We're not quite ready for "one egg, one sperm, one embryo, one baby" in terms of IVF efficiency, but that should be the ideal to which we aspire. I applaud the movement toward single embryo transfer to decrease the risk of twin pregnancy, but I am not yet ready to dictate that every cycle should follow that standard--not yet.
The data below summarizes the 2014 experience with single embryo transfer, for every IVF program that performed more than 20 embryo transfers in the under 35-year-old age group--the patient population at highest risk for multiple pregnancy.
A couple of observations: 1) There are still a lot of twin pregnancies, and we can do much better, and 2) there does appear to be some trade-off in some centers in live birth rate versus single embryo transfer rate.
Conclusion: We should be moving towards higher and higher use of single embryo transfer; however, there are cases where a second embryo may be appropriate, and clinics owe their patients precise data on which to base their decisions.
Clinic | State | % single embryo transfer | Live singleton birth % | Live twin birth % |
REPRODUCTIVE ASSOCIATES OF DELAWARE | DELAWARE | 95.6 | 37.1 | 0.9 |
FERTILITY CENTERS OF NEW ENGLAND, INC. | MASSACHUSETTS | 79.3 | 38.4 | 2.5 |
UNC FERTILITY | NORTH CAROLINA | 76.9 | 50.0 | 2.8 |
REPRODUCTIVE BIOLOGY ASSOCIATES | GEORGIA | 75.9 | 22.2 | 2.3 |
AUDUBON FERTILITY & REPRODUCTIVE MEDICINE | LOUISIANA | 69.6 | 23.8 | 2.4 |
PACIFIC FERTILITY CENTER | CALIFORNIA | 68.9 | 25.0 | 2.4 |
FAMILY FERTILITY CENTER - TEXAS CHILDREN'S PAVILION FOR WOMEN | TEXAS | 68.6 | 28.8 | 3.8 |
REPRODUCTIVE HEALTH SPECIALISTS, INC. | PENNSYLVANIA | 68.4 | 41.0 | 6.0 |
GUNDERSEN FERTILITY CENTER | WISCONSIN | 66.7 | 48.1 | 3.7 |
NYU FERTILITY CENTER | NEW YORK | 66.3 | 31.6 | 3.0 |
FERTILITY SOLUTIONS, P.C. / MASSACHUSETTS FERTILITY CENTER, L.L.C. | MASSACHUSETTS | 66.0 | 32.2 | 1.4 |
UCLA FERTILITY CENTER | CALIFORNIA | 65.4 | 14.8 | 3.7 |
BAYSTATE REPRODUCTIVE MEDICINE | MASSACHUSETTS | 65.2 | 32.6 | 3.0 |
UNIVERSITY OF CHICAGO MEDICINE CENTER FOR REPRODUCTIVE MEDICINE AND FERTILITY | ILLINOIS | 65.0 | 30.8 | 2.6 |
UNIVERSITY OF IOWA HOSPITALS AND CLINICS | IOWA | 64.5 | 46.6 | 6.3 |
SHADY GROVE FERTILITY RSC OF PENNNSYLVANIA | PENNSYLVANIA | 64.2 | 19.4 | 4.3 |
UNIVERSITY OF PENNSYLVANIA - PENN FERTILITY CARE | PENNSYLVANIA | 63.8 | 25.6 | 4.7 |
REPRODUCTIVE SCIENCE CENTER OF THE SAN FRANCISCO BAY AREA | CALIFORNIA | 63.6 | 42.9 | 5.2 |
IVF HAWAII | HAWAII | 62.5 | 29.4 | 8.8 |
VIRGINIA CENTER FOR REPRODUCTIVE MEDICINE | VIRGINIA | 62.5 | 35.1 | 8.1 |
REPRODUCTIVE MEDICINE ASSOCIATES OF PHILADELPHIA | PENNSYLVANIA | 61.3 | 29.1 | 8.7 |
IVF NEW ENGLAND | MASSACHUSETTS | 60.6 | 31.9 | 5.1 |
