawan

AU - Hendry, Dedy

AU - Lubis, Syahnural

AU - Iffanolida, Pritta Ameilia

AU - Mutia, Kresna

AU - Septyani, Tri

AU - Siregar, Fahreza Akbar

AU - Khairani, Namira

AU - Jovito, Axel

AU - Hayatunnufus, Yuli

AU - Cahya, Ni Putu

AU - Yulinda, Dafi

AU - Susanto, Sarah

AU - Azzahra, Tiara Berliana

PY - 2024/6

Y1 - 2024/6

N2 - Objective: This research was conducted to assess access to assisted reproductive technologies (ART) and the current status of the in vitro fertilization (IVF) program that have been implemented in Indonesia over the last 10 years. Methods: We established a retrospective cohort study and descriptive analysis of the current state of access to infertility care in Indonesia. The data were collected from all IVF centers, clinics, and hospitals in Indonesia from 2011 to 2020, including the number of IVF clinics, total ART cycles, retrieved fresh and frozen embryos, average age of IVF patients, IVF pregnancy rate, and causes of infertility. Results: The number of reported fertility clinics in Indonesia has increased from 14 clinics in 2011 to 41 clinics by 2020. As many as 69 569 ART cycles were conducted over the past 10 years, of which 51 892 cycles used fresh embryos and 17 677 cycles used frozen embryos. The leading cause of consecutive infertility diagnosis was male infertility. Nearly half of the women who underwent IVF procedures (48.9%) were under 35 years old. The pregnancy rate outcome of women who underwent IVF ranged from 24.6% to 37.3%. Conclusion: Developments in ART in Indonesia have led to improvements in the ART cycles performed throughout the 10 year period. The identification of key areas that require improvement can provide an opportunity to enhance access to infertility care.

AB - Objective: This research was conducted to assess access to assisted reproductive technologies (ART) and the current status of the in vitro fertilization (IVF) program that have been implemented in Indonesia over the last 10 years. Methods: We established a retrospective cohort study and descriptive analysis of the current state of access to infertility care in Indonesia. The data were collected from all IVF centers, clinics, and hospitals in Indonesia from 2011 to 2020, including the number of IVF clinics, total ART cycles, retrieved fresh and frozen embryos, average age of IVF patients, IVF pregnancy rate, and causes of infertility. Results: The number of reported fertility clinics in Indonesia has increased from 14 clinics in 2011 to 41 clinics by 2020. As many as 69 569 ART cycles were conducted over the past 10 years, of which 51 892 cycles used fresh embryos and 17 677 cycles used frozen embryos. The leading cause of consecutive infertility diagnosis was male infertility. Nearly half of the women who underwent IVF procedures (48.9%) were under 35 years old. The pregnancy rate outcome of women who underwent IVF ranged from 24.6% to 37.3%. Conclusion: Developments in ART in Indonesia have led to improvements in the ART cycles performed throughout the 10 year period. The identification of key areas that require improvement can provide an opportunity to enhance access to infertility care.

KW - Indonesia

KW - assisted reproductive technology

KW - female infertility

KW - fertility clinics

KW - in vitro fertilization

KW - infertility

KW - infertility care

KW - male infertility

UR - http://www.scopus.com/inward/record.url?scp=85181460191&partnerID=8YFLogxK

U2 - 10.1002/ijgo.15322

DO - 10.1002/ijgo.15322

M3 - Article

AN - SCOPUS:85181460191

SN - 0020-7292

VL - 165

SP - 1144

EP - 1150

JO - International Journal of Gynecology and Obstetrics

JF - International Journal of Gynecology and Obstetrics

IS - 3

ER -

Ten years of in vitro fertilization in Indonesia: Access to infertility care in a developing country

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