The Revolution of Assisted Reproductive Technologies: How Traditional Chinese Medicine Impacted Reproductive Outcomes in the Treatment of Infertile Couples

2010 ◽  
pp. 576-603
Author(s):  
Paul C. Magarelli ◽  
Diane K. Cridennda ◽  
Mel Cohen
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Reproductive Outcomes ◽  
Infertile Couples ◽  
The Revolution

scholarly journals Depressive morbidity among female partner of infertile couple in a tertiary care setup in Bangladesh

2019 ◽  
Vol 45 (2) ◽  
pp. 93-98
Author(s):  
Tanzeem S Chowdury ◽  
T A Chowdhury ◽  
Shirin Akter Begum ◽  
Yasmin Begum ◽  
Mehriban Amatullah
Keyword(s):  
Assisted Reproductive Technologies ◽  
Tertiary Care ◽  
Severe Depression ◽  
Reproductive Technologies ◽  
Reproductive Age ◽  
Unprotected Sexual Intercourse ◽  
Female Partners ◽  
Primary Infertility ◽  
Infertile Couples ◽  
Anxiety Depression

Background: There are 80 million infertile couples in the world which correspond to approximately 15% of all couples in their reproductive age. Negative attitude and behavior of family and acquaintances causes severe psychological stress resulting in social discrimination and stigmatization which may lead to anxiety, depression and even suicide. The study was aimed to estimate the prevalence and predictors of depressive morbidity among Bangladeshi infertile women. Methods: This prospective, observational study was done on a total of 215 female partners of infertile couples who attended ‘Infertility Management Center’; a Dhaka based tertiary care setup for infertility management and assisted reproductive technologies from August - December 2016. Only those who were unable to conceive after one year of unprotected sexual intercourse and agreed to take part in the study were included in the study. Patients with history of mental illness prior to infertility diagnosis and on any anti-psychotic drugs were excluded from the study. Data collection was done using the validated Beck Depression Inventory (BDI) questionnaire. Results: Among the study population 72.6% were suffering from primary infertility and 27.4% from secondary infertility. Of them, 52.6% had 5 to 10 years and 47.4% had various duration of infertility. Female cause of infertility was in 30.7% couples, male cause was in 16.3%, both were in 4.7% and finally unknown was 48.4%. Female partners of infertile couples showed different types of mode disorders such as 29.3% (n=63) having severe depression, 39.5% moderate, 20.5% mild and 10.7% having no depression. Association between educational status and depression score showed 53.02% graduate having severe depression, though statistically it was not significant. Depression was most common among patients suffering from primary infertility and among housewives as they probably had more time to think and feel the situation. Conclusion: The high level of depression among female partners of infertile couples revealed in this study is quiet alarming and requires attention of the medical fraternity. This study proposes that clinicians should be more aware about anxiety-depression disorders among infertile groups and the necessity of identifying patients who require psychological assistance. Bangladesh Med Res Counc Bull 2019; 45: 93-96

scholarly journals Iranian infertile couples' strategies to manage social interactions after unsuccessful treatment with assisted reproductive technologies

2019 ◽  
pp. 1-12 ◽  
Author(s):  
Samira Ebrahimzadeh Zagami ◽  
Robab Latifnejad Roudsari ◽  
Roksana Janghorban ◽  
Seyed Mojtaba Mousavi Bazaz ◽  
Maliheh Amirian ◽  
...  
Keyword(s):  
Social Interactions ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Unsuccessful Treatment ◽  
Infertile Couples

scholarly journals Effects of Vaginal Misoprostol after Intrauterine Insemination IUI

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Zahraa H. Mohan ◽  
◽  
Nadia M. Al-Hilli ◽  
Mohammad Oda Selman ◽  
◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Assisted Reproductive Technologies ◽  
Positive Impact ◽  
Intrauterine Insemination ◽  
Reproductive Technologies ◽  
Pregnancy Rates ◽  
Control Group ◽  
Infertile Couples ◽  
Vaginal Misoprostol