FERTILITY SPECIALISTS OF HOUSTON | TEXAS | 59.4 | 23.1 | 3.8 |
POMA FERTILITY | WASHINGTON | 58.9 | 47.2 | 1.4 |
REPRODUCTIVE MEDICINE CENTER | WISCONSIN | 58.4 | 28.8 | 3.2 |
BOSTON IVF, THE MAINE CENTER | MAINE | 58.1 | 26.7 | 3.3 |
THE A.R.T. INSTITUTE OF WASHINGTON, INC. | MARYLAND | 57.0 | 36.8 | 2.2 |
REPRODUCTIVE MEDICINE ASSOCIATES OF NEW JERSEY | NEW JERSEY | 56.9 | 24.3 | 7.1 |
KAISER PERMANENTE CENTER FOR REPRODUCTIVE HEALTH SACRAMENTO | CALIFORNIA | 56.6 | 41.4 | 9.5 |
SHADY GROVE FERTILITY RSC-TOWSON | MARYLAND | 56.6 | 38.7 | 4.0 |
CENTER FOR REPRODUCTIVE MEDICINE | MICHIGAN | 56.5 | 35.7 | 5.4 |
WASHINGTON FERTILITY CENTER | VIRGINIA | 56.4 | 28.6 | 12.2 |
INSTITUTE FOR REPRODUCTIVE MEDICINE AND SCIENCE | NEW JERSEY | 55.4 | 34.7 | 5.3 |
CARE FOR THE BAY AREA | CALIFORNIA | 55.0 | 35.7 | 3.6 |
NEW HOPE FERTILITY CENTER - WEST SIDE | NEW YORK | 55.0 | 19.4 | 1.7 |
NORTH SHORE UNIVERSITY HOSPITAL | NEW YORK | 54.7 | 27.7 | 3.3 |
STANFORD UNIVERSITY IVF/ART PROGRAM | CALIFORNIA | 54.3 | 21.6 | 2.7 |
SHADY GROVE FERTILITY REPRODUCTIVE SCIENCE CENTER | MARYLAND | 53.7 | 33.6 | 4.9 |
PACIFIC NORTHWEST FERTILITY AND IVF SPECIALISTS | WASHINGTON | 52.8 | 18.2 | 3.0 |
SEATTLE REPRODUCTIVE MEDICINE | WASHINGTON | 51.5 | 33.5 | 6.2 |
HRC FERTILITY - ORANGE COUNTY | CALIFORNIA | 51.0 | 50.4 | 13.5 |
GREENWICH FERTILITY AND IVF CENTER, P.C. | CONNECTICUT | 50.0 | 34.1 | 7.3 |
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER | MISSISSIPPI | 50.0 | 32.1 | 3.6 |
FERTILITY PHYSICIANS OF NORTHERN CALIFORNIA | CALIFORNIA | 49.6 | 24.6 | 2.3 |
UNIVERSITY OF WISCONSIN – GENERATIONS FERTILITY CARE | WISCONSIN | 49.0 | 42.9 | 6.3 |
BROWN FERTILITY | FLORIDA | 48.8 | 28.1 | 6.1 |
THE CENTER FOR ADVANCED REPRODUCTIVE SERVICES | CONNECTICUT | 48.7 | 34.9 | 5.5 |
FERTILITY CENTERS OF ILLINOIS - RIVER NORTH IVF | ILLINOIS | 48.5 | 34.5 | 6.0 |
ADVANCED FERTILITY CARE, PLLC | ARIZONA | 47.1 | 44.2 | 5.2 |
TEXAS FERTILITY CENTER | TEXAS | 46.7 | 15.1 | 3.9 |
REPRODUCTIVE PARTNERS - REDONDO BEACH | CALIFORNIA | 46.4 | 21.0 | 5.0 |
UNIVERSITY OF ILLINOIS AT CHICAGO IVF PROGRAM | ILLINOIS | 46.4 | 22.9 | 6.3 |
GREEN VALLEY FERTILITY PARTNERS | NEVADA | 46.2 | 34.3 | 2.9 |
UCSF CENTER FOR REPRODUCTIVE HEALTH | CALIFORNIA | 45.8 | 30.6 | 4.9 |
INSTITUTE FOR HUMAN REPRODUCTION (IHR) | ILLINOIS | 45.7 | 22.4 | 6.1 |
KAISER PERMANENTE CENTER FOR REPRODUCTIVE HEALTH | CALIFORNIA | 45.4 | 40.8 | 11.2 |
NASHVILLE FERTILITY CENTER | TENNESSEE | 45.0 | 25.1 | 8.4 |
BOSTON IVF | MASSACHUSETTS | 44.4 | 30.1 | 7.4 |
PREMIER FERTILITY CENTER | NORTH CAROLINA | 43.5 | 41.9 | 3.2 |
ARIZONA ASSOCIATES FOR REPRODUCTIVE HEALTH | ARIZONA | 43.2 | 25.4 | 4.2 |
