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...
A top question underlying clinical research is, “How can we do better?” One of the easiest opportunities for advancing reproductive endocrinology and infertility (REI) is to take familiar procedures and slightly modify them in order to provide more efficient or effective care than previously achieved. Managing cervical ectopic pregnancy with methotrexate and potassium chloride through technique parallel to follicular aspiration allows safer and more effective treatment than with dilation and curettage or systemic methotrexate.
Conclusion: A considerable knowledge gap about the factors that influence fertility was identified in reproductive-age individuals in an urban area of Thailand. This issue should be urgently addressed by promoting fertility awareness through education, discussions about social perceptions regarding fertility, and reliable sources of knowledge. PMID: 29662824 [PubMed]
Authors: Koo HS, Song IO, Cha SH, Park CW, Kim HO Abstract Objective: To evaluate the pregnancy rate and time to pregnancy after timed coitus with or without superovulation in infertile young women younger than 35 years old with low serum anti-Müllerian hormone (AMH) levels (
Conclusion: These results will be used as basic data for understanding the mechanism of how trophoblast cells respond to oxidative stress and how selenium promotes the upregulation of related genes and improves the survival rate and invasive ability of trophoblasts through regulating mitochondrial activity. These results suggest that selenium may be used in reproductive medicine for purposes including infertility treatment. PMID: 29662820 [PubMed]
Follow me on Twitter @mallikamarshall When I was about 10 years old, my mother had me take a puff on an unfiltered Camel cigarette in an effort to discourage me from smoking in the future. Well, needless to say, it worked. After coughing and sputtering for what seemed like hours, I have never touched another cigarette. While I am in no way suggesting that parents follow in my mother’s footsteps (in fact I would strongly discourage it), as a pediatrician and parent myself I want to ensure that children and teens never take that first puff. But in fact, the majority of smokers in the US begin smoking in their youth. Ac...
Authors: Palomba S, Falbo A, Daolio J, Battaglia FA, LA Sala GB Abstract Polycystic ovary syndrome (PCOS) is a common female disorder with a pathogenesis still today not completely known. To the present, PCOS is considered more than just a reproductive disorder since several metabolic consequences that could affect women's health during different stages of reproductive and post-reproductive life were reported. The aim of the current review was to evaluate present evidence-based data regarding the pregnancy complications in infertile patients with PCOS. An extensive literature search until February 2018 was performe...
ConclusionsThe outcomes of IVF after neosalpingostomy were matchable with salpingectomy. For patients desire to preserve fallopian tubes, we recommend laparoscopic neosalpingostomy as an alternative choice to manage moderate hydrosalpinx before IVF.
ConclusionThe present review revealed a high prevalence of BV in non-pregnant women. Given that BV is associated with a series of reproductive complications such as infertility, taking preventive measures such as awareness of patients as well as monitoring and controlling of syndrome are essential.
Perspectives in Psychiatric Care, EarlyView.
Conclusion Careful consideration of primary ectopic pregnancy data is a valuable tool to predict the potential risk of recurrence in the future.