Health
Fresh Embryos May Boost IVF Success for Women with Lower Fertility Odds, Study Finds
Women struggling with infertility and facing lower odds of success with in vitro fertilization (IVF) may have better chances of conceiving with fresh embryos rather than frozen ones, according to a new study from China.
The research, published in the BMJ, examined 838 women in their 30s who had a limited number of healthy eggs. It found that 40.1% of women who received fresh embryo transfers gave birth, compared to 31.5% of those who received frozen embryo transfers. Additionally, women who had fresh embryo transfers were more likely to get pregnant and less likely to suffer a miscarriage.
Rethinking the ‘Freeze-All’ Strategy
IVF, the most common fertility treatment worldwide, involves removing a woman’s eggs, fertilizing them with sperm in a lab, and transferring the resulting embryos back into the uterus. Many fertility doctors follow a “freeze-all” approach, where multiple embryos are collected and frozen for later use. This method is widely used to reduce potential risks associated with hormone stimulation and to allow the woman’s body to recover before implantation.
However, the new findings suggest that this strategy may not be the best option for women who already have lower chances of success. Factors such as age, underlying health conditions, low egg count, and poor egg quality all play a role in IVF outcomes, and fresh embryo transfers may improve results for these patients.
“A Crucial Clinical Question”
Dr. Daimin Wei, the study’s lead author and a professor at Shandong University’s Reproductive Medical Center, emphasized the significance of the findings.
“How to optimally use the ‘precious’ embryos to increase the chance of live birth in these patients is an important clinical question,” Wei told Euronews Health.
The study also found no difference in birth weight, neonatal health issues, or pregnancy complications between babies born from fresh or frozen embryos, further supporting the case for fresh transfers in specific patient groups.
Limitations and Future Research
This research is among the first to examine whether fresh or frozen embryos impact success rates in women with a poor prognosis. Most previous studies focused on women with normal or high chances of success, where frozen embryo transfers were found to be equally effective or even preferred.
The researchers acknowledged some limitations in their study, including differences in the number of embryos transferred and the developmental stage at which they were implanted. These factors could have contributed to the varying success rates between fresh and frozen transfers.
Additionally, male fertility and sperm quality were noted as contributing factors in about 17% of cases, reinforcing the need for a holistic approach to fertility treatments.
A More Personalized Approach to IVF
While fresh embryo transfers may not be the best option for all IVF patients, the study suggests that fertility doctors should consider individual patient characteristics when planning treatments.
“For clinicians, it is suggested to individually choose the embryo transfer strategy based on ovarian response and patient characteristics to optimize IVF outcomes,” Wei concluded.
The findings could help refine IVF protocols, offering more personalized fertility treatments and potentially improving success rates for those facing the greatest challenges in conceiving.
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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