BRIGHAM AND WOMEN'S HOSPITAL ART CENTER | MASSACHUSETTS | 43.0 | 32.3 | 8.2 |
ATLANTA CENTER FOR REPRODUCTIVE MEDICINE | GEORGIA | 42.5 | 33.2 | 8.7 |
PROGRAM FOR ASST. REPRODUCTION, CAROLINAS MED CTR | NORTH CAROLINA | 41.0 | 32.5 | 2.4 |
MICHIGAN REPRODUCTIVE MEDICINE | MICHIGAN | 40.9 | 28.9 | 2.6 |
CENTER FOR REPRODUCTIVE MEDICINE | ALABAMA | 40.7 | 38.1 | 14.3 |
FERTILITY CENTER OF MARYLAND | MARYLAND | 40.5 | 31.8 | 4.5 |
UF HEALTH REPRODUCTIVE MEDICINE AT SPRINGHILL | FLORIDA | 40.0 | 28.6 | 7.1 |
THE CENTER FOR REPRODUCTIVE MEDICINE | KANSAS | 40.0 | 30.4 | 8.7 |
FERTILITY INSTITUTE OF VIRGINIA | VIRGINIA | 40.0 | 18.2 | 4.5 |
FERTILITY CENTERS OF ILLINOIS - APARENT IVF CENTER | ILLINOIS | 38.7 | 24.2 | 8.8 |
MAYO CLINIC ASSISTED REPRODUCTIVE TECHNOLOGIES | MINNESOTA | 38.6 | 34.8 | 4.3 |
SOUTH JERSEY FERTILITY CENTER | NEW JERSEY | 38.5 | 34.6 | 12.3 |
REPRODUCTIVE MEDICINE ASSOCIATES OF TEXAS, PA | TEXAS | 38.4 | 40.4 | 13.8 |
CENTER FOR REPRODUCTIVE MEDICINE, PA | FLORIDA | 38.3 | 16.1 | 7.0 |
REPRODUCTIVE SCIENCE CENTER OF NEW JERSEY | NEW JERSEY | 38.3 | 31.7 | 11.0 |
BILLINGS CLINIC | MONTANA | 38.2 | 35.8 | 10.4 |
REPRODUCTIVE MEDICINE ASSOCIATES OF NEW YORK LLP | NEW YORK | 38.0 | 32.0 | 11.4 |
CTR FOR ADVANCED REPRODUCTIVE MEDICINE & FERTILITY | NEW JERSEY | 37.7 | 22.2 | 15.3 |
NEWAY MEDICAL | NEW YORK | 37.5 | 25.4 | 5.1 |
SHER INSTITUTE FOR REPRODUCTIVE MEDICINE | ILLINOIS | 37.3 | 18.8 | 3.8 |
ISLAND REPRODUCTIVE SERVICES,P.C. | NEW YORK | 37.3 | 37.5 | 6.3 |
MASSACHUSETTS GENERAL HOSPITAL FERTILITY CENTER | MASSACHUSETTS | 37.1 | 40.2 | 5.2 |
VALLEY HOSPITAL FERTILITY CENTER | NEW JERSEY | 37.1 | 30.4 | 11.4 |
COLUMBIA UNIVERSITY CENTER FOR WOMEN'S REPRODUCTIVE CARE | NEW YORK | 35.2 | 22.7 | 6.9 |
ARIZONA REPRODUCTIVE MEDICINE SPECIALISTS | ARIZONA | 35.0 | 12.3 | 1.8 |
FRISCO INSTITUTE FOR REPRODUCTIVE MEDICINE | TEXAS | 35.0 | 30.8 | 4.6 |
CENTER FOR ASSISTED REPRODUCTION | TEXAS | 34.3 | 26.7 | 7.5 |
MADIGAN ARMY MEDICAL CENTER | WASHINGTON | 34.3 | 27.3 | 13.6 |
GENESIS FERTILITY & REPRODUCTIVE MEDICINE | NEW YORK | 33.8 | 22.2 | 6.8 |
REPRODUCTIVE MEDICINE ASSOCIATES OF CT | CONNECTICUT | 33.3 | 18.5 | 9.2 |
COLUMBIA FERTILITY ASSOCIATES | DISTRICT OF COLUMBIA | 33.3 | 23.5 | 6.1 |
FLORIDA INSTITUTE FOR REPRODUCTIVE MEDICINE | FLORIDA | 33.3 | 21.1 | 7.0 |
JOHNS HOPKINS FERTILITY CENTER | MARYLAND | 33.3 | 20.2 | 10.6 |
UNIVERSITY OF PITTSBURGH PHYSICIANS | PENNSYLVANIA | 33.3 | 18.0 | 3.5 |
CENTER FOR REPRODUCTIVE MEDICINE | MINNESOTA | 32.4 | 37.5 | 16.3 |
SANFORD WOMEN'S HEALTH | SOUTH DAKOTA | 32.4 | 33.0 | 5.7 |
IVF FLORIDA | FLORIDA | 32.3 | 27.8 | 6.3 |
AUSTIN FERTILITY INSTITUTE, PA | TEXAS | 32.3 | 15.2 | 4.3 |
