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

Related Links:

CONCLUSION: Trends favoring twice daily dosing are encouraging findings and require further investigation. PMID: 29999292 [PubMed - in process]
Source: Journal of Reproductive Medicine - Category: Reproduction Medicine Tags: J Reprod Med Source Type: research
CONCLUSION: Expression of gap junction protein correlates with quantity of oocytes retrieved and might be related to pregnancy outcome. This study suggests that lack of connexin43 expression may contribute to poor ovarian response. PMID: 29999282 [PubMed - in process]
Source: Journal of Reproductive Medicine - Category: Reproduction Medicine Tags: J Reprod Med Source Type: research
Uterine myomas are common benign monoclonal tumors with extremely low potential for malignancy. They are estimated to be present in up to 70% of women of reproductive age [1], with a higher incidence in obese women and those of African American descent, and when symptomatic, a frequent indication for gynecologic surgery. Although the presence of myomas may be associated with a plethora of symptoms including pelvic pain, abnormal uterine bleeding, infertility/subfertility, and adverse pregnancy outcomes [2], the vast majority of women with uterine fibroids are asymptomatic.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Perspective Source Type: research
​BY GREGORY TAYLOR, DO, &JACKLYN MCPARLANE​, DOA 31-year-old woman with a significant medical history for one ectopic pregnancy and five spontaneous abortions presented with abdominal pain and vaginal bleeding. Her symptoms started abruptly two days earlier, and the pain was located in the right lower quadrant, which had become diffuse and she described as sharp. She was also experiencing nausea, vomiting, and vaginal bleeding.She stated she had been spotting for five days and soaking up to four pads a day. Her last menstrual period was two months before, and a home pregnancy test was positive. Her presentation was...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
We report a case of OEIS complex with the classical four major components in a 2-hour old term male baby, delivered by cesarean section to a 37-year-old lady with history of primary infertility and had the pregnancy with the aid of In Vito Fertilization. The baby was one of a set of twins. The other baby was alive and normal. We document the presence of a vesico-enteric fistula between the urinary bladder and the terminal ileum, which is to our best knowledge, a unique association that is not reported in the reviewed studies. We present the immediate neonatal care and surgical intervention that has been done for this newborn.
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
In conclusion, with strict repeated assessments of blood parameters and maintenance of the platelet count, the bleeding risk in pregnancy in DIAPH1-related disease can be successfully controlled. PMID: 29985732 [PubMed - as supplied by publisher]
Source: Platelets - Category: Hematology Tags: Platelets Source Type: research
Publication date: July 2018Source: Reproductive BioMedicine Online, Volume 37, Issue 1Author(s): Xianghui Zhang, Dong Liu, Wei Huang, Qiushi Wang, Xue Feng, Jing TanAbstractThe effect of endometriosis on fecundity is unclear. Although surgery plays a vital role in the treatment of related infertility, pregnancy outcomes after laparoscopy are poorly correlated with the currently used staging system. To address this, the Endometriosis Fertility Index (EFI) was developed. This retrospective study was designed to assess the predictive value of the EFI for patients with endometriosis-associated infertility. A total of 1325 pati...
Source: Reproductive BioMedicine Online - Category: Reproduction Medicine Source Type: research
ConclusionsThe processes related to the differentially expressed proteins play important roles in fecundity and fecundability. The present study may reveal the cause of various endometrial aberrations as a limiting factor for achieving pregnancy in PCOS women.
Source: Reproductive BioMedicine Online - Category: Reproduction Medicine Source Type: research
Conclusion(s)Pregnancy/retrieval and ongoing pregnancy rates are comparable among the three protocols with GnRH agonist stop protocol having non-significantly higher rates.
Source: Middle East Fertility Society Journal - Category: Reproduction Medicine Source Type: research
ConclusionFindings revealed an improvement in pregnancy rates following hCG administration in FET cycles.
Source: Middle East Fertility Society Journal - Category: Reproduction Medicine Source Type: research
More News: Babies | Children | Conferences | Genetics | Health | Infertility | Pregnancy | Reproduction Medicine | Science | Websites