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Reproductive Outsourcing

Posted 03-11-2008 at 01:27 PM by IVF Doctor
The outsourcing of U.S. jobs has become an important topic in the current election cycle. That this "job" outsourcing now has also seriously entered fertility practice is, however, less well known.
It all started with gamete donations. Scandinavian sperm banks flouted world wide their blond, blue eyed sperm donors with college education. As the popularity of egg donations increased, the former Communist countries of Eastern Europe became sources of inexpensive egg donation. Special...
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Government Regulations of ART in the U.K.

Posted 03-11-2008 at 09:18 AM by IVF Doctor
Assisted reproductive technologies in the U.K. are heavily regulated. Now an update on the legislative framework has been proposed in Parliament under the heading Human Fertilization and Embryology Bill and, promptly, has run into stiff resistance.
Not surprisingly, the Roman Catholic Church has been at the forefront of opposition to many of the activities the new bill would allow. As The New York Sun reported on March 10, 2008, quoting a dispatch of The Daily Telegraph, the new bill would,...
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Does Acupuncture Help With IVF?

Posted 02-08-2008 at 01:41 PM by IVF Doctor
On February 8, 2008, a scientific article in the British Medical Journal suggested that acupuncture significantly increases pregnancy rates with IVF. This paper, a so-called meta-analysis of a number of previously published articles, reminds me of the old, I believe IBM-resourced saying, "garbage in, garbage out."
Approximately a dozen studies have previously addressed this question. The authors of this recent meta-analysis chose seven amongst them, and in combining outcomes from...
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Obesity Bad for Female Fertility

Posted 01-30-2008 at 12:24 PM by IVF Doctor
As women gain in weight, their chances of spontaneous conception decline. A recent study out of The Netherlands, so far only electronically posted (van der Steeg JE et al. Hum Reprod. doi:10.1093/humrep/dem371), suggests that, as women's body mass index (BMI) (in studies used as standard measure of obesity) increases, they lose approximately 4% of conception rate for every unit of BMI increase.
This is, of course, not the first study, linking obesity with infertility, but it probably is the...
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PGD/PGS to Improve IVF Outcome

Posted 01-25-2008 at 11:06 AM by IVF Doctor
Is anybody still telling you to do preimplantation genetic diagnosis (PGD) to select better embryos in attempts to improve pregnancy chances with in vitro fertilization (IVF)? If they do, send them packing!

Avoiding the transfer of chromosomally abnormal embryos should, at least theoretically, improve pregnancy rates with IVF. This equation works, however, only if one assumes that the required embryo biopsy does not adversely affect the embryo. To assume so makes no sense, knowing...
Posted in IVF Commentary
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