REPRODUCTIVE SPECIALISTS OF NEW YORK | NEW YORK | 32.1 | 27.9 | 7.7 |
REPRODUCTIVE MEDICINE & INFERTILITY ASSOCIATES | MINNESOTA | 31.7 | 35.6 | 11.0 |
WAKE FOREST UNIVERSITY CENTER FOR REPRODUCTIVE MEDICINE | NORTH CAROLINA | 31.6 | 36.4 | 13.6 |
REPRODUCTIVE MEDICINE ASSOCIATES OF PENNSYLVANIA | PENNSYLVANIA | 31.6 | 29.0 | 17.7 |
REPRODUCTIVE MEDICINE ASSOCIATES OF MICHIGAN | MICHIGAN | 31.1 | 31.3 | 9.5 |
GEORGIA REPRODUCTIVE SPECIALISTS, LLC | GEORGIA | 30.8 | 25.8 | 6.1 |
SETH LEVRANT, MD, PC | ILLINOIS | 30.4 | 30.0 | 3.3 |
INSTITUTE FOR REPRODUCTIVE HEALTH | OHIO | 29.3 | 30.2 | 11.7 |
CENTER FOR ADVANCED REPRODUCTIVE MEDICINE | KANSAS | 28.8 | 17.1 | 7.2 |
DUKE FERTILITY CENTER | NORTH CAROLINA | 28.3 | 35.9 | 3.8 |
COASTAL FERTILITY SPECIALISTS | SOUTH CAROLINA | 28.3 | 19.7 | 5.3 |
MONTEFIORE'S INSTITUTE FOR REPRODUCTIVE MEDICINE AND HEALTH | NEW YORK | 28.2 | 25.5 | 2.0 |
ANDREW J. LEVI, M.D., LLC | CONNECTICUT | 28.1 | 25.4 | 8.5 |
DALLAS IVF | TEXAS | 27.9 | 28.4 | 5.7 |
SOUTH FLORIDA INSTITUTE FOR REPRODUCTIVE MEDICINE | FLORIDA | 27.1 | 27.1 | 14.7 |
UNIVERSITY FERTILITY CONSULTANTS - OREGON HEALTH & SCIENCE UNIVERSITY | OREGON | 26.9 | 23.1 | 14.1 |
THE UTAH CENTER FOR REPRODUCTIVE MEDICINE | UTAH | 26.7 | 32.2 | 17.8 |
WASHINGTON CENTER FOR REPRODUCTIVE MEDICINE | WASHINGTON | 26.7 | 37.2 | 4.7 |
LONG ISLAND IVF | NEW YORK | 26.0 | 29.0 | 12.4 |
NORTHWESTERN UNIVERSITY | ILLINOIS | 25.7 | 24.6 | 8.8 |
WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY | NEW YORK | 25.7 | 28.0 | 9.3 |
REPRODUCTIVE MEDICINE INSTITUTE | ILLINOIS | 25.6 | 22.5 | 5.4 |
THE NEVADA CENTER FOR REPRODUCTIVE MEDICINE | NEVADA | 25.5 | 37.3 | 11.9 |
CNY FERTILITY CENTER | NEW YORK | 25.5 | 25.5 | 10.6 |
TROCHE FERTILITY CENTERS | ARIZONA | 25.4 | 32.4 | 8.1 |
ADVANCED REPRODUCTIVE MEDICINE | COLORADO | 25.0 | 33.3 | 9.5 |
COLORADO CENTER FOR REPRODUCTIVE MEDICINE | COLORADO | 25.0 | 17.4 | 3.7 |
REPRODUCTIVE HEALTH AND FERTILITY CENTER | ILLINOIS | 25.0 | 15.4 | 5.1 |
THE CENTER FOR REPRODUCTIVE HEALTH | WASHINGTON | 24.4 | 23.5 | 12.9 |
FERTILITY SPECIALISTS MEDICAL GROUP | CALIFORNIA | 24.0 | 16.7 | 3.0 |
INVIA FERTILITY SPECIALISTS | ILLINOIS | 24.0 | 21.6 | 9.7 |
THE FERTILITY INSTITUTE AT NEW YORK METHODIST HOSP | NEW YORK | 23.5 | 31.9 | 10.6 |
THE RICHMOND CENTER FOR FERTILITY AND | VIRGINIA | 23.3 | 22.4 | 2.0 |
OHIO REPRODUCTIVE MEDICINE | OHIO | 22.9 | 30.5 | 13.6 |
PACIFIC FERTILITY CENTER LOS ANGELES | CALIFORNIA | 22.0 | 18.8 | 7.8 |
DALLAS-FORT WORTH FERTILITY ASSOCIATES | TEXAS | 21.8 | 22.3 | 10.0 |
THE FERTILITY CENTER OF CHARLESTON | SOUTH CAROLINA | 21.7 | 19.7 | 12.1 |
THE REPRODUCTIVE MEDICINE GROUP | FLORIDA | 21.6 | 23.6 | 13.8 |
