Overall risk is small, but some types of IVF linked to higher chance of autism, mental ability

Posted: Published on July 4th, 2013

This post was added by Dr Simmons

LONDON (Reuters) - Couples who have certain types of fertility treatment have a higher chance of having a child with autism or learning difficulties - although the overall risk is still extremely small, scientists said on Tuesday.

The experts said couples should not consider abandoning or avoiding in-vitro-fertilization (IVF) on the basis of their research findings.

The study, conducted by Swedish researchers based in Britain, Sweden and the United States, found children born after IVF treatments for the most severe forms of male infertility were more likely to be diagnosed with autism or an intellectual disability.

But the actual numbers were low - children born after one form of IVF treatment had a 0.136 percent risk of having autism - a developmental disorder characterized by poor communication skills - compared with a 0.029 percent risk for children conceived naturally, they said.

"The main message ... is a positive one, suggesting that any risk of these disorders is very low, or absent, in comparison to children conceived naturally," said Allan Pacey, who was not involved in the research and is a fertility expert at Sheffield University and Chairman of the British Fertility Society.

The study was the largest of its kind and the first to compare all available IVF treatments and the risk of neurodevelopmental disorders in children.

The researchers analyzed more than 2.5 million birth records from 1982 and 2007 and followed up whether children had been diagnosed with autism or intellectual disability - defined as an intelligence quotient (IQ) score below 70 - until 2009.

Of the 2.5 million children, just under 31,000, or 1.2 percent, were born following IVF treatment.

Standard IVF treatment involves an egg being fertilized with sperm in a laboratory dish, while intracytoplasmic sperm injection (ICSI) fertility treatments - now used in about half of cases and often recommended for male fertility problems - involve injecting a single sperm directly into an egg.

"When we looked at IVF treatments combined, we found there was no overall increased risk for autism, but a small increased risk of intellectual disability," said Sven Sandin of King's College London's Institute of Psychiatry, who co-led the study.

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Overall risk is small, but some types of IVF linked to higher chance of autism, mental ability

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