Din presa - despre infertilitate si/sau reproducere asistata

Informatii si discutii despre proceduri de fertilizare in vitro si inseminare artificiala, despre medici si tratamente, in Romania & abroad.
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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde SOS Infertilitatea » Sâm Oct 26, 2013 3:14 pm

Redefinirea naşterii la termen: cât de mult ar trebui să stea un făt în pântecul mamei?

De mulţi ani, medicii considerau că bebeluşii care vin pe lume după 37-42 de săptămâni de stat în burta mamei sosesc la termen. Însă, acum, un grup de specialişti din Statele Unite redefineşte sarcina la termen şi perioada în care aceasta are loc.

„Am descoperit că rezultatele nou-născuţilor nu sunt uniforme între cele 37 şi 42 de săptămâni”, a declarat dr. Jeffrey Ecker.

Bebeluşii aduşi pe lume între săptămânile 37 şi 39 vor fi consideraţi, de acum înainte drept copii care au venit pe lume timpuriu, în timp ce doar copiii născuţi între săptămânile 39 şi 41 de sarcină vor fi consideraţi ca aduşi pe lume la termen.

De asemenea, copiii născuţi între săptămânile 41 şi 42 de sarcină vor fi catalogaţi drept bebeluşi născuţi târziu, în timp ce copiii care vor sta în pântecul mamei mai mult de 42 de săptămâni vor fi consideraţi drept bebeluşi născuţi după termen.

Ecker este preşedintele The College's Committee on Obstetric Practice, fiind totodată obstetrician specializat în situaţii cu risc crescut.

Specialiştii susţin că sarcinile ar trebui catalogate după categoriile propuse de ei deoarece există un număr tot mai mare de dovezi care indică faptul că bebeluşii născuţi înainte de 39 de săptămâni nu sunt la fel de dezvoltaţi ca cei care s-au născut după acest prag.

Mai exact, se pare că bebeluşii născuţi după 39 de săptămâni au mai puţine rezultate slabe atunci când li se evaluează auzul sau respiraţia. De asemenea, ei au mai puţine probleme de învăţare, spun specialiştii de la American College of Obstetricians and Gynecologists.

Creierul bebeluşului creşte cu aproximativ o treime între săptămânile 35 şi 39 de sarcină şi tot în ultimele săptămâni apare şi un strat de ţesut adipos care să îi ţină corpului de cald.

Dr. Christopher Glantz susţine că această regândire a definiţiilor care indică termenul potrivit al sarcinii „nu sunt surprinzătoare. Cred că ne îndreptam în această direcţie de câţiva ani deja”. Glantz este profesor de obstetrica şi ginecologie la Universitatea din Rochester, dar el nu a fost implicat în crearea noilor definiţii.

„Cred că este bine să ne asigurăm că toată lumea foloseşte o terminologie pe care să o înţelegem cu toţii. Ei spun doar că avem nevoie de mai multă precizie în definiţii. Altfel oamenii vor folosi cuvântul «termen» pentru a defini tot felul de lucruri”, a mai declarat Glantz.

De asemenea, această redefinire va ajuta şi la reducerea numărului de femei care aleg să recurgă la operaţii cezariene elective fără a avea un motiv medical. Prin urmare, specialiştii de la American College of Obstetricians and Gynecologists nu recomandă inducerea cezarienei mai devreme de 39 de săptămâni, decât în cazuri în care viaţa mamei sau a fătului este în pericol.

Sursa.
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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde SOS Infertilitatea » Vin Noi 01, 2013 6:40 am

Bed Rest After IVF Doesn't Help

Bed rest immediately after an in vitro fertilization (IVF) procedure, despite being common practice, did not help women ultimately have a baby in a new study.

"The old wives' tale of bed rest should be debunked once and for all, that you don't need bed rest in any way, shape or form," said Dr. Jani Jensen, a fertility expert at the Mayo Clinic, who was not part of the study.

The researchers found that women who continue to lie down for 10 minutes after embryo transfer may actually be less likely to have a baby than women who got up and walked around right away.

"It demonstrates that there is no need to keep patients at bed rest after a transfer. They can immediately get up and leave," said Dr. Richard Reindollar, the chair of the department of obstetrics and gynecology at Geisel School of Medicine at Dartmouth.

"In the past there were a number of people who felt strongly that patients have bed rest. Some had patients go to bed for five days," said Dr. Reindollar, who did not participate in the study.

Researchers in Spain, led by Dr. Jos� Remohi at the Instituto Valenciano de Infertilidad, Valencia, and the Universidad de Valencia, randomly assigned patients to bed rest or to get up immediately following the procedure.

Half of the women in the study, 120 of them, stayed on the bed for 10 minutes after the embryos were transferred, while the other 120 women got up and walked out of the room.

Fifty women in the bed rest group went on to have babies, while 68 women in the other group delivered a baby.

"It's not clear why," said Dr. Jensen.

The pregnancy rates were similar in both groups, but miscarriage rates in the bed rest group were 27.5% compared to 18% in the other group. That difference didn't reach statistical significance, however.

The authors point out that when a woman is standing, her uterus is in a horizontal position; they speculate that may be better for successful embryo transfer. They also propose that stress reduction from walking around after the procedure might play a role in the differing birth rates.

"We believe that encouraging patients to follow their daily routine immediately after (embryo transfer) may help them to cope with anxiety during treatment and thereafter to increase their skills in maintaining relaxation throughout the treatment, and this may be one possible reason behind our obtained results," they wrote June 10th in Fertility and Sterility.

Dr. Jensen agreed that stress reduction is important. "But I think that the intervention is too small to say that the 10 minutes of bed rest was detrimental," said Dr. Jensen. "The better message is probably that you really don't need any bed rest at all to still have good outcomes."

Dr. Reindollar, who is also the president-elect of the American Society for Reproductive Medicine, said the study is important in developing a cache of evidence about the benefits and harms of bed rest

He said that with enough data the Society might consider issuing practice guidelines that recommend physicians discourage bed rest.

"This paper showed that it certainly does not hurt patients to get up and walk away, and it suggests that it might hurt to keep them there," Dr. Reindollar told Reuters Health.

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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde SOS Infertilitatea » Vin Noi 01, 2013 6:45 am

Fertility Treatment Studies May Alarm — Make Sure You Understand the Facts

During the past few weeks, several studies have come out with alarming headlines about fertility treatment, with the most recent linking a type of fertility treatment to birth defect risk in the resulting children. Other recent studies have linked fertility treatment to childhood leukemia and circulatory problems in children.

If you are a fertility treatment patient, try to put the studies into perspective. There are many factors that can increase the risk of a certain condition, but the overall risk may remain relatively low.