DARTMOUTH-HITCHCOCK MEDICAL CENTER (NH) | NEW HAMPSHIRE | 21.4 | 20.0 | 16.0 |
INTEGRAMED MEDICAL TEXAS, PLLC | TEXAS | 21.3 | 35.2 | 9.9 |
EMORY REPRODUCTIVE CENTER | GEORGIA | 20.9 | 44.0 | 13.3 |
ADVANCED REPRODUCTION INSTITUTE, LLC | INDIANA | 20.9 | 25.0 | 10.7 |
IVFMD PA | TEXAS | 20.9 | 29.0 | 12.3 |
NORTH HOUSTON CENTER FOR REPRODUCTIVE MEDICINE, PA | TEXAS | 20.8 | 42.3 | 11.5 |
NEW LEADERS IN INFERTILITY & ENDOCRINOLOGY, LLC | FLORIDA | 20.6 | 27.1 | 15.0 |
NOVA IN VITRO FERTILIZATION | CALIFORNIA | 20.5 | 31.1 | 20.0 |
ROCHESTER FERTILITY CARE, P.C. | NEW YORK | 20.0 | 24.4 | 0.0 |
FRANCISCO IRIANNI, MD | VIRGINIA | 20.0 | 12.0 | 4.0 |
WOMEN AND INFANTS' CENTER FOR REPRODUCTION AND INFERTILITY | RHODE ISLAND | 19.9 | 25.4 | 9.5 |
LOMA LINDA UNIVERSITY CENTER FOR FERTILITY AND IVF | CALIFORNIA | 19.4 | 26.7 | 15.6 |
TENNESSEE REPRODUCTIVE MEDICINE | TENNESSEE | 19.1 | 30.2 | 14.3 |
DR, LARRY LAUFER | CALIFORNIA | 19.0 | 29.4 | 11.8 |
UNIVERSITY OF ALABAMA BIRMINGHAM | ALABAMA | 18.9 | 19.4 | 14.9 |
HUDSON VALLEY FERTILITY, PLLC | NEW YORK | 18.8 | 18.4 | 10.5 |
CLEVELAND CLINIC FERTILITY CENTER | OHIO | 18.7 | 34.0 | 15.2 |
BOSTON IVF AT THE WOMEN'S HOSPITAL | INDIANA | 18.6 | 20.5 | 11.5 |
ALBANY IVF, FERTILITY AND GYNECOLOGY | NEW YORK | 18.6 | 27.8 | 13.9 |
DR. JOHN C. JARRETT II | INDIANA | 18.5 | 30.4 | 13.3 |
FERTILITY AND REPRODUCTIVE MEDICINE CENTER | MISSOURI | 18.5 | 36.3 | 10.8 |
CAROLINA CONCEPTIONS PA | NORTH CAROLINA | 18.5 | 24.4 | 13.1 |
CENTER OF REPRODUCTIVE MEDICINE (CORM) | TEXAS | 18.3 | 25.6 | 11.2 |
WESTCHESTER FERTILITY AND REPRODUCTIVE ENDOCRINOLO | NEW YORK | 18.2 | 29.0 | 12.9 |
ARKANSAS FERTILITY CENTER | ARKANSAS | 18.1 | 21.0 | 8.6 |
FERTILITY & GENETICS | FLORIDA | 17.9 | 19.1 | 10.6 |
SANFORD HEALTH REPRODUCTIVE MEDICINE INSTITUTE | NORTH DAKOTA | 17.5 | 21.8 | 4.6 |
REPRODUCTIVE MEDICINE AND SURGERY CENTER OF VIRGINIA, PLC | VIRGINIA | 17.5 | 28.2 | 11.8 |
HRC FERTILITY - PASADENA | CALIFORNIA | 16.4 | 28.1 | 9.2 |
SHER INSTITUTE FOR REPRODUCTIVE MEDICINE | MISSOURI | 16.1 | 26.4 | 12.3 |
UNIVERSITY OBGYN ASSOCIATES FERTILITY CENTER | KENTUCKY | 16.0 | 6.7 | 22.2 |
MICHIGAN CENTER FOR FERTILITY | MICHIGAN | 16.0 | 33.3 | 13.3 |
DIAMOND INSTITUTE FOR INFERTILITY | NEW JERSEY | 15.8 | 36.0 | 6.0 |
MAIN LINE FERTILITY AND REPRODUCTIVE MEDICINE | PENNSYLVANIA | 15.4 | 21.7 | 9.5 |
REPRODUCTIVE HEALTH SPECIALISTS | NEBRASKA | 15.3 | 21.3 | 12.8 |
NORTHERN CALIFORNIA FERTILITY MEDICAL CENTER | CALIFORNIA | 15.1 | 14.8 | 10.4 |
SOUTHERN ILLINOIS UNIVERSITY FERTILITY AND IVF CENTER | ILLINOIS | 15.1 | 28.4 | 26.1 |
ADVANCED FERTILITY GROUP | INDIANA | 15.0 | 23.3 | 20.0 |
