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The Perfect IVF Cycle And Single Embryo Transfer: IVF By The Numbers Part 13

This article is more than 7 years old.

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