Fertility Treatment and Birth Defects Study

Researchers have known for a while that babies born via assisted reproductive technology (ART) are more likely to have birth defects. A recent study, published in the New England Journal of Medicine, suggests that two things play a role in this: certain fertility treatments and infertility itself.

“This study confirms what has been known for quite some time: Patients who need medical assistance to conceive have a somewhat higher risk of having children with birth defects than parents able to conceive on their own," says Linda Giudice, MD, PhD, a fertility doctor with UCSF Center for Reproductive Health and president-elect of the American Society for Reproductive Medicine (ASRM). "Patients considering medically assisted conception have been, and should continue to be, counseled on those risks prior to undergoing any treatment.”

Australian researchers looked at the records of nearly 303,000 babies conceived naturally and 6,163 conceived with help in Australia from 1986 through 2002, along with records on birth defects detected by age 5. The investigators counted heart, spinal or urinary tract defects, limb abnormalities and problems such as cleft palate or lip, and they looked at birth defect rates according to type of fertility treatment, including in vitro fertilization (IVF), IVF with intracytoplasmic sperm injection (ICSI) and ovulation induction with clomiphene citrate (Clomid).


The Findings

After adjusting for parental factors such as smoking, the researchers found:

Babies born from simple in vitro fertilization (IVF) — in which sperm and an egg were mixed together in a lab dish — had no greater rate of birth defects.
Babies born from IVF with ICSI — a lab technique in which a single sperm is injected into an egg — had a higher rate of birth defects.
A history of infertility, either with or without assisted conception, was also associated significantly associated with birth defects.
Freezing of embryos was associated with a reduced risk of birth defects, particularly with ICSI.
There was a tripling in risk of birth defects in women using clomiphene citrate — unsupervised — for ovulation induction.

"The unadjusted risk of any birth defect in pregnancies involving assisted conception was 8.3 percent (513 defects), compared with 5.8 percent for pregnancies not involving assisted conception (17,546 defects)," says lead author of the study, Associate Professor Michael Davies from the University of Adelaide's Robinson Institute and School of Paediatrics and Reproductive Health."The risk of birth defects for IVF was 7.2 percent (165 birth defects); and the rate for ICSI was higher at 9.9 percent (139 defects).

"A history of infertility, either with or without assisted conception, was also significantly associated with birth defects," he continues. "While factors associated with the causes of infertility explained the excess risk associated with IVF, the increased risk for a number of other treatments could not readily be explained by patient factors. ICSI, for instance, had a 57 percent increase in the odds of major defect, although the absolute size of the risk remained relatively small."
Should Your Be Concerned?

Overall, the rate of birth defects is about 6 percent with unassisted conception, 7 percent with IVF and 10 percent with ICSI.

When a new study comes out, ignore the alarming headlines, read the reports, do your research and ask questions of your fertility doctor. Find out the risks and benefits of each particular aspect of your treatment and find out whether you need that particular treatment.

On this recent study, Glenn Schattman, M.D., a fertility doctor at The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine at Weill Cornell Medical Center and President of the Society for Assisted Reproductive Technology (SART), says, “It is important to note that women with a history of infertility who did not undergo ART treatments also had a higher increase of having children with birth defects. This combined with the finding that those using ICSI also had slightly elevated risks of birth defects suggest that the underlying problem that led them to seek medical assistance in the first place is likely contributing to the elevated risk of birth defects in their children.

"Some results in this study are reassuring for patients," he continues. "In cycles not including ICSI, the adjusted odds ratio for IVF conceived children did NOT show a significant difference in birth defects, and children born following embryo freezing had no higher risk of birth defects than naturally conceived children. These are interesting and important findings and we will need much more research to allow us to help patients overcome their infertility with treatments that are as safe as possible for them and the children born from the treatments.”


Sursa.
I always wondered
why somebody didn’t do
something about that,
then I realized
I AM SOMEBODY.

[...and you, and you!]

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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde SOS Infertilitatea » Vin Noi 01, 2013 6:50 am

Legătura dintre morcovi şi fertilitatea masculină: cum îi ajută pe bărbaţi

Morcovii fac parte din grupul de fructe şi legume care ajută la îmbunătăţirea calităţii spermei, bărbaţii care consumă aceste vegetale fiind mai fertili, potrivit unui nou studiu realizat de cercetătorii americani, informează dailymail.co.uk.

Despre morcovi s-a tot vorbit că sunt buni pentru îmbunătăţirea vederii, însă un nou studiu a arătat că aceştia ajută la îmbunătăţirea calităţii spermei.

Cercetătorii care au investigat efectele fructelor şi legumelor asupra sănătăţii spermei au descoperit că morcovii oferă cele mai bune rezultate. Aceştia au un efect bun asupra "motilităţii" (capacitatea de mişcare) a spermatozoizilor.

Cercetătorii de la Universitatea Harvard din Statele Unite ale Americii au cerut unui număr de 200 de bărbaţi tineri să urmeze o dietă care conţinea o varietate de fructe şi legume, înainte de a face teste pentru a observa ce efecte au acestea asupra spermei.

Drept urmare, fructele şi legumele de culoare galbenă şi portocalie ajută la ameliorarea calităţii spermei. Acest lucru se datorează pigmenţilor care dau culoarea galbenă numiţi carotenoide, deoarece corpul transformă unii dintre aceşti pigmenţi în antioxidanţi care ajută la menţinerea sănătăţii. Printre aceştia se numără beta-carotenul, pe care care corpul îl tranformă în vitamina A.

Antioxidanţii ajută la neutralizarea radicalilor liberi - grupuri liberi de atomi care reprezintă un proces secundar al metabolismului şi pot distruge membranele celulare ale ADN-ului.

Cartofii dulci şi pepenele galben ajută şi la creşterea cantităţii spermei, dar s-a descoperit că morcovii îmbunătăţesc performanţa spermei între 6,5 şi 8 procente, potrivit unei analize publicate în revista Fertility and Sterility.

Fructele şi legumele de culoare roşie, în special tomatele, care conţin substanţe anticancer, precum licopenul, au fost asociate cu scăderea numărului spermatozoizilor cu anomalii în ceea ce priveşte forma. Datorită acestor fructe şi legume, numărul de spermatozoizi "normali" a fost cu 8 - 10% mai ridicat, spun cercetătorii, care au putut observa o diferenţă semnificativă în rândul cuplurilor care aveau probleme în a concepe un copil.

Acest studiu vine pe fondul înregistrării unei scăderi a cantităţii şi calităţii spermei în ţările occidentale, unele studii arătând că numărul mediu de spermatozoizi a scăzut la jumătate.

