How to Improve Your Art Success Rates

IVF is now established worldwide as a clinical service. Units are striving to improve their success rates, and many treatments are being advocated as 'yet another breakthrough'. The purpose of this book is to help clinicians to evaluate each of these new treatments. Each chapter is written by a recognized international expert in the field and the chapters are short and succinct, summarizing the latest evidence-based information for each topic and treatment. Sections cover patient selection and preparation, the role of AIH before IVF, stimulation, monitoring, laboratory techniques, embryo transfer, ancillary treatments and assessment of results. How to Improve your ART Success Rates: An Evidence-Based Review of Adjuncts to IVF is essential reading for all clinicians working with infertility and assisted reproduction, and is also a valuable addition to any medical library.

Preface
Patient Selection and Preparation
Pre-treatment hormone assessment to optimize IVF outcomes
Role of pelvic ultrasonography in the selection and preparation of patients for in vitro fertilization (IVF)
Is pre-IVF laparoscopy/hysteroscopy worthwhile?
The management of polyps and fibroids
Immunological screening in women undergoing IVF
Natural killer cell analysis
Weight control
Do vitamins and natural supplements improve pregnancy rates?
PCO patients - is there a role for metformin
An evidence-based medicine review of adjunctive treatments to IVF
Management of hydrosalpinges
The Role of AIH Before IVF
IUI - who should be treated and what are the expectations?
Stimulation
What superovulation protocol is best?
FSH vs hMG: gonadotrophins are gonadotrophins are gonadotrophins
Agonists or antagonists for ovarian stimulation?
Should the oral contraceptive pill or progestogens be used to schedule controlled ovarian hyperstimulation (COH)?
Dehydroepiandrosterone (DHEA)
Luteinizing hormone supplementation in ART
The use of growth hormone in IVF
Prevention of ovarian hyperstimulation syndrome
Is IVF the best approach?
Monitoring
How to monitor for the best results
Laboratory
Sperm selection for assisted conception
ICSI for all?
Day of embryo transfer
The beneficial effects of culture medium supplementation with growth factors in the development of human embryos in vitro
Metabolomics
Role of preimplantation genetic diagnosis (PGD)
Assisted hatching
Embryo Transfer
The role of ultrasound in embryo transfer
Does dummy embryo transfer help?
Does position matter?
Embryo transfer catheters
Bed rest after embryo transfer
Intercourse around the time of embryo transfer
Ancillary Treatments
Heparin and aspirin as an adjunctive treatment in women undergoing IVF
Place of oestrogen supplements in luteal phase after ET
Progesterone supplements
Place of corticosteroid co-treatment in IVF
Immunotherapy for IVF implantation failure: 'just in case' or 'just in time'?
Chinese herbs
Adjuvant therapy to improve endometrial development - sildenafil and/or hyperbaric oxygen therapy
The role of acupuncture in IVF
Psychological perspectives on IVF treatment
Future fertility for young women with cancer: protection, preservation or both?
Assessment of Results
How to report IVF success rates
Why do we need RCTs and how to design them?
How to assess Cochrane reports
Index
Table of Contents provided by Publisher. All Rights Reserved.

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How to Improve Your Art Success Rates

Summary

Table of Contents

Supplemental Materials