Where Motherhood Can Be Possible

Dr. Louis R. Manara

Improving IVF Success - Time-lapse photography!

Jun 27, 2013 — by manara99
Tags: Technology Improved Success Ivf

 

 

A recent British group, published in Reproductive Biomedicine Online has come up with a novel method of studying human embryos in culture that involves the use of time-lapse photography to monitor the growth rate of embryos.  The technique allows embryologists to identify precisely the time at which embryos reach critical stages of development.  It is understood that genetically abnormal embryos are delayed in reaching certain developmental milestones. Time-lapse information was used by investigators to select the best embryos for transfer and improve the live birth rate by 56 percent.


Egg Regeneration - Is It Possible?

May 27, 2013 — by manara99
Tags: Ivf Infertility Age And Infertility

 

It has long been accepted that the number of eggs available for reproduction is fixed prior to birth.  However, a recent well conducted study suggests that reproductive aged women have oocyte stem cells which can be isolated, cultured in the laboratory, and returned to ovarian tissue resulting in healthy egg development.  While this research preliminary, it opens up exciting possibilities for treating age related infertility.


IVF Versus Intra-uterine Insemination In Poor Response Cycles

Apr 7, 2013 — by manara99
Tags: Ivf Poor Responders

Summary

 

Clinicians are often faced with the dilemma of whether to go forward with in-vitro fertilization (IVF) when the patient’s response to medications is poor, resulting in only one to three follicles reaching maturity. A recent study provides some guidelines for decision making when these situations arise.


IVF Versus Intra-uterine Insemination In Poor Response Cycles

Apr 7, 2013 — by manara99
Tags: Ivf Poor Responders

Summary

 

Clinicians are often faced with the dilemma of whether to go forward with in-vitro fertilization (IVF) when the patient’s response to medications is poor, resulting in only one to three follicles reaching maturity. A recent study provides some guidelines for decision making when these situations arise.


Improving Embryo Quality!

Mar 9, 2013 — by manara99
Tags: Ivf Blastocyst Infertility

Improving embryo quality is one of the keys to improving IVF live birth rates.  A recent study suggests that slight mechanical movement of embryos during culturing leads to a greater number of high quality embryos.  Significantly more blastocysts developed when embryo culture dishes were gently tilted during culture for 5 days compared to a control group.


Do Uterine Polyps Need To Be Removed Before In-Vitro Fertilization?

Jan 18, 2012 — by manara99
Tags: Uterine Polyps Ivf Embryo Implantation

Uterine polyps may be discovered during preparation for IVF when the uterus is evaluated by hysterosalpingogram or during routine vaginal ultrasound monitoring.  The question of whether these polyps should be surgically removed prior to in-vitro fertilization treatment has been controversial.  Many reproductive specialists have recommended removal based on data suggesting improved implantation rates following surgical polypectomy.  Several papers have suggested removing only polyps which are greater than 1cm in diameter.  A recent Turkish paper (in press) suggests that removal of polyps measuring less than 1.5cm offers no advantage in terms of pregnancy or live birth rates.  


What Is The Best Infertility Treatment For Women 40 And Older?

Because fertility decreases with advancing age it is imperative that the most effective therapies be offered to couples as early in the treatment process as possible.  Physicians who care for infertile couples must make the most of each month to assure that fertility potential is maximized.  Toward this end, data evaluating age specific expectation for successful pregnancy for the various commonly used treatments is essential.  An article in press at this time suggests that in-vitro fertilization is far superior to ovarian stimulation combined with intrauterine insemination.  Live birth rates in this study were more than five times greater for IVF versus ovarian stimulation with intrauterine insemination. 


Improving IVF Success!

Nov 11, 2011 — by manara99
Tags: Ivf Embryo Implantation Infertility

There have been several publications in recent years suggesting that minor trauma to the uterine lining in the menstrual cycle preceding an IVF treatment cycle results in a significant improvement in embryo implantation.  A recent study suggests that obtaining a biopsy from a precise location within the uterine cavity during the IVF treatment cycle significantly improved the prospect of embryo implantation. This study is the first to indicate that location and timing of the biopsy may impact favorably the chances for pregnancy in patients who have had repeated failure of healthy appearing embryos to implant.  


In Vitro Fertilization (IVF) Candidates

In vitro fertilization (IVF) is a great way for many couples who cannot conceive a child on their own begin the great adventure of having a family. Let’s look at who the best candidates for IVF are and what the procedure entails.


Retained Fertility for Polycystic Ovarian Syndrome Patients!

Aug 28, 2011 — by manara99
Tags: Ivf Pcos Ovarian Reserve

Because of the large number of follicles often present in patients with polycystic ovarian syndrome (PCOS) as well as the usually observed excellent ovarian response to stimulation with fertility medications in this group of patients, the question arises as to whether reduction in fertility which is known to occur with aging proceeds at a slower rate in PCOS patients.  A recent study from Norway suggests that fertility potential is maintained between the ages of 22 and 41 in a group of PCOS patients compared to a group of non-PCOS patients.


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