Un studiu anterior realizat de Universitatea Harvard a arătat că bărbaţii a căror dietă include grăsimi saturate au număr mai mai mic de spermatozoizi, iar calitatea spermei este mai slabă. În schimb, calitatea spermei în rândul bărbaţilor care consumă mai multe grăsimi "bune", inclusiv acizi graşi omega 3, care se găsesc în peşte şi unele plante, este mai bună.


Sursa.
I always wondered
why somebody didn’t do
something about that,
then I realized
I AM SOMEBODY.

[...and you, and you!]

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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde SOS Infertilitatea » Sâm Noi 02, 2013 10:55 am

Should single-embryo transfer be mandatory in patients undergoing IVF?

By Brad Van Voorhis, MD

Dr. Van Voorhis is Vice Chair, Department of Obstetrics and Gynecology, and Division Director, Reproductive Endocrinology and Infertility, University of Iowa Carver College of Medicine, Iowa City.


It is a physician’s professional responsibility to transfer a single embryo to patients with a good prognosis during in vitro fertilization (IVF). I make this statement based on several observations. First, the risks of multiple birth, including twins, after IVF are substantial for both the mother and children. Second, recent developments in IVF allow practitioners to perform single-embryo transfer (SET) with high efficacy, particularly when considering the cumulative pregnancy rate (outcomes with both fresh and frozen embryo transfer) from a given IVF stimulation cycle. Third, as professionals, we are expected to regulate our own behavior. If physicians do not take the lead in practicing and mandating safe and effective clinical care, then who will?

Finally, physicians should take the lead in health care expenditure reduction, which society is demanding. SET has consistently been shown to lower the rates of multiple birth and premature delivery, thereby leading to marked reductions in health care costs.

Couples presenting for IVF often desire twins, feeling that this will complete their family more quickly. Many are ignorant, however, of the health risks posed by twin gestations. It is a health care professional’s responsibility to provide the relevant education. IVF-conceived twin pregnancies are riskier than singleton pregnancies in terms of both maternal and newborn complications. The most obvious difference is in the preterm delivery rate, which is 6 to 7 times higher than that of singletons and leads to much more frequent neonatal intensive care unit admissions.1

Some have argued that if a family desires 2 children, the complications of twins should be compared with 2 consecutive IVF singleton pregnancies. This analysis was performed recently in Sweden and revealed significantly higher rates of maternal and neonatal complications, with a sevenfold increase in birth before 32 weeks among the twin gestations.2 This leads to much higher health care costs, estimated to exceed $1 billion annually for care of preterm births from IVF-conceived multiple gestations.3

Above all, couples presenting for IVF want to get pregnant. Fortunately, the practice of IVF has undergone a remarkable transformation in its relatively short history, resulting in substantial increases in the pregnancy rate. In the early years of IVF, multiple embryos were routinely transferred, yet pregnancy rates were less than 20%, even in the best programs. Improvements in ovarian stimulation protocols, insemination techniques, embryo culture conditions, and embryo transfer practices have led to pregnancy rates that often exceed 50% for good-prognosis patients. New developments in embryo selection techniques hold great promise for pushing these rates even higher.

Physicians have recognized these advances and have reduced the number of embryos transferred in good-prognosis patients, which has led to a marked reduction in higher-order multiple pregnancies (triplets and above) after IVF. However, 2 embryos are still commonly transferred even in good-prognosis patients and, although the rates are slowly increasing, SET remains uncommon. SET comprises only 11.7% of transfers in women under the age of 35 in the most recent national IVF data, resulting in a 30.8% twinning rate among women in this age group.

Can couples achieve pregnancy at the same rate with SET as with double-embryo transfer (DET)? It depends on how this is rate is calculated. Studies have found higher pregnancy rates with DET than with SET in a “fresh” cycle. However, if one looks at the cumulative pregnancy rate achieved by transferring one embryo in the fresh cycle followed by the transfer of another cryopreserved embryo in a “frozen” cycle, the rates are equivalent.4 Therefore, the chance of a couple achieving a pregnancy is equivalent with the SET strategy as long as one is willing to accept a 2- to 3-month delay for frozen embryo transfer, should it become necessary. That also comes at a small increase in cost for the frozen cycle. Recent innovations in embryo cryopreservation are leading to improved outcomes for cryopreserved embryo transfers. These outcomes are now nearly equivalent to those of fresh embryo transfers.

Society grants physicians privileges and benefits but expects us to self-regulate and internally monitor practices. In 2009, the American Society for Reproductive Medicine (ASRM) issued guidelines stating that for younger patients (<35 years) with a favorable prognosis (no prior failed cycles, good-quality embryos, and extra embryos to freeze), consideration should be given to transferring one and no more than 2 embryos.

At our center, we have taken this a step further by establishing a SET policy that mandates that a single embryo be transferred under these circumstances. Patients are educated about the risks of twins and about our clinic policy at their first visit. Patient autonomy is preserved because care can be sought elsewhere. However, we find that patients are accepting of the policy after they understand our dedication to achieve both a high pregnancy rate and a safe, healthy pregnancy outcome.

In published data, we have demonstrated that good-prognosis patients who qualify for the mandatory SET policy have a very high birthrate in the fresh cycle and a cumulative pregnancy rate that exceeds 80%.5,6 We find that when we emphasize these outcomes and the cumulative pregnancy rate in particular, many patients are not only accepting but indeed excited about qualifying for SET. Our program-wide multiple birth rate has been dramatically reduced by our increased utilization of SET.

It is time for physicians to accept our responsibility to “first do no harm” in providing safe and highly effective infertility care through the practice of SET in good-prognosis patients.


Sursa.
I always wondered
why somebody didn’t do
something about that,
then I realized
I AM SOMEBODY.

[...and you, and you!]

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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde N.C.B. » Lun Noi 04, 2013 6:52 am

Selon une étude, la caféine exposerait le nourrisson aux crises d'épilepsie et affecterait la mémoire.

L'étude. Le café réveille peut-être ceux qui peinent à s'extirper de leur nuit, mais il n'éveille pas le cerveau des nourrissons. C'est en tout cas ce qui ressort d'une étude de chercheurs en neuroscience de l'Université d'Aix-Marseille, publiée mercredi dans la revue Science Translational Medicine. Selon les chercheurs, la caféine est susceptible, durant la grossesse, d'affecter le cerveau en développement, "entraînant chez la progéniture une plus grande sensibilité aux crises d'épilepsie et des problèmes de mémoire".

