Determining Ovarian Reserve A Review of the Tools, Tests, and Techniques
November 11th 2011The results of ovarian reserve testing are often viewed by patients as either good news or bad. The bad news is that, for patients with low ovarian reserve, implantation rates are generally poor and the possibility of successful pregnancy is very limited.
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Ilioinguinal Nerve Entrapment and Pain in Endometriosis (case 2)
October 23rd 2011DB is a 26-year-old nulligravid female with dysmenorrhoea and a long-standing history of endometriosis. Dysmenorrhoea began at age 16 years and has become progressively worse. She describes two unique pain profiles.
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Human Oocyte And Embryo Cryopreservation
October 10th 2011Brief overview of human egg and embryo freezing. Discussion of merits of currently utilized cryopreservation protocols. Practical issues of cryopreservation with reference to egg or embryo selection, and thaw replacement protocols. Alternative cryopreservation technologies.
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Central to any consideration of techniques in the IVF lab is the quality of the gametes that the lab has to work with. Usually there is little opportunity to modify the basic quality of sperm, however, the oocyte is a direct biological end product of ovarian super-ovulation as commonly conducted in human IVF therapy.
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Fewer Risks, New Hope: The Reality of Blastocyst Transfers
October 9th 2011The first thing that usually comes to mind when people hear the term, "infertility treatment," is the risk of multiple births. This worry has been fueled by the recent highly publicized multiple births in Iowa and Texas.
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A cost efficient approach to the diagnosis and treatment of infertility for the OBGYN generalist
October 8th 2011The purpose of this proposal is to outline suggested clinical pathways for the management of infertility and common reproductive endocrinology problems. The goal is to create an approach that provides the greatest success while using limited resources in the most cost-effective fashion.
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Polycystic Ovary Syndrome: Treatment with Insulin Lowering Medications
October 8th 2011Polycystic ovary syndrome is characterized by anovulation (irregular or absent menstrual periods) and hyperandrogenism (elevated serum testosterone and androstenedione). Patients with this syndrome may complain of abnormal bleeding, infertility, obesity, excess hair growth, hair loss and acne.
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Laparoscopic Resection of Sigmoid Endometrioma
June 23rd 2011Mackendrodt performed the first colonic resection for sigmoid endometriosis in 1909. Research has revealed that approximately 10 percent of menstruating women have endometriosis and up to 34 percent may have intestinal involvement.
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Tubal Recannulization and Selective Salpingography
June 23rd 2011bout 30% of those with blocked tubes have proximal obstruction. Blockage where the tubes connect to the uterus. This may be due to adhesions, spasm of the opening from the uterus to the tube (tubal osteum) or dryed up dead cells and mucus. The first probably can't be helped. We often see it with a condition called SIN (salpingitis isthmica nodusum) seen after sever pelvic infection. Spasm means the tubes are not really blocked but they show up that way. It's the dried up stuff blocking the tube that makes a difference.
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Eight is Enough Balancing the risks of advanced fertility treatment
October 26th 2006Millions of couples who otherwise would not have been able to conceive children have benefited from advances in fertility treatment. But technological advances, improved access to fertility care as well as a growing demand from infertile couples have resulted in a global growth in the number of multiple births.
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