Where Motherhood Can Be Possible

Dr. Louis R. Manara

Which Treatment Is Best For Older Patients Undergoing Donor Insemination?

May 3, 2013 — by manara99
Tags: Ivf Icsi Donor Insemination

 

A recent study in press suggests that for patients 40 and above, successful live birth using donor sperm occurs most readily through the use of in-vitro fertilization (IVF) coupled with direct sperm injection into the egg (ICSI). When IVF/ICSI was compared to intra-uterine insemination, patients required only 3 months to achieve the same success rate as was achieved with six cycles of intra-uterine insemination. This study offers guidance to couples using donor insemination suggesting that the "time to conception" is reduced through the use of in-vitro fertilization and intra-cytoplasmic injection compared to intrauterine insemination when the intended biological mother is 40 years of age or older.


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.


Infertility and Smoking

Feb 25, 2013 — by manara99
Tags: Smoking And Fertility Ivf

Most people are well aware of the adverse affects of smoking on general health but it is also well documented that using tobacco decreases a woman’s chances to become pregnant and carry successfully.  Smoking accelerates the depletion of eggs, increases miscarriage rates, and decreases the production of estrogen by cells within the ovary.


Reduced Cost IVF

Feb 6, 2013 — by manara99
Tags: Reduced Cost Ivf Infertility

IVF represents the most successful treatment available for infertile couples.  While not every infertile couple needs to have IVF in order to achieve success, for many couples it represents their best prospects for having a child, and for some couples it is the only pathway to a family of their own.  Very often, high costs and lack of insurance coverage make treatment inaccessible.


Advantages of Embryo Freezing

Jan 2, 2013 — by manara99
Tags: Frozen Embryo Transfer

Since the first successful frozen human embryo transfer in 1983, it has been an accepted truth that fresh embryo transfer offers an advantage in terms of live birth rate compared to frozen embryo transfer. Recently published studies suggest that transferring frozen embryos may yield higher success rates and lower chances for ectopic pregnancy as well as ovarian hyperstimulation.


Recurrent Pregnancy Loss - An Overview

Apr 1, 2012 — by manara99
Tags: Recurrent Pregnancy Loss Miscarriage

 

Repeat pregnancy loss causes a great deal of emotional pain for couples.  The feelings of loss and the grieving process are heavy burdens for couples dealing with repeated miscarriages.  They sometimes blame themselves and often harbor feelings of  inadequacy fearing that they will never fulfill their goal of having a family.  It is important that couples suffering with repeated pregnancy loss realize that in most situations the prospects for carrying successfully are extremely good based upon available studies.  Correction of any identified abnormalities coupled with encouragement, education, and emotional support are likely to result in successful live birth for the majority of couples with recurrent pregnancy loss. 

 


Repeated IVF Failure - Some Thoughts

Feb 10, 2012 — by manara99
Tags:

Repeated IVF failure is a perplexing problem which is extremely disheartening to both patient and physician. Once a decision to proceed to IVF has been made, treatment is undertaken with great enthusiasm and expectations. Proper IVF treatment places huge emotional, financial, and time commitments on the patient as well as her family.  Work and family schedules are disrupted and daily life must be rearranged to accommodate doctor visits, injections, and planned procedures.  Repeated failure to conceive requires a diligent review of all aspects of the patient’s evaluation and treatment to be sure that adjustments in treatment may be made to optimize prospects for future success. This process must be comprehensive and should include a thorough review of the patient file, conferencing with all members of the IVF team and should be followed up with a comprehensive, well thought out consultation with the couple.


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.  


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