Deux à trois cafés par jours. Les chercheurs ont reproduit chez des souris femelles, pendant leur période de gestation, une consommation de café régulière, équivalente à deux ou trois cafés par jour chez l'être humain. "Les bébés souris étaient beaucoup plus sensibles aux crises d’épilepsie et, une fois devenues adultes, nous avons observé qu'elles présentaient d’importants problèmes de mémoire spatiale, c'est-à-dire des difficultés à se repérer dans leur environnement" explique Christophe Bernard, directeur de recherche à l'Inserm et principal auteur de l'étude.

La caféine se fixe au neurone et les ralentit. Pendant le développement du cerveau du nourrisson, certaines cellules naissent dans une région cérébrale avant de migrer vers une autre. C'est le cas des neurones, qui voyagent en direction de l'hippocampe, où ils font fonctionner la mémoire. Or, la caféine se fixe sur les neurones, munis de récepteurs particuliers. Affectés de ce poids supplémentaires dans leurs valises, les neurones arrivent en retard à destination. Et perturbent tout le processus. "Ce retard de migration va se répercuter tout au long du développement et entrainer des effets néfastes sur le cerveau des souris à la naissance (excitabilité cellulaire et sensibilité aux crises d’épilepsie) et à l'âge adulte (perte de neurones et problèmes de mémoire)", explique l'Inserm dans un communiqué.

Bientôt une étude sur l'Homme ? La caféine est la substance psychoactive (qui se fixe sur les cellules du cerveau) la plus consommée au monde, y compris pendant la grossesse. D'où, souligne l'Inserm, la nécessité de poursuivre les études et déterminer ce que risque précisément le nourrisson humain exposé au café. "Cette étude est la première démonstration des effets néfastes de l’exposition à la caféine sur le cerveau en développement. Bien qu'elle pose la question de la consommation de café chez la femme enceinte, il est nécessaire de rappeler la difficulté, liée à l'utilisation de modèles animaux, d'extrapoler ces résultats à la population humaine sans prendre en compte les différences de développement et de maturation entre les espèces", conclut Christophe Bernard.




Sursa.
To make a looooong story short:

FIV nr. 7 (ET nr. 10) reusit, martie-aprilie 2013, Grecia, dr. Konstantinos Giatras.

Din 16 decembrie 2013, mama Larei.

* * *

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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde SOS Infertilitatea » Mie Noi 06, 2013 8:49 pm

IVF success affected by ethnicity, study suggests
By Michelle Roberts Health editor, BBC News online


Asian and black women who have IVF are less likely to become pregnant than white women using similar fertility treatment, UK research suggests.

The Nottingham University team say they are unsure why this is, but say it could be down to genetics as well as social and environmental factors.

They looked at IVF success rates for 1,517 women treated in their clinic.

Live birth rates for ethnic minority women were significantly lower, the study published in BJOG found.

Overall, 35% of ethnic minority women successfully conceived and gave birth after IVF compared with 44% of white women treated at the clinic between 2006 and 2011.

This was despite all the women appearing to have favourable chances of having a baby, based on factors such as the quality of their egg reserves.

The birth rate also differed between three ethnic sub-groups - 21.4% for Middle East Asian women, 23.3% for African-Caribbean women and 38% for South East Asian women - although this finding was not statistically significant.

Lead researcher Dr Walid Maalouf said the reasons behind the findings were unclear.

"Further research into genetic background as a potential determinant of IVF outcome, as well as the influencing effects of lifestyle and cultural factors on reproductive outcomes is needed," he said.

The researchers say their findings could be used to help counsel couples about their realistic probabilities of success with IVF.

Women from ethnic backgrounds might be encouraged to seek treatment earlier to improve their odds of having a baby, for example, said John Thorp, BJOG deputy editor in chief.

The outgoing head of the UK's fertility watchdog has also called for greater clarity over the relative pros and cons of IVF.

Prof Lisa Jardine said success rates were "discouragingly low" and that those providing the treatment "traded in hope".

Two thirds of couples will not conceive after a cycle of IVF.

Sursa.
I always wondered
why somebody didn’t do
something about that,
then I realized
I AM SOMEBODY.

[...and you, and you!]

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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde SOS Infertilitatea » Vin Noi 08, 2013 12:51 pm

IVF procedure not linked to increased risk of childhood cancer


Children who are conceived using In Vitro Fertilisation (IVF) have no increased risk of childhood cancer compared to naturally conceived children, according to a recent study.

The study, conducted by Cancer Research UK, examined data from around 106,000 IVF and other assisted births in Britain across eighteen years, and matched this against information on their cancer diagnoses until the age of 15.

This information, from the Human Fertilisation and Embryology Authority and the National Registry of Childhood Tumours, showed that the overall cancer rates were remarkably similar across all children.

It found that 108 cancers were diagnosed across the group, compared to the expected 110 in the general population.

The researchers found that IVF caused no increased risk of the most common childhood cancers such as leukaemia, neuroblastoma or retinoblastoma, as well as nervous system and germ cell tumours.

Despite this, the researchers did find a slight increase in the risk of hepatic and bone tumours, specifically a rare form called rhabdomysarcoma.

However, the team were unable to verify whether this elevated risk was due to chance, IVF conception, or other factors such as low birth weight or parental infertility.

Study author Dr. Alastair Sutcliffe of University College London Hospital, said: “Our findings suggest that children conceived with IVF techniques have no greater risk of childhood cancer overall than naturally conceived children.

“These results are reassuring for parents who’ve had children in this way or are thinking about using it to conceive. Up until now it’s been difficult to study the link between using IVF techniques and childhood cancer – which is thankfully a relatively rare event.

"Our study is the largest of its kind to date to look at this link and bigger than all previous studies combined. We will be revisiting the data set in five years time to see if this good news can be further verified as the child population gets older”.

Professor Peter Johnson, Chief Clinician for Cancer Research UK also commented on the research, saying: “A child’s cancer diagnosis is devastating news to any parent. But we’re pleased that this study has found no link between conception using IVF and increased overall cancer risk to children.

“Although survival rates are improving, there’s still some way to go to make sure that all children survive, as well as making treatments kinder and reducing their long-term side effects".

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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde SOS Infertilitatea » Vin Noi 08, 2013 1:26 pm

IVF Surprise for Couple Expecting Second Set of Triplets


Sarah Imbierowicz and her husband Bill have four boys: 3-year-old Will and 15-month-old triplets Tommy, Sammy and Drew. And in two months, the couple will welcome three girls.


This time the couple implanted only two embryos, hoping for one healthy girl. Instead, they saw three little dark sacs on the ultrasound monitor, meaning one of the embryos split into two identical twins or the couple conceived one of the three naturally.


