“…However, a new trend has emerged over the last 10 years or less. According to a survey in the USA, the cause appears to be the low success rates and the lack of patient interest (Gordon et al 2010 ); however, this contrasts with a patient survey in which many patients would even prefer a ncIVF treatment if the pregnancy rates were only 10-15 % per initiated cycle (Pistorius et al 2006 ). Even IVF treatments without hormonal treatments are a realistic option because the age of the patients at the time of IVF treatment is growing rapidly and in low/poor responders, gonadotropin stimulation is rarely indicated or not indicated at all.…”