FERTILITY CENTER OF SAN ANTONIO | TEXAS | 15.0 | 25.2 | 27.4 |
FORT WORTH FERTILITY PA | TEXAS | 14.9 | 21.0 | 8.9 |
IVF PLANO | TEXAS | 14.7 | 16.1 | 9.7 |
UNIVERSITY OF SOUTH FLORIDA IVF | FLORIDA | 14.5 | 30.9 | 12.3 |
OREGON REPRODUCTIVE MEDICINE | OREGON | 14.4 | 35.8 | 21.6 |
MEDICAL OFFICES FOR HUMAN REPRODUCTION/CHR | NEW YORK | 14.3 | 29.7 | 3.1 |
CLINICA DE FERTILIDAD HIMA-SAN PABLO CAGUAS | PUERTO RICO | 14.3 | 30.8 | 7.7 |
YALE FERTILITY CENTER | CONNECTICUT | 14.2 | 25.7 | 10.9 |
HOUSTON FERTILITY INSTITUTE | TEXAS | 14.1 | 16.2 | 7.1 |
LAUREL FERTILITY CARE, A PROFESSIONAL MEDICAL CORPORATION | CALIFORNIA | 13.8 | 14.6 | 7.3 |
COMMUNITY REPRODUCTIVE ENDOCRINOLOGY | INDIANA | 13.8 | 37.9 | 16.7 |
REPROMED FERTILITY CENTER | TEXAS | 13.8 | 22.2 | 22.2 |
ARKLATEX FERTILITY AND REPRODUCTIVE MEDICINE | LOUISIANA | 13.7 | 33.3 | 10.5 |
THE FERTILITY AND GYNECOLOGY CENTER | CALIFORNIA | 13.6 | 20.8 | 25.0 |
HRC FERTILITY - ENCINO | CALIFORNIA | 13.5 | 38.9 | 18.9 |
CENTRAL CALIFORNIA IVF PROGRAM | CALIFORNIA | 13.4 | 16.0 | 11.1 |
NORTHWEST FERTILITY CENTER | OREGON | 13.3 | 21.4 | 16.7 |
FERTILITY AND ENDOCRINE ASSOCIATES | KENTUCKY | 13.2 | 16.3 | 4.7 |
MID-IOWA FERTILITY, P.C. | IOWA | 13.1 | 25.0 | 14.0 |
SOUTHWEST FERTILITY CENTER | ARIZONA | 13.0 | 20.0 | 16.7 |
REPRODUCTIVE CARE CENTER | UTAH | 13.0 | 31.8 | 22.0 |
CALIFORNIA IVF FERTILITY CENTER | CALIFORNIA | 12.9 | 24.3 | 5.4 |
HEARTLAND CENTER FOR REPRODUCTIVE MEDICINE, P.C. | NEBRASKA | 12.8 | 26.2 | 13.8 |
LIBERA MEDICAL, PLLC. | NEW YORK | 12.8 | 18.3 | 8.7 |
UTAH FERTILITY CENTER | UTAH | 12.8 | 32.4 | 19.5 |
RED ROCK FERTILITY CENTER | NEVADA | 11.8 | 29.5 | 6.8 |
ART FERTILITY PROGRAM OF ALABAMA | ALABAMA | 11.5 | 19.0 | 4.4 |
CALIFORNIA FERTILITY PARTNERS | CALIFORNIA | 11.5 | 4.1 | 4.1 |
DELAWARE VALLEY INSTITUTE OF FERTILITY AND GENETIC | NEW JERSEY | 11.5 | 37.0 | 13.0 |
KETTERING REPRODUCTIVE MEDICINE | OHIO | 11.4 | 45.3 | 10.7 |
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER | TEXAS | 11.4 | 35.9 | 10.3 |
IVF1 | ILLINOIS | 11.3 | 31.4 | 15.7 |
SHER INSTITUTE OF LAS VEGAS | NEVADA | 11.1 | 11.8 | 19.6 |
STRONG FERTILITY CENTER | NEW YORK | 11.1 | 25.9 | 8.6 |
SHER INSTITUTE FOR REPRODUCTIVE MEDICINE-NEW JERSEY | NEW JERSEY | 10.7 | 16.7 | 14.3 |
WOMEN'S HEALTH CONSULTANTS | ILLINOIS | 10.5 | 26.0 | 10.0 |
AURORA HEALTH CARE-AURORA FERTILITY SERVICES, WEST ALLIS | WISCONSIN | 10.5 | 19.3 | 14.0 |
CHARLES E. MILLER, MD | ILLINOIS | 10.3 | 18.7 | 11.6 |
CARDONE REPRODUCTIVE MEDICINE AND INFERTILITY | MASSACHUSETTS | 10.3 | 28.2 | 5.1 |
GOLD COAST IVF | NEW YORK | 10.3 | 31.0 | 26.2 |
UNIVERSITY MEDICAL GROUP, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY | SOUTH CAROLINA | 10.3 | 29.4 | 20.6 |
