(Restorative Reproductive Medicine) RRM Vs IVF (In-vitro Fertilisation)

Restorative Reproductive Medicine: A Holistic Approach to Infertility

Infertility can be a challenging journey for many couples, often leading them to pursue assisted reproductive technologies (ART) such as in-vitro fertilisation (IVF). However, there is a less invasive, more cost-effective alternative that is gaining recognition: Restorative Reproductive Medicine (RRM). This emerging approach seeks to address the underlying causes of infertility rather than bypassing them, providing hope for couples looking to conceive naturally.

Understanding Restorative Reproductive Medicine (RRM)

Restorative Reproductive Medicine involves identifying and treating the root causes of reproductive health issues. Unlike conventional ART methods, which primarily focus on achieving pregnancy through medical procedures, RRM aims to restore normal reproductive function. This comprehensive approach can be beneficial for a variety of conditions, including:

• Infertility in both men and women

• Recurrent miscarriage

• Ovarian cysts

• Endometriosis

• Low ovarian reserve

• Irregular cycles and abnormal bleeding

• Premenstrual syndrome (PMS)

• Postnatal depression

  
  

How RRM Works

RRM takes a personalised, holistic approach by considering lifestyle, medical history, and other factors that may impact fertility. The key components of the process include:

1. Fertility Charting: Patients learn to monitor their menstrual cycle using specialised apps or methods that track biomarkers such as basal body temperature, cervical mucus, and bleeding patterns. One such tool is the ChartNeo app, which combines proven fertility awareness methods.

2. Personalised Treatment: Based on the data collected, medical professionals provide tailored interventions, which may include ovulation-inducing medications, hormone therapy, and supplements.

3. Holistic Health Support: The treatment plan may involve addressing underlying health issues, such as thyroid dysfunction, insulin resistance, or autoimmune conditions. Lifestyle adjustments, including dietary changes and stress management, are also part of the process.

4. Monitoring and Adjustment: Throughout the treatment, physicians closely monitor the patient’s progress through regular blood tests and ultrasound scans to ensure optimal hormone balance and ovulation.

   
   

Comparing RRM with IVF

A study conducted in Ireland highlights the potential of RRM as an effective alternative to IVF. The research compared live birth rates and costs between an RRM clinic and data from the Human Fertilisation and Embryology Authority (HFEA) in 2019. Key findings include:

• Higher Success Rates: The RRM clinic reported a live birth rate of 40.4%, significantly higher than the 24.4% rate for IVF (p < 0.0001).

• Lower Multiple Birth Rates: The twin birth rate was 2.5% for RRM compared to 7% for IVF.

• Better Birth Outcomes: Babies conceived through RRM were more likely to be born at full term and with a healthy birth weight.

  
  

Cost Comparison

Cost is a significant factor in fertility treatment decisions. In Ireland, the average cost of a single IVF cycle is £4400, while an RRM treatment plan costs approximately £1700. Considering the higher success rate of RRM and its holistic benefits, it presents a more economical option for many couples.

In the UK, the cost of a single IVF cycle varies between £3,500 and £7,000, depending on the clinic and specific treatments involved. Medications can add an extra £500 to £2,000, bringing the total cost to as much as £9,000 per cycle.

For example, a budget of £1 million could fund treatment for 227 couples through IVF, resulting in 55 live births. In contrast, the same budget could support 588 couples through RRM, leading to 238 live births. This demonstrates a substantial cost saving and improved outcomes when choosing RRM over IVF.

NHS Funding for IVF and Potential RRM Inclusion

In the UK, the National Health Service (NHS) provides partial or full funding for IVF treatment in certain cases. Eligibility criteria vary by region, but typically, couples must meet specific age and health requirements to qualify. The NHS funding can cover up to three IVF cycles, significantly reducing the financial burden for eligible couples.

If a similar funding model were available for RRM, the impact could be substantial. Given RRM’s lower cost and higher success rates, public funding could:

• Provide access to fertility care for a larger number of couples

• Achieve more live births within the same budget

• Reduce healthcare expenditure by minimising the need for multiple, costly IVF cycles

• Promote better long-term health outcomes for both parents and children

A comparable funding program for RRM would not only expand treatment options but also foster a more sustainable approach to fertility care in the UK.

The Case for Including RRM in Public Funding

Currently, in Ireland, the Health Service Executive (HSE) funds IVF and related procedures through Regional Fertility Hubs. However, RRM is not included in this funding. This policy limits access to a less invasive, more affordable, and often more effective treatment option.

Introducing funding for RRM alongside IVF could:

• Improve access to fertility care for more couples

• Reduce healthcare costs by avoiding expensive and invasive procedures

• Enhance overall health outcomes for both parents and babies

  
  

Conclusion

Restorative Reproductive Medicine offers a promising alternative to conventional ART methods, addressing the root causes of infertility and supporting natural conception. With higher success rates, lower costs, and better birth outcomes, it merits serious consideration by health policymakers. Including RRM in public funding programs, such as those provided by the HSE and NHS, could revolutionise fertility treatment by offering couples a more sustainable and holistic option.

If you’re exploring fertility treatment options, Calm Fertility Care can provide personalised guidance on how RRM might benefit you. Calm Fertility Care is the only provider of Restorative Reproductive Medicine throughout Northern Ireland and the UK. Contact us today to learn more about this emerging approach to reproductive health.