Intrauterine insemination has an important role in the treatment of infertile couples. Usage of vaginal misoprostol therapy at the time of intrauterine insemination has been investigated, and its tolerability and effects on clinical pregnancy rates still questionable. To assess the effectiveness of vaginal misoprostol on some demographic characteristics and hormones level with a success rate of Intrauterine Insemination. the period of collection of patients extended from Sep. 2018 until May 2019. Eighty- one infertile couples who attended Al Nahrain University, High Institute for Diagnostic Infertility and Assisted Reproductive Technologies, and private fertility clinics were enrolled through this study. Divided into two groups, the next group received 100 μg vaginal misoprostol immediately after completion of the IUI procedure, while the control group was subjected to ordinary IUI procedure without adjunctive therapy. The mean of demographic data of body mass index, age, and duration of infertility was statistically insignificant in control, Misoprostol post- intrauterine insemination. The percentage of pregnancy rate in the control group 5.0% and it 19.5% in the Misoprostol post-intrauterine insemination group. Moreover, there are significant differences in pregnancy rates among all study groups. According to this study, there is no significant result of pregnancy occurrences correlated with, female age, male age, and body mass index, duration of infertility or type of infertility, hormone levels. Misoprostol use after intrauterine insemination has a positive impact on pregnancy outcome in the control group 5.0% and it 19.5% in Misoprostol post- intrauterine insemination group. Smaller doses (100 μg) of misoprostol can decrease side effects without affecting the outcome.

scholarly journals Infertile Couples' Needs after Unsuccessful Fertility Treatment: a Qualitative Study

2019 ◽  
Vol 8 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Samira Ebrahimzadeh Zagami ◽  
Robab Latifnejad Roudsari ◽  
Roksana Janghorban ◽  
Seyed Mojtaba Mousavi Bazaz ◽  
Maliheh Amirian ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Treatment Failure ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Fertility Treatment ◽  
Structured Interviews ◽  
Need For Support ◽  
Conventional Content Analysis ◽  
Infertile Couples ◽  
Infertile Patients

Introduction: Infertility is a major medical issue. Investigations and treatment of infertility are the beginning of a complex, time-consuming and stressful process for couples that may fail well. The present study explored the needs of infertile couples following treatment failure with Assisted Reproductive Technologies (ARTs). Methods: A descriptive qualitative study was conducted in an Iranian infertility center, in the Northeast of the country between April 2016 and June 2017. The researchers recruited 29 individuals including 9 couples, 9 women and two men with primary infertility through purposive sampling. The data were collected using semi-structured interviews and analyzed iteratively, using conventional content analysis with MAXQDA software. Results: The main concepts obtained from the data were classified into one theme titled: ""The need for support"" and four main categories along with their subcategories, and included the need for psychological support, the need for more useful information, the need for social support and the need to access to supplementary services. Conclusion: The findings show that following treatment failure, the infertile patients’ expressed needs and preferences were not met. Identifying and meeting their needs may help the infertile couples to deal with ARTs failure and to reach a decision about future treatment.

Silver Spoons and Golden Genes: Genetic Engineering and the Egalitarian Ethos

2007 ◽  
Vol 33 (4) ◽  
pp. 567-623 ◽  
Author(s):  
Dov Fox
Keyword(s):  
Genetic Engineering ◽  
Assisted Reproductive Technologies ◽  
Genetic Diagnosis ◽  
Reproductive Technologies ◽  
Federal Law ◽  
Health Related ◽  
Genetic Science ◽  
Infertile Couples ◽  
Egalitarian Ethos

What mother or father does not want to give his or her child the best chance of leading a happy and successful life? Infertile couples today enlist assisted reproductive technologies (ARTs) such as in vitro fertilization (IVF) and preimplantation genetic diagnosis (PGD) to handpick from among available gamete donors or embryo arrays to implant for gestation. As advances in genetic science permit increasing prenatal control over offspring traits, even fertile couples may choose to relocate procreation from the bedroom into the laboratory.The development of safe genetic therapies capable of curing debilitating conditions in embryos or fetuses would be unequivocal cause for celebration. Less straightforwardly worthy of embrace would be techniques that make it possible to choose offspring genes for non-health related characteristics, such as strength, intelligence, and memory. At present, neither state nor federal law regulates ARTs.

scholarly journals Altered microbiota in the female reproductive tract as a risk factor for failure of assisted reproductive technologies

2021 ◽  
Vol 11 (2) ◽  
pp. 365-370
Author(s):  
E A. Lebedeva ◽  
S. V. Rishchuk ◽  
T. A. Dushenkova ◽  
A. S. Mokhov ◽  
M. V. Desyatova ◽  
...  
Keyword(s):  
Reproductive System ◽  
Trichomonas Vaginalis ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Female Reproductive Tract ◽  
Immediate Early ◽  
Control Group ◽  
Quantitative Composition ◽  
Diagnostic Kits ◽  
Infertile Couples

