Gonadotrophins or clomiphene citrate in couples with unexplained infertility undergoing intrauterine insemination: a cost-effectiveness analysis

ConclusionsThe costs to achieve one additional ongoing pregnancy with gonadotrophins compared to CC were €21 804 (95%CI, €11 628 to €31 980).Trial registrationNTR 4057
Source: Reproductive BioMedicine Online - Category: Reproduction Medicine Source Type: research

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AbstractObjectiveTo evaluate the hormonal profile, antral follicle count (AFC) and ovarian response of patients with hypogonadotropic hypogonadism (HH).DesignObservational retrospective cohort including infertile women with HH undergoing assisted reproductive treatment (ART).SettingUniversity-affiliated infertility center.Patient(s)Thirty-three women with HH who underwent ART between January 2007 and September 2018. The control group comprised 66 age-matched counterparts with tubal or male factor infertility. The patients with an abnormal karyotype, and those presenting primary or secondary amenorrhea due to other causes, ...
Source: Journal of Assisted Reproduction and Genetics - Category: Reproduction Medicine Source Type: research
ConclusionsSerum oestradiol concentration monitoring just prior to progesterone administration does not appear to be predictive for live birth rates in good prognosis patients undergoing single, autologous vitrified–warmed blastocyst transfer after artificial endometrial preparation. Therefore, the current practice of monitoring serum oestradiol concentration is not supported by this study.
Source: Reproductive BioMedicine Online - Category: Reproduction Medicine Source Type: research
Abstract Survival and growth of the bovine conceptus (embryo and associated extraembryonic membranes) is dependent on endometrial secretions or histotroph found in the uterine lumen. Previously, serial embryo transfer was used to classify heifers as high fertile (HF), subfertile (SF), or infertile (IF). Here, we investigated specific histotroph components (glucose, prostaglandins (PGs) and lipids) in the uterine lumen of day 17 pregnant and open fertility-classified heifers. Concentrations of glucose in the uterine lumen were increased by pregnancy, but did not differ among fertility-classified heifers. Difference...
Source: Biology of Reproduction - Category: Reproduction Medicine Authors: Tags: Biol Reprod Source Type: research
Abstract Survival and growth of the bovine conceptus is dependent on endometrial secretions or histotroph. Previously, serial blastocyst transfer was used to classify heifers as high fertile (HF), subfertile (SF), or infertile (IF). Here, we investigated specific histotroph components (proteins and metabolites) in the uterine lumen of day 17 fertility-classified heifers. Interferon tau (IFNT) was more abundant in uterine lumenal fluid (ULF) of pregnant HF than SF animals as the conceptus was longer in HF heifers. However, no differences in endometrial expression of selected classical and nonclassical interferon-st...
Source: Biology of Reproduction - Category: Reproduction Medicine Authors: Tags: Biol Reprod Source Type: research
ConclusionVaginal surgery seems to be effective for cesarean scar defect. A prospective study should be performed.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionEndometrial cancer, specifically type I endometrioid adenocarcinoma and its precursor lesions are strongly associated with unopposed estrogen states such as polycystic ovarian syndrome (PCOS), obesity as well as nulliparity. Patients seeking assisted reproductive technologies make up a subset of these patients and strongly desire to maintain their fertility. Progesterone therapy for select patients may be a safe and effective temporary treatment for endometrial carcinoma and atypical precursor lesions prior to starting IVF-ET. IVF-ET is very effective in treating such patients.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): A Takahashi, F Kimura, S Tsuji, A Yamanaka, A Takashima, A Takebayashi, T MurakamiStudy ObjectiveTo evaluate fertility outcomes following hysteroscopic treatment of ishmoceles women with cesarean scar syndrome.DesignProspective observational study.SettingAcademic department in a university hospital.Patients or ParticipantsA series of 36 patient who had undergone hysteroscopic surgery for secondary infertility due to defects with retention of bloody fluid in the uterine cavity between July...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionOur findings suggest that baseline uterine volume is a strong predictor of term birth after fresh ET. These findings require prospective validation in larger sample sizes given the multifactorial nature of term birth.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Assess pregnancy rates after surgery for deep infiltrating endometriosis (DIE) in infertile patients, and in women without proven infertility, and whether ART was necessary to achieve pregnancy.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Plenary 7: Reproductive (3:05 PM – 4:05 PM) 3:05 PM Source Type: research
Transcervical radiofrequency ablation of uterine fibroids is an incisionless procedure to treat nonpedunculated uterine fibroids, including those that are not amenable to operative hysteroscopy. However, its safety and effectiveness regarding fertility and fecundity have not been established, including among women with infertility. This is a report of a pregnancy that occurred in a woman after transcervical radiofrequency (RF) ablation of uterine fibroids and assisted reproduction.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Virtual Poster Session 2: Laparoscopy (1:00 PM – 1:10 PM)1:00 PM: STATION E Source Type: research
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