Not Your Mother's IVF: Making Fertility Care Safer and Successful

Over the past 25 years, IVF -- the technology, the science, the success rates, the process -- has dramatically changed. Yet physicians and patients who are facing infertility are not letting go of older techniques and are often taking on unnecessary risks in pursuit of starting a family. Today's infertility patients are overwhelmed with information from unwanted advice to Dr. Google; they struggle to find the right doctors, programs and treatments to help them overcome their individual medical and health challenges. By the time they reach a reproductive specialist, they are often feel dazed and vulnerable and resort to techniques they have heard worked in the past. It's understandable given the stress of the situation, but this approach ultimately increases their risk of complications and compromises their chance of success. One of the primary complications from fertility treatments is multiple gestations and deliveries -- twins or more. I love kids and have a few of my own but despite what we see in the media, one healthy baby at a time is the ultimate goal of our field of medicine. In fact, when it comes to IVF, success should never be defined as "getting pregnant," it should only be defined as the delivery of ONE healthy baby. Since beginning my career in the late '80s, working alongside U.S. IVF pioneers Georgeanna and Howard Jones, I have watched science and innovation lead to increased IVF delivery rates, but at what cost? While fertility treatments are re...
Source: Science - The Huffington Post - Category: Science Source Type: news

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This study investigated the quality and quantity of eggs and embryos as well as the clinical pregnancy outcome in young infertile women with diminished ovarian reserve (DOR) after in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI). MATERIAL AND METHODS We retrospectively reviewed records of 4285 infertile women and divided them into 3 groups according to age and ovarian reserve: young women with normal ovarian reserve (n=1695), young women with DOR (n=1121), and older women with DOR (n=1469). RESULTS In young women with DOR, the proportion of high-quality embryos was significantly higher than in older women...
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
The objective of the present study was to assess toxic and nutritional trace element and mineral status in hair of women with IVF pregnancy and their children. Inductively-coupled plasma mass-spectrometry was used to assess hair trace element levels of 50 women with IVF pregnancy and 158 controls with spontaneous pregnancy and their children. Women with IVF pregnancy were characterized by significantly elevated hair As, Hg, Li, K, Na, and reduced Fe, Si, and Zn contents. Children from IVF pregnancy had significantly lower values of hair Cr, Fe, Mg, Sr, and Al content when compared to the control values, whereas hair Hg and...
Source: Reproductive Toxicology - Category: Toxicology Source Type: research
Condition:   Infertility Intervention:   Drug: Low Molecular Weight Heparin (enoxaparin sodium) Sponsors:   Shenzhen Zhongshan Urology Hospital;   The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School;   Renmin Hospital of Wuhan University Not yet recruiting
Source: - Category: Research Source Type: clinical trials
ConclusionHysteroscopic surgery using cold graspers combined with electric loop by the HEOS is feasible and effective for treatment of DUL as it preserves the uterus and yields favorable reproductive outcomes. The cold surgery and fenestration method minimize electrical and thermal damage to the endometrium surrounding the myoma, consequently reducing surgical risks.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Publication date: Available online 6 October 2018Source: Reproductive BioMedicine OnlineAuthor(s): Clarabelle T Pham, Jonathan D Karnon, Robert J Norman, Ben W MolAbstractResearch questionDoes delaying IVF for 6 months in couples with unexplained infertility, compared with immediate IVF treatment, decrease the cost of IVF without compromising success rates?DesignDecision modelling was used to evaluate the cost and outcomes of immediate IVF versus delayed IVF for a cohort of women aged
Source: Reproductive BioMedicine Online - Category: Reproduction Medicine Source Type: research
Conclusion: In the patients who had OI via CC, the pregnancy rates obtained with IUI were statistically significantly higher than timed intercourse.
Source: Nigerian Journal of Clinical Practice - Category: Rural Health Authors: Source Type: research
Over the last 30 years, we have treated lots of patients who have used donor eggs to have a baby. The vast majority of these patients are extremely happy with their decision, and many have come back for a second baby, in order to complete their family.This is especially true when they have chosen that decision for themselves, for purely selfish reasons. They decided , "Yes, this is what we're happy to do, because I want to experience the joy of pregnancy and the happiness of bringing up a baby, and I'm not hung up about whose DNA it is."             ...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
Publication date: Available online 28 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Yu Sun, Jing Zhang, Wenpei BaiABSTRACTStudy ObjectiveTo study the association between endometrial polyps and fallopian tube patency diagnosed by hysteroscopy, conventional histology, and four-dimensional hysterosalpingo contrast sonography (4D-HyCoSy).DesignCase-control study (Canadian Task Force classification II-2).SettingUniversity hospital.PatientsA total of 323 women of reproductive age underwent 4D-HyCoSy and hysteroscopy between January 2015 and December 2017.InterventionA retrospective analysis of the asso...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
AbstractReligion can have a significant influence on the experience of infertility. However, it is unclear how many US women turn to religion when facing infertility. Here, we examine the utilization of prayer and clergy counsel among a nationally representative sample of 1062 infertile US women. Prayer was used by 74.8% of the participants, and clergy counsel was the most common formal support system utilized. Both prayer and clergy counsel were significantly more common among black and Hispanic women. Healthcare providers should acknowledge the spiritual needs of their infertile patients and ally with clergy when possibl...
Source: Journal of Religion and Health - Category: Medical Ethics Source Type: research
Vitamin D deficiency in women diagnosed with polycystic ovary syndrome (PCOS) remarkably decreases the chance of pregnancy, which might be related to its impact on metabolic abnormalities in these patients. It...
Source: Reproductive Biology and Endocrinology - Category: Endocrinology Authors: Tags: Research Source Type: research
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