IVF clinics and success data in Indiana
7 clinics, 3,010 procedures in 2021.

Indiana's IVF use against the US

Procedures exclude egg or embryo banking cycles. Counted by the patient's state of residence. Source: CDC, State-Specific ART Surveillance, 2021 Data Brief (December 2023).

Indiana's rate of 1,971 procedures per 1 million women aged 15 to 49 was about 60% of the national 3,250. The 1,141 infants follow the procedures done in 2021; the 1,115 are ART babies among the 79,946 infants born in Indiana during 2021.

IVF is the third level, not the first

A clinic count can make IVF look like the only option. Map to the Positive organizes treatment in three levels of rising complexity, cost and impact:

• Level 1, clinical and medication optimization: ovulation induction (letrozole, clomiphene), treating conditions such as hypothyroidism or high prolactin, and minimally invasive surgery such as hysteroscopy or laparoscopy. It takes 3 to 6 months to evaluate results.
• Level 2, low-complexity assisted reproduction: timed intercourse with monitoring (10% to 15% per cycle with an isolated ovulatory factor) and IUI (10% to 20% per cycle).
• Level 3, high-complexity assisted reproduction: IVF, ICSI, gamete donation and preimplantation genetic testing.

The book's point: there are treatments for practically every diagnosis, and knowing each level gives you the power to decide.

This is one chapter. The map has 42.

These levels are from Chapter 34 of Map to the Positive, in Station IV, which ends with the ladder principle: start with the least invasive option and move up only as needed. The same station covers when to see a specialist, choosing a doctor and IVF step by step.