Recommendation ID
Expectant management before IVF:- What is the optimum period of expectant management for women of different age groups before invasive treatment such as IVF is considered?
Any explanatory notes
(if applicable)
Why this is important:- Where there is no known cause for infertility, expectant management increases the cumulative chances of successful conception. However, the chances of a live birth both by natural conception and by using assisted reproductive technology decline with advancing age because of a woman's decreasing ovarian reserve. The guideline currently recommends a shorter period of expectant management for women who are 36 years or older. This is a very crude cut-off. If there were better evidence it might be possible to customise the period of expectant management based on a woman's age, including longer periods of expectant management for younger women.

Source guidance details

Comes from guidance
Fertility problems: assessment and treatment
Date issued
February 2013

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No  
Last Reviewed 27/02/2013