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February 2008 · Vol. 20, No. 02

UPDATE

FERTILITY

Here is new information on reducing adhesions, the stress and cost of fertility treatment, unhelpful testing, and “long-shot” oocyte cryopreservation


Fast Track

Careful tissue handling, excellent hemostasis, avoiding trauma to healthy tissue, and removing all diseased tissue are the key ways to reduce adhesions

Avoiding the use of gonadotropins and moving straight to IVF reduces the risk of multiple pregnancy

IN THIS ARTICLE

G.  David  Adamson,  MD

Dr. Adamson is Director of Fertility Physicians of Northern California in Palo Alto and San Jose. He is also Adjunct Clinical Professor of Obstetrics and Gynecology at Stanford University School of Medicine in Stanford and Associate Clinical Professor of Obstetrics and Gynecology at the University of California, San Francisco, School of Medicine. He is President of the American Society for Reproductive Medicine.

The author receives grant or research support from IBSA, Serono, and Viacell.

The field of reproductive endocrinology and infertility is anything but stagnant. New technologies continue to enter the market at a brisk pace, and a greater emphasis on evidence has produced better-designed randomized controlled trials, meta-analyses, and practice guidelines. This means greater availability of standardized protocols that reflect best practice and can be tailored to a patient’s condition and needs.

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