HUNTSVILLE REPRODUCTIVE MEDICINE | ALABAMA | 10.2 | 0.0 | 0.0 |
SAN DIEGO FERTILITY CENTER | CALIFORNIA | 10.2 | 15.3 | 8.1 |
USC REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY | CALIFORNIA | 10.0 | 35.7 | 7.1 |
CHICAGO IVF | ILLINOIS | 10.0 | 23.8 | 14.4 |
OU PHYSICIANS REPRODUCTIVE MEDICINE | OKLAHOMA | 9.9 | 24.5 | 18.6 |
INFERTILITY CENTER OF ST. LOUIS | MISSOURI | 9.8 | 24.7 | 7.4 |
JACKSONVILLE CENTER FOR REPRODUCTIVE MEDICINE | FLORIDA | 9.7 | 17.6 | 10.6 |
UNIVERSITY WOMEN'S CARE/WAYNE STATE UNIVERSITY | MICHIGAN | 9.7 | 26.5 | 23.5 |
WEST VIRGINIA UNIVERSITY CENTER FOR REPRODUCTIVE | WEST VIRGINIA | 9.5 | 13.8 | 13.8 |
FAMILY BEGINNINGS, P.C. | INDIANA | 9.4 | 21.6 | 5.9 |
FERTILITY SPECIALISTS OF TEXAS, PLLC | TEXAS | 9.3 | 31.3 | 20.6 |
THE MIDWEST CENTER FOR REPRODUCTIVE HEALTH, PA | MINNESOTA | 9.2 | 28.9 | 25.4 |
REPRODUCTIVE RESOURCE CENTER OF GREATER KANSAS CITY | KANSAS | 9.0 | 26.5 | 17.9 |
INFERTILITY & IVF MEDICAL ASSOCIATES OF WESTERN NY | NEW YORK | 9.0 | 25.2 | 13.5 |
IVF MICHIGAN P.C. | MICHIGAN | 8.8 | 24.7 | 15.6 |
THE CENTER FOR FERTILITY AND GYNECOLOGY | CALIFORNIA | 8.7 | 42.3 | 11.5 |
PACIFIC REPRODUCTIVE CENTER | CALIFORNIA | 8.4 | 41.8 | 15.3 |
REPRODUCTIVE FERTILITY CTR-CA CTR FOR REPROD HEALTH | CALIFORNIA | 8.2 | 32.1 | 18.9 |
ROCKY MOUNTAIN FERTILITY CENTER | COLORADO | 8.1 | 30.0 | 15.0 |
REPRODUCTIVE FERTILITY CENTER OC | CALIFORNIA | 8.0 | 31.3 | 14.1 |
CT FERTILITY | CONNECTICUT | 8.0 | 30.8 | 19.2 |
THE NEW HOPE CENTER FOR REPRODUCTIVE MEDICINE | VIRGINIA | 7.9 | 16.7 | 11.7 |
REPRODUCTIVE INSTITUTE OF SOUTH TEXAS | TEXAS | 7.5 | 14.5 | 7.3 |
ADVANCED FERTILITY CENTER OF CHICAGO | ILLINOIS | 7.4 | 33.9 | 21.3 |
FERTILITY PARTNERSHIP | MISSOURI | 7.4 | 37.7 | 4.9 |
COOPER INSTITUTE FOR REPRODUCTIVE HORMONAL DISORDERS | NEW JERSEY | 7.3 | 25.9 | 8.9 |
FERTILITY INSTITUTE OF NEW JERSEY AND NEW YORK | NEW JERSEY | 7.3 | 32.1 | 11.3 |
DAVIES FERTILITY & IVF SPECIALISTS, S.C. | ILLINOIS | 7.1 | 19.3 | 3.5 |
PIEDMONT REPRODUCTIVE ENDOCRINOLOGY GROUP, PA | SOUTH CAROLINA | 7.1 | 37.0 | 14.1 |
MID-MISSOURI REPRODUCTIVE MEDICINE AND SURGERY, INC. | MISSOURI | 7.0 | 28.0 | 12.0 |
TULSA FERTILITY CENTER | OKLAHOMA | 7.0 | 16.4 | 7.5 |
HOUSTON IVF | TEXAS | 7.0 | 32.5 | 15.3 |
FERTILITY CENTER OF DALLAS | TEXAS | 6.9 | 30.3 | 30.3 |
FERTILITY & IVF CENTER OF MIAMI, INC. | FLORIDA | 6.8 | 12.9 | 9.4 |
COLUMBUS CENTER FOR REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY | GEORGIA | 6.7 | 13.7 | 11.8 |
IDAHO CENTER FOR REPRODUCTIVE MEDICINE | IDAHO | 6.7 | 27.8 | 16.7 |
FERTILITY INSTITUTE OF NEW ORLEANS | LOUISIANA | 6.6 | 21.3 | 13.0 |
REPRODUCTIVE ENDOCRINOLOGY AND FERTILITY CENTER | PENNSYLVANIA | 6.5 | 22.2 | 9.3 |
