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

Wiweko, Budi and Mansyur, Eliza and Yuningsih, Tita and Sini, Ivan and Silvana, Vita and Maidarti, Mila and Harzif, Achmad Kemal and Pratama, Gita and Sumapraja, Kanadi and Muharam, Raden and Hestiantoro, Andon and Soebijanto, Soegiharto and Listyasari, Nurin Aisyiyah and Sirait, Batara I. and Hendarto, Hendy and Djuwantono, Tono and Halim, Binarwan and Angsar, Ilyas and Abdullah, Nusratuddin and Adnyana, Putra and Widad, Shofwal and Samsulhadi, Samsulhadi and Hidayat, Syarief Thaufik and Bayuaji, Hartanto and Permadi, Wiryawan and Hendry, Dedy and Lubis, Syahnural and Iffanolida, Pritta Ameilia and Mutia, Kresna and Septyani, Tri and Siregar, Fahreza Akbar and Khairani, Namira and Jovito, Axel and Hayatunnufus, Yuli and Cahya, Ni Putu and Yulinda, Dafi and Susanto, Sarah and Azzahra, Tiara Berliana (2024) Ten years of in vitro fertilization in Indonesia: Access to infertility care in a developing country. International Journal of Gynecology and Obstetrics. pp. 1-7. ISSN 1879-3479

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

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