Articolul integral, aici: http://www.kmbz.com/IVF-Surprise-for-Co ... r/17705461
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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde SOS Infertilitatea » Vin Noi 08, 2013 5:42 pm

Infertilitatea si poluarea


Fumul de țigarǎ, fumul produs de mașini și vaporii de vopsea sunt printre poluanții atmosferici pe care femeile gravide sunt sfătuite să le evite, pe cât posibil, din cauza efectelor negative asupra dezvoltǎrii unui fetus. Pe de altǎ parte și femeile care nu sunt încă gravide pot fi afectate ȋn mod negativ de poluare. Datele statistice indicǎ faptul cǎ toxinele din fumul de țigară produc rate mai mari de infertilitate la femei, indiferent dacă acestea sunt fumǎtoare sau doar inhaleazǎ fumul de tigarǎ produs de alți fumǎtori.

Poluarea poate afecta și bǎrbații, mai ales cǎ datele statistice au indicat faptul cǎ metalele grele din gazele de eșapament pot produce probleme de infertilitate la bărbați, cauzȃnd un exces de radicali liberi în sânge și o scădere a calității spermei. Ȋn cadrul testului, șoarecii de laborator care au trăit lângă o autostradă au prezentat mutații ȋn ADN-ul celulelor spermatice, respectiv cu până la 6 % mai multe mutații decȃt șoarecii care au respirat un aer filtrat. Mai mult, nivelurile crescute de mercur din sȃnge la bǎrbați au fost corelate cu anomalii ale spermei. Deși compușii bifenili policlorurați - PCB au fost interziși de mai bine de trei decenii, aceștia au fost folosiți ȋntre 1929-1979 și au avut sute de utilizǎri, fie că este vorba de agenți de răcire sau lubrifianți pentru echipamentele electrice. Deși nu mai sunt fabricați, PCB încă pot fi prezente în produsele mai vechi cum ar fi vopseaua și pot persista de ani ȋn mediu - în sol, apă și ȋn lanțului alimentar.

Studiile au demonstrat că și alte substanțe chimice, cum ar fi pesticidele pot modifica sistemul hormonal, cauzȃnd probleme de infertilitatea. Oamenii pot reduce expunerea lor la poluanții din alimente, prin limitarea consumului de produse de origine animală, în special carne grasă, ȋnsǎ și alte substanțe chimice dǎunǎtoare sunt stocate ȋn grǎsimi, iar acestea nu pot fi eliminate complet.

Efectul poluǎrii asupra fertilitǎții poate fi unul direct, sau indirect prin agravarea sau producerea unor afecțiuni care pot pune probleme atunci cȃnd vine vorba de conceperea unui copil. Este recomandat, pe cȃt posibil sǎ vǎ feriți de toxinele din mediul interior precum: fumul de ţigară, instalaţiile de încălzire cu gaz, anumite materiale de construcţie, azbestul, radonul (care poate exista pe terenul pe care a fost construită locuinţa) dar și de toxinele din mediul exterior: gazele de eşapament de la autovehicole, emisiile de gaze industriale, incendiile de pădure, motoarele cu ardere internă, de arderea oricărui material ce conţine sulf, dar și de zonele ȋn care se exploateazǎ şi proceseazǎ minereuri.

Cercetǎtorii au demonstrat, ȋn cadrului unei cercetǎri, cǎ pesoanelor cu un nivel ridicat de anumite substanțe chimice ȋn corpul lor le este cu aproximativ 20 % mai greu sǎ conceapǎ un copil, potrivit cercetǎtii realizate de National Institutes of Health.

Specialiștii de la Environmental Health Perspectives avertizeazǎ cǎ pe lȃngǎ poluare și fumat, obizitatea și vȃrsta ȋnaintatǎ sunt alți factori care scad nivelul de fertilitatea al unui om.

Poluarea și Fertilizarea in vitro

Femeile care respirǎ ȋn mod regulat aer poluat pot avea un dezavantaj atunci când vine vorba de a rǎmȃne ȋnsǎrcinate prin intermediul tehnicii de fertilizare in vitro (FIV), afirmǎ cercetatorii de la Universitatea din Pennsylvania, ȋntr-un studiu ce a urmărit efectele expunerii la poluarea aerului ȋn cazul a peste 7.000 de femei care urmau un tratament FIV.

Cercetătorii au analizat efectele poluǎrii asupra pacientelor în timpul întregului proces de FIV și a sarcinii, cu accent pe expunerea la poluarea produsǎ de trafic, mai ales a dioxidului de azot. Conform cercetǎtorilor, femeile care respiră regulat fumul podus de trafic au fost cu 25% mai puțin susceptibile de a avea un copil decȃt cei care trǎiau ȋn zone mai puțin poluate.

Mai mult, expunerea la niveluri ridicate de dioxid de azot, a redus succesul FIV cu 20 % iar la femeile care au putut sǎ conceapă prin intermediul FIV, nivelurile crescute de ozon au dus la o diminuare a șanselor de a duce sarcina la termen.

Ipoteza oamenilor de științǎ este cǎ fumul produs de trafic deterioreazǎ celulele reproductive ale femeii sau împiedicǎ fluxul de sânge la nivelul uterului sau la o placentǎ ȋn curs de dezvoltare, ceea ce poate duce la creșterea riscului de eșec a tehnicii de fertilizare in vitro.

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Mesajde SOS Infertilitatea » Mie Noi 13, 2013 7:18 pm

IVF embryos on hold for longer

More WA couples are getting permission to store their frozen embryos beyond the normal 10-year limit, figures show.

In-vitro fertilisation experts say the trend is likely to increase as more couples grapple with the dilemma of whether they will want more children later and others put off the difficult decision to discard their embryos.

The Reproductive Technology Council's latest annual report reveals some embryos are being kept on ice up to 15 years.

In the last financial year, it approved 30 applications for couples to store their embryos beyond 10 years - almost double the 16 approvals in 2011-12.

Most get permission to store for an extra two or three years.

It also approved one application to store gametes - eggs and sperm - for a total of 25 years, which is 10 years longer than the normal 15-year limit.

Before 2004, embryos could be stored for only three years, but regulations were changed because couples wanted more time to use them.

As of June, 18,455 embryos were in storage, compared with 17,312 in June last year.

Just over 1000 were discarded in the past year.

Professor Roger Hart, of the IVF unit Fertility Specialists of WA, said to "allow an embryo to succumb" was incredibly difficult so many couples wanted to postpone that decision.

Extending the storage time let them leave options open, including using the embryos themselves or donating them to another couple.

The RTC report shows 3638 WA women had IVF in 2012-13, a one per cent rise on the previous year.

But the number of fresh egg treatment cycles fell for the first time in WA, from 5575 to 5483.

Experts believe that fall may reflect the better success rate of IVF, which meant couples needed fewer attempts for success.
But some doctors point to reduced Medicare funding for IVF after caps were introduced in 2010.