AUSTIN FERTILITY AND REPRODUCTIVE MEDICINE - WESTLAKE IVF | TEXAS | 6.5 | 30.8 | 10.3 |
SERVY INSTITUTE FOR REPRODUCTIVE ENDOCRINOLOGY | GEORGIA | 6.3 | 19.2 | 8.2 |
BROOKE ARMY MEDICAL CENTER | TEXAS | 6.3 | 33.8 | 23.1 |
KUTTEH KE FERTILITY ASSOCIATES OF MEMPHIS, PLLC | TENNESSEE | 6.2 | 18.8 | 28.2 |
UNIVERSITY HOSPITALS FERTILITY CENTER | OHIO | 6.1 | 23.2 | 9.8 |
REPRODUCTIVE CARE OF INDIANA | INDIANA | 5.9 | 31.1 | 17.8 |
THE FERTILITY CENTER, LLC | PENNSYLVANIA | 5.9 | 20.0 | 15.0 |
FERTILITY CENTER OF OREGON | OREGON | 5.7 | 26.3 | 10.5 |
REPRODUCTIVE GYNECOLOGY, INC. | OHIO | 5.6 | 15.4 | 19.2 |
MIDWEST REPRODUCTIVE CENTER PA | KANSAS | 5.4 | 17.4 | 9.8 |
BETHESDA FERTILITY CENTER | OHIO | 5.4 | 15.3 | 13.9 |
SHORE INSTITUTE FOR REPRODUCTIVE MEDICINE | NEW JERSEY | 5.0 | 32.0 | 24.0 |
UNIVERSITY REPRODUCTIVE ASSOCIATES, PC | NEW JERSEY | 4.9 | 24.0 | 13.0 |
TOLL CENTER FOR REPRODUCTIVE SCIENCES | PENNSYLVANIA | 4.8 | 18.8 | 15.2 |
MISSISSIPPI FERTILITY INSTITUTE | MISSISSIPPI | 4.4 | 25.0 | 20.0 |
REPRODUCTIVE GYNECOLOGY | OHIO | 4.4 | 23.2 | 10.1 |
ALABAMA FERTILITY SPECIALISTS | ALABAMA | 4.0 | 21.4 | 14.3 |
MICHIGAN REPRODUCTIVE & IVF CENTER, P.C. | MICHIGAN | 3.9 | 26.0 | 11.2 |
ADVANCED FERTILITY ASSOCIATES MEDICAL GROUP, INC | CALIFORNIA | 3.4 | 33.3 | 18.2 |
MIDWEST FERTILITY SPECIALISTS | INDIANA | 3.4 | 26.2 | 10.1 |
THE GEORGIA CENTER FOR REPRODUCTIVE MEDICINE | GEORGIA | 3.3 | 32.8 | 23.9 |
PACIFIC IN VITRO FERTILIZATION INSTITUTE | HAWAII | 3.3 | 9.4 | 20.8 |
TRIPLER ARMY MEDICAL CENTER IVF INSTITUTE | HAWAII | 3.2 | 33.3 | 17.9 |
AURORA HEALTH CARE - AURORA FERTILITY SERVICES | WISCONSIN | 3.2 | 15.4 | 23.1 |
INSITUTE FOR ASSISTED REPRODUCTION | NORTH CAROLINA | 3.1 | 10.3 | 8.1 |
THE CENTER FOR REPRODUCTIVE HEALTH | TENNESSEE | 3.1 | 17.8 | 4.4 |
FERTILITY CARE (CTR OF ASSISTED REPRODUCTION & ENDOCRINOLOGY) | FLORIDA | 3.0 | 18.8 | 14.6 |
ADVANCED FERTILITY & REPRODUCTIVE ENDOCRINOLOGY | SOUTH CAROLINA | 3.0 | 29.7 | 10.8 |
NEW ENGLAND FERTILITY INSTITUTE | CONNECTICUT | 2.8 | 19.4 | 14.5 |
MIDWEST WOMENS HEALTHCARE SPECIALISTS | MISSOURI | 2.6 | 25.5 | 14.9 |
AMERICAN REPRODUCTIVE CENTERS | CALIFORNIA | 2.3 | 37.0 | 14.8 |
WOMACK AMC FERTILITY CLINIC | NORTH CAROLINA | 1.9 | 36.9 | 10.8 |
CENTER FOR REPRODUCTIVE HEALTH | OHIO | 1.7 | 27.4 | 15.1 |
FERTILITY AND WOMEN'S HEALTH CENTER OF LOUISIANA | LOUISIANA | 1.6 | 23.3 | 9.3 |
DAMIEN FERTILITY PARTNERS | NEW JERSEY | 1.6 | 20.5 | 21.8 |
BLUEGRASS FERTILITY CENTER | KENTUCKY | 1.4 | 29.6 | 11.1 |
JONES INSTITUTE FOR REPRODUCTIVE MEDICINE | VIRGINIA | 1.4 | 21.0 | 4.8 |
HENRY G. BENNETT, JR. FERTILITY INSTITUTE | OKLAHOMA | 0.8 | 31.9 | 14.5 |