By Kanna Jayaprakasan, Lucy Kean
This booklet presents an in depth evaluate of the potential hazards linked to paintings pregnancies and their scientific administration.
While such a lot pregnancies following Assisted replica remedy (ART) will development mostly and with none problems to mom or child, a few ladies who conceive after artwork in addition to their infants are at elevated chance of being pregnant problems. There are a few faculties of strategies providing pregnancies following IVF may be considered as being “high threat” and calls for exact awareness. there are numerous explanation why paintings pregnancies can be at larger possibility – male and female age issue, elevated likelihood of a number of pregnancies, underlying explanation for subfertility (pelvic pathology, uterine pathology, endometrial disorder) and capability raise in delivery defects.
This is a vital learn for obstetricians, fertility experts and Post-graduate trainees.
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Additional info for Clinical Management of Pregnancies following ART
Fibroids and infertility: a systematic review of the evidence. Obstet Gynecol Surv. 2001;56(8):483–91. 17. Pritts EA, Parker WH, Olive DL. Fibroids and infertility: an updated systematic review of the evidence. Fertil Steril. 2009;91(4):1215–23. 18. Sunkara SK, Khairy M, El-Toukhy T, Khalaf Y, Coomarasamy A. The effect of intramural fibroids without uterine cavity involvement on the outcome of IVF treatment: a systematic review and meta-analysis. Hum Reprod. 2010;25(2):418–29. 19. Metwally M, Farquhar CM, Li TC.
Hum Reprod. 2002; 17(3):765–70. 14. Bozdag G, Esinler I, Boynukalin K, Aksu T, Gunalp S, Gurgan T. Single intramural leiomyoma with normal hysteroscopic findings does not affect ICSI-embryo transfer outcome. Reprod Biomed Online. 2009;19(2):276–80. 15. Surrey ES, Lietz AK, Schoolcraft WB. Impact of intramural leiomyomata in patients with a normal endometrial cavity on in vitro fertilization-embryo transfer cycle outcome. Fertil Steril. 2001;75(2):405–10. 16. Pritts EA. Fibroids and infertility: a systematic review of the evidence.
Another theory is that adenomyosis may develop de novo through metaplasia of Mullerian remnants . The relationship between adenomyosis and fertility is not exactly clear. On one hand adenomyosis is found in multiparous women and on the other hand it is seen in women with infertility and miscarriages . Management Medical and surgical treatments are available. Medical treatment is in the form of NSAIDs, progestogens and GnRH agonists. Women undergoing IVF treatment benefit from long agonist stimulation protocols with GnRH agonists .