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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde SOS Infertilitatea » Vin Noi 22, 2013 6:28 pm

Why we can’t forget about infertility from a male perspective

When we think of infertility, the focus tends to be on the female side of the equation. She can’t have kids. She’s undergone three rounds of IVF. Poor her.

But as many heterosexual couples spending time in fertility clinics come to know, wannabe fathers can also be the source of infertility – and they can psychologically suffer just as much as their female partners.

We now know that about 30 per cent of infertility can be attributed to male factors, according to U.S. non-profit site Resolve. (About 30 per cent can be liked to female factors, 20 per cent is unexplained and the last 10 per cent is a combination of problems in both partners.)

With the news Thursday that Toronto scientists have zeroed in on two proteins that could help identify male infertility, one potentially physically painful aspect of fertility treatment may be rendered obsolete.

One of the scientists, Dr. Keith Jarvi of Mount Sinai Hospital, says that a commercial test based on the findings “will dramatically reduce the need for testicular biopsies in men with fertility issues,” reports Helen Branswell of the Canadian Press.

They “will also be able to identify men for whom invasive sperm retrieval operations are likely to fail and therefore probably shouldn’t be tried.”

The piece details the painful-sounding procedure and is a glimpse into what infertile men have been going through.

For another set of insights, New York Times infertility blogger Amy Klein recently turned her spotlight on her husband, Solomon. In a world dominated by the female experience, their Q&A is a poignant reminder that it takes two to tango, even when a test tube is involved.

When asked what the hardest part for him has been, he replies:

“When you called me to tell me there was no heartbeat [at the nine-week miscarriage] .… that was my kid! I was devastated. The next time I was more prepared.

Sometimes I feel despair because there’s nothing I can do to fix this. I have my bad days but I tend not to share them with you. I know that you go through a lot of bad stuff yourself. I usually process my stuff myself. That’s just the way I am.”

And to the question of “What would you tell men going through infertility and in-vitro fertilization?” he says:

“You’re dealing with probabilities here, so don’t look for immediate success. It’s a process. You have to be very patient, to expect failure as part of it. You really have to allocate time for this. You have to be extremely open to listen to your partner’s feelings, whatever they are, even if it’s not always positive. I was taken aback at you getting upset about your friend getting pregnant. But I thought about where you were coming from and tried not to fault you for it.”

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Mesajde SOS Infertilitatea » Dum Noi 24, 2013 12:55 am

Bărbaţii ar putea fi fertili şi fără cromozomul Y - studiu


Două gene ale cromozomului Y sunt suficiente pentru ca reproducerea să fie posibilă, potrivit unui studiu realizat de cercetătorii americani, astfel că bărbaţii nu ar mai avea nevoie de acest cromozom pentru a fi fertili, informează bbc.co.uk.

Oamenii de ştiinţă au distrus practic ultimul simbol al bărbăţiei în ADN - cromozomul Y -, considerând că ar putea fi eliminat definitiv, se arată pe site-ul bbc.co.uk.

Studiul, publicat în revista Science, arată că şoarecii pot avea urmaşi de sex masculin, cu ajutorul unei forme avansate de fertilizare in vitro.

Echipa de cercetători de la Universitatea din Hawaii este de părere că această cercetare i-ar putea ajuta la un moment dat pe bărbaţii infertili care au cromozomul Y deteriorat.

Fiecare persoană are în mod normal o pereche de cromozomi sexuali în fiecare celulă. Cromozomul Y este prezent la bărbaţi, care au un cromozom X şi un cromozom Y, în timp ce femeile au doi cromozomi X.

Dacă oricare dintre cei doi cromozomi X ai femeii se combină în timpul fertilizării cu cromozomul X al bărbatului, fătul va avea sexul feminin. Dacă, în schimb, unul dintre cromozomii X ai femeii se combină cu cromozomul Y al bărbatului, sexul copilului va fi masculin.

"Cromozonul Y este un simbol al bărbăţiei", a spus Monika Ward, autoarea studiului.

La şoareci, cromozomul Y conţine în mod normal 14 gene distincte, unele fiind prezente în peste 100 de copii. Echipa de la Universitatea din Hawaii a arătat că şoarecii modificaţi genetic cu un cromozom Y având doar două gene se dezvoltă normal.

"Aceşti şoareci sunt în mod normal infertili, dar noi am arătat că este posibil să aibă urmaşi când cromozomul Y este limitat la doar două gene, cu ajutorul reproducerii asistate", a spus Ward. Şoarecii ar produce doar spermă de bază, dar ar putea avea urmaşi cu ajutorul unei forme avansate de fertilizare in vitro (FIV), numită injectare cu spermatidă rotundă. Puii rezultaţi în urma cercetării au fost sănătoşi şi au trăit o viaţă normală.

Cele două gene necesare au fost Sry, care determină caracterele specifice genului masculin, şi Eif2s3y, care este implicată în primele etape ale producerii spermei.

Ward este de părere că "ar putea fi posibil să fie eliminat cromozomul Y", dacă rolul acestor gene poate fi reprodus prin alte mijloace, dar a adăugat că o lume fără bărbaţi ar fi "dezechilibrată" şi "ştiinţifico-fantastică".

"Dar, la un nivel practic, (studiul, n.r.) arată că, după eliminări mari ale cromozomului Y, reproducerea este încă posibilă, ceea ce le dă speranţă bărbaţilor care au aceste lipsuri", a adăugat aceasta.


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Mesajde SOS Infertilitatea » Mie Noi 27, 2013 3:44 pm

‘Belgian model’ of IVF should be adopted worldwide, say scientists


Doctors are transferring too many embryos in fertility treatment, posing a health risk to both mothers and babies, Belgian scientists warn.

The scientists call on governments to legislate to restrict the numbers of embryos transferred during fertility treatment and adopt the ‘Belgian Model’ of IVF treatment.

They want to reduce the chances of multiple births, which can pose a massive health risk for both the mother and babies.

New research, published on Wednesday in Europe’s leading reproductive medicine journal, suggests that transferring fewer embryos has no detrimental impact on pregnancy and delivery rates.

Evidence has shown that if governments combine it with a policy of reimbursing six cycles of assisted reproduction technology (ART), there are no cost implications for disadvantaged couples.

Figures from the study suggest that there was no significant difference in the probability of a woman giving birth to a healthy baby after the legislation came in to force in Belgium.

But, multiple pregnancy rates were halved as a result of the new legislation, with twin delivery rates dropping from 24 per cent to 12 per cent, reducing the financial burden of multiple babies for new parents or the state.

“From a public health point of view the ‘Belgian model’ can now be considered by other governments for application worldwide,” the authors write.