Assisted reproductive technologies (ART) are one of the most effective ways in fighting infertility, but their effectiveness is influenced by various factors. Our study focuses on examining importance of risk factors underlying ART failure related to altered microbiome pattern in the female reproductive system. The case-control study was based on conducting a laboratory examination of 129 infertile couples applied to the Department of Assisted Reproductive Technologies due to failure of in vitro fertilization (IVF), whereas control group consisted of females with successful progressive pregnancy after ART. Chlamydia, herpes virus and cytomegalovirus were assessed by using PCR and ELISA, whereas culture method was used to detect Trichomonas vaginalis in vaginal swabs and ejaculate applying Trichomonas Modified CPLM Medium (HiMedia, India) followed by microscopy. In addition, the qualitative and quantitative composition of the vaginal biocenosis was studied with multiplex RT-PCR by using Femoflor-16 kit (DNA-technologies, Russia). Serological tests were based on measuring IgG and IgA antibodies against Chlamydia trachomatis in ELISA (diagnostic kits purchased from Vektor Best, Russia; NovaTec, Germany; ImmunoComb, Israel) as well as antibodies against immediate early HSV-1/2 proteins (BioService, Russia) and immediate early HHV-5 proteins (Vector Best, Russia). C. trachomatis and herpesvirus DNA was measured by using PCR diagnostic kits Amplisens (Interlabservice, Russia). It was found that sexually transmitted infection agents were highly prevalent in infertile couples applying to the hospital for IVF. Significant factors for non-pregnancy were vaginal dysmicrobiocenosis (OR = 7.5 (95% CI 1.04—54.1), p = 0.02) and detected T. vaginalis (OR = 2.6 (95% CI 1.12—6.4), p = 0.01). Dysbiosis of the reproductive system, including those occurring due to trichomonas infection is associated with lowered ART effectiveness. It is evident to timely detect urogenital infections and dysbiosis while preparing infertile couples for IVF cycles.

scholarly journals A Qualitative Study of the Challenges Experienced by Iranian Infertile Couples After Unsuccessful Assisted Reproductive Technologies

2018 ◽  
Vol 7 (3) ◽  
pp. 331-338 ◽  
Author(s):  
Samira Ebrahimzadeh Zagami ◽  
Robab Latifnejad Roudsari ◽  
Roksana Janghorban ◽  
Seyed Mojtaba Mousavi Bazaz ◽  
Maliheh Amirian ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Cultural Context ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Treatment Team ◽  
Vitro Fertilization ◽  
Team Members ◽  
Unsuccessful Treatment ◽  
Infertile Couples

Objectives: Assisted reproductive technologies (ARTs) give hope to some infertile couples; however, in vitro fertilization (IVF) is expensive and not subsidized by the Iranian state. More than 75% of IVF cycles in Iranian couples are unsuccessful. The aim of this study is to describe the challenges experienced by infertile couples after unsuccessful treatment. Materials and Methods: In this descriptive qualitative study, 36 participants including 29 Iranian infertile couples recruited after unsuccessful ART treatments, five infertility treatment team members and 2 relatives of infertile couples were interviewed at an Infertility Center in Northeastern Iran from April 2016 to June 2017. Data were collected using semi-structured, face-to-face interviews. Data analysis was carried out following Sandelowski. Results: Iranian infertile couples’ experiences following failed ART cycles are described. The findings presented here show that Iranian infertile couples experience stressors during treatment cycles and systemic challenges which may be unique to the Iranian cultural context. Conclusions: Iranian infertile couples face particular challenges related to the cultural context in which ARTs are delivered. Further exploration of the effects of culture on the experiences of failed ARTs needs to be considered by infertility clinics in Iran.

scholarly journals Secular changes in human reproduction and assisted reproductive technologies

2021 ◽  
Vol 84 (3) ◽  
pp. 359-368
Author(s):  
Arthur Saniotis ◽  
Maciej Henneberg
Keyword(s):  
Natural Selection ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Medical Intervention ◽  
Reproductive Age ◽  
Human Reproduction ◽  
Secular Changes ◽  
Infertile Couples ◽  
Long Term Consequences

Abstract Since the middle to late 20th century the majority of children born in the developing world have been likely to enter into post-reproductive age. Currently, child mortality is at its lowest level in human history. While more children are living to post reproductive age, approximately 15% of couples are experiencing infecundity. This is either a result of one or both members of the couple being infecund, or, despite both being fecund, the interaction between them prevents fertility for some reason. Assisted reproductive technologies have provided many infertile couples an opportunity to have children. Assisted reproductive technologies operate by intervening and manipulating gametic and intrauterine natural selection. This paper discusses the possible influence of assisted reproductive technologies on child development. This paper outlines some of the reported changes in children resulting from assisted reproductive technologies. Although, few people are either aware or care about possible long term consequences of relaxed natural selection contributed by medical intervention (i.e. assisted reproductive technologies) we have little understanding to what extent such medical interference may affect long term fitness in humans.

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