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 is a case series reporting live births following in vitro fertilization (IVF) after fertility-sparing surgery in patients with borderline ovarian tumors (BOTs). Seventeen patients, in whom fertility-sparing surgery for BOTs followed by IVF was performed from July 1, 2011 to September 30, 2017, in our IVF center, were included. Here we retrospectively present their BOT characteristics and clinical outcomes of assisted reproduction technology (ART) and then discuss the literature on management of patients with BOTs after fertility-sparing surgery. The study sample of 17 patients started IVF-assisted reproduction within ...
Source: Gynecologic and Obstetric Investigation - Category: OBGYN Source Type: research
Publication date: Available online 19 February 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Keiji Kuroda, Yuko Ikemoto, Asako Ochiai, Rie Ozaki, Yuko Matsumura, Shuko Nojiri, Koji Nakagawa, Rikikazu SugiyamaABSTRACTStudy ObjectiveTo analyze the clinical outcomes and predictive factors for the therapeutic effect of combination treatment of preoperative embryo cryopreservation and endoscopic surgery (‘surgery-assisted reproductive technology [ART] hybrid therapy’) in infertile women with diminished ovarian reserve (DOR) with uterine fibroids and/or ovarian endometriomas.DesignA retrospective coh...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Introduction: Either appearing after miscarriage or abortion by request, the trophoblastic retention is often easy to diagnose, but the management can be difficult. Therefore, severe consequences may appear: endometritis, infertility, intrauterine adhesions, persistent molar pregnancy.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Oral Poster at Breakfast 7 – EARLY PREGNANCY LOSS and ECTOPIC Source Type: research
Introduction: Recurrent pregnancy loss represents a major health problem and is  one of the most common causes of female infertility. The association between thrombophilia and recurrent pregnancy loss (RPL) has become an undoubted fact
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Session 22 – Early Pregnancy, intrauterine insemination and PCOS Source Type: research
Introduction: Endometriosis is an enigmatic disease affecting up to 10% of reproductive-aged women causing pain and infertility. Deep infiltrating endometriosis (DIE) is the most severe form of the disease. The impact of surgical treatment for deep endometriosis on fertility success rate of assisted reproduction techniques (ART) is not clear.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Session 24 – Reproductive Medicine Source Type: research
Introduction: Since 2000, the Donor Sibling Registry (DSR) has connected more than 15,500 donor offspring with half-siblings and their biological parents. Accordingly, they have been able to create and explore these new familial relationships and can also understand their ancestry and learn about their medical backgrounds. 56,000 gamete donors, offspring, and recipients in 105 countries have registered on the DSR, seeking to find those with whom they share genetic ties.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Session 24 – Reproductive Medicine Source Type: research
Introduction: There is a high frequency of subclinical forms of thyroid pathology, prevalence of infertility, miscarriage, but there is no single one thought about the need for screening programs, tactics of preconceptual training.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Basic Science 3 – Obstetrics and Caring for women in distress Source Type: research
Introduction: Submucosal fibroids result in abnormal uterine bleeding and infertility leading to hysteroscopic resections. The data on whether submucous fibroids should be removed is conflicting. The Cochrane dated February 2015 suggests that there is not enough evidence to recommend routing hysteroscopic resection of submucous fibroids. The AAGL (American Association of Gynecologic Laparoscopists) recommends the removal of submucous fibroids in infertility and in selected patients with abnormal uterine bleeding and recurrent pregnancy loss.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Session 40 – Innovation and technology Source Type: research
(Natural News) Those of us who have children can likely remember the incredible excitement we felt the day the pregnancy test came back positive. Sadly, that joy eludes many desperate couples. The Centers for Disease Control and Prevention (CDC) confirms that 12.1 percent of women in the U.S. face fertility issues, with virtually all of...
Source: NaturalNews.com - Category: Consumer Health News Source Type: news
Recently Discovered Interstitial Cell Population of Telocytes: Distinguishing Facts from Fiction Regarding Their Role in the Pathogenesis of Diverse Diseases Called "Telocytopathies". Medicina (Kaunas). 2019 Feb 18;55(2): Authors: Varga I, Polák Š, Kyselovič J, Kachlík D, Danišovič Ľ, Klein M Abstract In recent years, the interstitial cells telocytes, formerly known as interstitial Cajal-like cells, have been described in almost all organs of the human body. Although telocytes were previously thought to be localized predominantly in the organs of the digestive ...
Source: Medicina (Kaunas) - Category: Universities & Medical Training Authors: Tags: Medicina (Kaunas) Source Type: research
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