“The results of our paper have implications for public health policies worldwide with respect to quality, safety, regulation and financial control of treatments with ART".

“The substantial amount of money saved by this policy can be used ideally to improve patient access to ART by selective reimbursement,” they add.

Belgium has already adopted the legislation – and the researchers say that governments worldwide should aim to follow a similar policy.

They argue that coupling ART reimbursement with a reduction in the numbers of embryos transferred is both safer and more effective.

Before the legislation, a maximum of two or three embryos were transferred.

After the legislation, the laboratory costs for up to six cycles were funded by the state, but only if embryo transfer was restricted depending on the women’s ages and the cycles.

For young patients, only one embryo can be transferred at one time.

For patients aged between 36-39 years, a maximum of two embryos can be transferred in the first two cycles. For patients older than 40, no legal limitation applies.

Dr Karen Peeraer, adjunct head of clinic at Leuven University Fertility Center in Belgium, said: “It shows that ART can be made reimbursable for those who need it, if governments couple reimbursement to an embryo transfer policy with the aim of maintaining high delivery rates and reducing multiple pregnancy rates, the main complication of ART treatment".

Prof D’Hooghe, study author, agreed: “We hope that this study, together with results from Sweden, will convince other governments to couple ART reimbursement to strict embryo transfer policies".

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Mesajde SOS Infertilitatea » Vin Noi 29, 2013 12:12 pm

ATENŢIE! Staniolul duce la Alzheimer, senilitate, infertilitate şi Parkinson

Staniolul este folosit în toate gospodăriile pentru împachetarea sandvişurilor sau a mâncării păstrată la frigider, numai că acest obicei nu este deloc benefic organismului nostru, fiindcă este o bombă de aluminiu care ne distruge sănătatea, existând un risc foarte mare de a face Alzheimer.

“Staniolul conţine ioni toxici din aluminiu şi controversata substanţă Bisfenol A. Se ştie că ionii toxici pot conduce la cancer, iar Bisfenol A poate afecta fertilitatea, în special în cazul bărbaţilor. La microunde, substanţa toxică trece mult mai uşor în mâncare”, a declarat chimistul Daniel Bolgu, conform Adevărul.

Medicii insistă să atragă atenţia asupra pericolului împachetării mâncării în staniol: “Dacă aţi avut dureri de cap, senzaţii de balonare, piele uscată sau poftă redusă de mâncare şi nu vă puteaţi da seama care este cauza – cel mai probabil concentraţia de alumiuniu din organism este mult prea ridicată”, a declarat Corina Hogea, medic nutriţionist, conform Adevărul.

Mai mult decât atât, persoanele care se expun îmbolnăvirii din cauza aluminiului din organism pot dobândi Alzheimer, Parkinson şi senilitate.

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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde SOS Infertilitatea » Sâm Noi 30, 2013 12:14 pm

New Fertility Test for Men to Become Dads

When hurdles come your way, there is always, always the will to not give away. If any difficulties in conceiving have delayed your dreams of starting a family, there is a shining ray of hope. A new test has been developed to help men with zero sperm counts to father children through IVF.

How will it help men?

Men who don’t produce sperms could become biological fathers through fertility treatments that involved extracting healthy sperms through surgery. With current technology, the only way to find out if a man has viable sperm is to carry out surgery to look for sperm in the testes.

This test, that predicts whether men can become Dads, is a non-invasive method. Subsequently, you can prepare to welcome a baby through IVF.

How does it work?

The new test, developed by scientists in Canada, has identified two biomarkers in sperms, which can be used to predict whether sperm retrieval, or acquiring sperms through surgery, will be successful.

Dr Keith Jarvi of the Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital in Toronto, Canada, has elaborated that the holy grail of his research was to find a way to help men avoid unnecessary testicular biopsies.

Expert Speak

A UK fertility expert said the test, which will take at least a year to bring to the clinic, was "encouraging".

Indira Hinduja, a Mumbai-based infertility expert, shares, “Male infertility accounts for almost 50% of all infertility. There is a need to have the ideal biomarker that should identify the discrepancy at an early stage. It should be easy, cost-effective and accurate with minimum side effects. The discovery of such non-invasive, highly sensitive biomarker would be helpful in eliminating the need for invasive testing. Some of the good work on the same subject has been already published in Journal of Fertility Sterility in March 2013 which is definitely helpful.”

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Mesajde SOS Infertilitatea » Vin Dec 06, 2013 8:39 pm

IVF success 'downhill from age 37' finds Aberdeen study

The chances of a woman having a baby following IVF go "very rapidly downhill" from the age of 37, according to a study.

The University of Aberdeen study reports a woman's age affects the outcome of every single step of IVF.

Researchers studied data from 121,744 women from across the UK.

They found the chances of having a baby following IVF start to decline by the time the woman reaches her mid-30s, but especially from 37.

The team used data from women who underwent their very first cycle of IVF between 2000 and 2007 using their own eggs.

The research found that even after a pregnancy has been confirmed, women aged 38-39 were 43% more likely to have a miscarriage than women aged 18-34, while women aged 40-42 were almost twice as likely to lose the baby as the younger age group.

Prof Siladitya Bhattacharya, of the Reproductive Medicine team at the University of Aberdeen who led the research, said: "IVF comprises a number of key steps, each of which has to be successfully achieved before the next stage can be attempted.

"We found that age impacted on every single hurdle that has to be overcome during the emotional rollercoaster that is IVF.

"This influence of age is sustained at each stage of the IVF process.

"There is no point during an IVF treatment - even in women who have done well in a preceding stage - when age ceases to matter.

"Age has the capacity to increase the risk of treatment failure even in women who respond to hormonal treatment, have eggs harvested and embryos replaced."

'Dynamic' prediction

He concluded: "Many couples want to understand how their chances of having a baby evolve over the course of an IVF treatment.

"Previous work has been able to offer a global prediction of success in IVF.

"We hope our study provides a more accurate and dynamic way of predicting a couple's chances of treatment failure as they negotiate each step of IVF."

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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde SOS Infertilitatea » Joi Dec 12, 2013 12:34 pm

Conceived Together, Yet Born 17 Years Apart

Marie and Jean Laurent, conceived their first child via IVF in 1995, and a son was born to them in 1996. Two embryos from this IVF cycle remained and were cryopreserved. Marie commented, “We always knew we would come back for our other babies someday.” And, they eventually returned, 17 years later, in 2012, when their son was 16 years old, this time transferring both of their thawed embryos, which resulted in the live birth of twin boys in 2013. The Laurent family is now complete.

Sursa.
I always wondered
why somebody didn’t do
something about that,
then I realized
I AM SOMEBODY.

[...and you, and you!]

