Reproductive Endocrinology - Contemporary OB/GYN

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Reproductive Endocrinology

Leveling with patients about the risks of ART

Nov 1, 2006

Be frank about the real and potential complications when counseling patients considering assisted reproductive technologies. The list includes the link between multiple gestations and preterm delivery, the possibility of ectopic pregnancies or malformations—and much more.

Recurrent early pregnancy loss: Is miscarriage evaluation the missing link? (CME)

Oct 1, 2008

The growing number of women repeatedly having early miscarriages may seek your guidance on cytogenic analysis. An expert shares algorithms that suggest when evaluation might help these patients better understand their risks.

Controversies in OB/GYN: Should all varicoceles be repaired?

Dr. Chan argues that repairing all clinically significant varicoceles can at least enhance semen parameters—and at best might enhance fertility. Dr. Schiff, on the other hand, says repair only those of men to benefit the most.
Jan 1, 2008

Dr. Chan argues that repairing all clinically significant varicoceles can at least enhance semen parameters—and at best might enhance fertility. Dr. Schiff, on the other hand, says repair only those of men to benefit the most.

Metformin for infertility in PCOS: Going, going, gone

Clomiphene is still the first choice to treat infertility and the gold standard for women with PCOS, argues this expert. He critiques research that suggests metformin is superior and discusses the reason two key trials yielded such starkly different results.
Dec 1, 2007

Clomiphene is still the first choice to treat infertility and the gold standard for women with PCOS, argues this expert. He critiques research that suggests metformin is superior and discusses the reason two key trials yielded such starkly different results.

The future of PGD: Should we be screening all of the chromosomes?

To most accurately detect abnormalities, all chromosomes have to be evaluated. And the day is not far off when our best hope for doing so—comparative genomic hybridization (CGH)—microarrays for PGD—will be widely available.
Oct 1, 2007

To most accurately detect abnormalities, all chromosomes have to be evaluated. And the day is not far off when our best hope for doing so—comparative genomic hybridization (CGH)—microarrays for PGD—will be widely available.

Controversies in OB/GYN: Is single embryo transfer okay in women under 38 undergoing their first IVF cycle?

Dr. Bergh believes single embryo transfer can yield satisfactory delivery rates—but at a price, while Dr. Grainer says we should consider several serious scientific and ethical flaws.
Jun 1, 2007

Dr. Bergh believes single embryo transfer can yield satisfactory delivery rates—but at a price, while Dr. Grainer says we should consider several serious scientific and ethical flaws.

Ovarian aging: Is there a "norm"?

Some women appear to have a gradual, yet premature, decline in ovarian function that is distinct from ovarian failure. In the author's experience, there is hope for successful pregnancy in these cases—with quick and correct diagnosis and the right treatment.
May 1, 2005

Some women appear to have a gradual, yet premature, decline in ovarian function that is distinct from ovarian failure. In the author's experience, there is hope for successful pregnancy in these cases, with quick and correct diagnosis and the right treatment.

Clinician to Clinician: Shared donor IVF

May 1, 2005

In vitro fertilization (IVF) ignited a revolution in infertility treatment.

Sign Out: The politics of adolescent health

Dec 1, 2004

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Tubal sterilization: A closer look at risk of pregnancy (CME)
Finding the right words after a pregnancy loss (CME)
Keeping a pregnant patient's asthma under control (CME)
Pregnancy in obese women: What you need to know (CME)
Recurrent early pregnancy loss: Is miscarriage evaluation the missing link? (CME)
Detecting polycystic ovarian syndrome in teens (CME)

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