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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde SOS Infertilitatea » Lun Dec 23, 2013 8:21 pm

IVF success rate 'could be doubled'

Mapping the genetic code of fertilised eggs could double the success rate of IVF, researchers claim.

The new screening method to detect healthy embryos could raise the success of IVF to 60% or more, according to a Peking University and Harvard University team.

Trials of the procedure in China offer hope to older women, they say.

The research, in the journal Cell, should be viewed with caution, said a UK fertility expert.

„If screening eggs or screening embryos is not robust and reliable it could cost women their eggs or their embryos, both of which are precious and finite” - Dr Yacoub Khalaf Assisted Conception Unit, Guy's Hospital

In order to maximise the success of IVF, various screening procedures can be used by fertility clinics to select the most healthy ones for implantation.

These approaches often involve removing cells from the growing embryo, and may not pick up all genetic problems.

The new method, studied in 70 fertilised eggs from volunteer egg donors, was based on removing left-over fragments of cells, known as polar bodies, from the early developing embryo and analysing their full genetic code.

Lead researcher, Jie Qiao of Third Hospital, Peking University, said: "Theoretically, if this works perfectly, we will be able to double the success rate of test tube baby technology from 30% to 60% or even more."

Proof of principle

The technique allows DNA contributed by the mother to the growing embryo to be screened for genetic abnormalities that might lead to IVF failure, miscarriage, or genetic problems in the child, said co-researcher, Xiaoliang Sunney Xie, of Harvard University.

It would be of most use to women with repeated failures of IVF and could improve the success rate of fertility treatment, particularly in older women, he said.

"In this paper we have a proof of principle - the clinical trial has already started," he told BBC News. "It does offer hope to women with repeated failure of IVF."

However, a UK expert urged caution. Commenting on the research, Dr Yacoub Khalaf, consultant in reproductive medicine and surgery at the Assisted Conception Unit at Guy's Hospital, London, told BBC News: "The area of screening is appealing in theory but in practice has not delivered.

"If screening eggs or screening embryos is not robust and reliable it could cost women their eggs or their embryos, both of which are precious and finite."

Infertility affects up to 15% of couples around the world, with many turning to IVF to have a child.

Sursa.
I always wondered
why somebody didn’t do
something about that,
then I realized
I AM SOMEBODY.

[...and you, and you!]

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Re: Din presa - despre infertilitate si/sau reproducere asis

Mesajde SOS Infertilitatea » Lun Dec 30, 2013 5:03 pm

Are IVF pregnancies more 'precious'?

Women who have gone through fertility treatment often say it had a huge emotional and psychological impact on them and their partners.

In many cases, couples have spent years trying to conceive before going through several cycles of IVF, which can be expensive and traumatic, with no guarantee of success.

So are pregnancies achieved through assisted fertility treatments viewed as inherently more precious to everyone involved?

A study from Plymouth University published last month suggests they are. Dr Yaniv Hanoch asked 160 Israeli obstetricians and gynaecologists whether they would recommend a test for a serious medical condition during pregnancy.

He found that doctors were three times more likely to recommend the test, which carried a small risk, for a natural pregnancy than for an IVF pregnancy.

Dr Hanoch, associate professor in psychology, said: "When considering a procedure that may endanger a pregnancy, the value ascribed to loss of that pregnancy may seem greater if the pregnancy was achieved by tremendous effort."

In 2005, Minkoff and Berkowitz published a study in the American journal, Obstetrics and Gynecology entitled 'The Myth of the Precious Baby'.

It said that because increasing numbers of pregnant women were aged over 40 and more were pregnant thanks to assisted reproductive technologies, this had resulted in more ceasarean deliveries, reinforcing the idea among obstetricians that they were dealing with 'precious babies'.

Ante-natal check up IVF women often want reassurance on aches and pains during pregnancy

On the ground, there is less evidence of sensitivity and understanding from health professionals towards women with IVF pregnancies.

Susan Seenan, from the Infertility Network UK, says the system lets these women down.

"When these women finally go to their GP and say they are pregnant, they are referred for ante-natal care and that's it.

"Even when they make it known they have had IVF, they are seen as just another pregnant lady."

She says sometimes even when women reveal they have suffered miscarriages or have had fertility issues, there is a lack of sympathy.

She says fertility treatment is widely recognised to be a physically, psychologically and financially demanding process - and it can leave women feeling they have been on an 'emotional rollercoaster'.

"A lot of women feel very anxious, because they have been through so much, and many women really do worry that everything will be OK.

"Until you go home with your baby in your arms, that anxiety is always there. People need to understand why they are feeling vulnerable and anxious.

"If they have been through the IVF system they will have had a lot of attention, appointments, blood tests and scans - and they expect that attention to continue."

Instead, many women are left feeling isolated when they are most in need of reassurance.

Seenan says this could be remedied by providing support in the form of a phoneline to call in times of anxiety or information leaflets to read.

Research does seem to confirm higher levels of anxiety in women with IVF pregnancies, says Julie Jomeen, professor of midwifery at Hull University, who adds that their feelings can mean they want a more medicalised approach to their pregnancy.

Older mums-to-be may request a caesarean section delivery, believing that it is safer, for example.
An obstetrician discussing options with a pregnant woman Some women choose not reveal they had fertility treatment

Or a woman who is scared of losing her baby throughout pregnancy, may need reassurance that normal symptoms of pregnancy, such as backache, are not something more serious.

Mr Tim Child, medical director at the Oxford Fertility Unit at the University of Oxford, acknowledges that women who have conceived naturally can have anxieties too, but he says it would be understandable if IVF women felt they needed more support.

"Some women like to feel they have access to extra information as required, even if it's just a phone number to speak to a midwife about any aches or pains."

He says not all women want to disclose that they have been through IVF because there is still some stigma attached to it. Others may want to be treated the same as every other woman, so their IVF history may not always appear on their personal notes.

Medically, there are slightly higher risks of complications in IVF pregnancies, particularly if the woman is older, has underlying health problems or is having twins, so Mr Child says consultants should be vigilant.

A study is currently underway at Oxford into how midwives care for women have had fertility treatment.

When women with IVF pregnancies are open about their anxieties, what they are looking for is not special treatment in the belief that their baby is more precious than anyone else's, but reassurance and support during the final stages of a long and emotional journey.

Even when the baby is born, it doesn't end, Susan Seenan says.

"Because the baby has been wanted for so along, you put pressure on yourself to be a perfect parent. So you're not allowed to complain when it cries at night or doesn't feed well. But in the end, we are just parents like anyone else."

Sursa.
I always wondered
why somebody didn’t do
something about that,
then I realized
I AM SOMEBODY.

[...and you, and you!]

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