4 Infertility and assisted reproduction

Friedman, Trevor

doi:10.1016/s0950-3552(89)80063-x

Cited by 5 publications

(2 citation statements)

References 49 publications

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“…By choosing days 13-I5 as 'test-day,' unnecessary delay of pregnancy diagnosis could be avoided, which is crucial both from a psychological and medical point of view. The psychological reasons are obvious, since the anxiety and tension are high in this group of patients (21). For patients using progesterone as luteal support, an early and reliable test for pregnancy is important in order to terminate luteal support in patients not achieving pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Human chorionic gonadotropin patterns in early pregnancy after assisted reproduction

Fridström

Garoff

Sjöblom

et al. 1995

Acta Obstet Gynecol Scand

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Background. Assisted reproduction implies increased risks of pathological pregnancy, necessitating close follow up of early pregnancy. The use of serum hCG levels two and three weeks after embryo transfer for prediction of pregnancy outcome after in vitro fertilization‐embryo transfer (IVF/ET) or gamete intrafallopian transfer (GIFT) was evaluated. Methods. Three hundred and twenty‐nine treatment cycles were included. Serum samples were obtained on days 14 and 21 after ET and hCG was determined by fluoroimmunoassay. Receiver operating characteristic (ROC) curves were analyzed to find cut‐off levels of hCG giving maximal sensitivity and specificity, identifying a low risk group and a high risk group with regard to pathological pregnancy. Results. The group of patients carrying a viable pregnancy had significantly higher hCG levels two and three weeks after ET than the group of patients carrying a pathological pregnancy. Furthermore, the daily increase in hCG was higher. In multiple gestations, the levels of hCG were significantly higher compared to singleton pregnancies. Ninety per cent of the patients with an hCG level ≥150 IU/L 13‐15 days after ET carried a pregnancy to term (the low risk group). Conversely, 50% of the patients with hCG < 150 IU/L carried a pathological pregnancy (the high risk group). Conclusion. A single determination of the hCG level two weeks after ET, combined with transvaginal ultrasound two to three weeks later, is a reliable follow‐up. In cases of subnormal hCG levels (< 150 IU/L), a second hCG determination one week later followed by sonography is recommended.

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Section: Discussionmentioning

confidence: 99%

Human chorionic gonadotropin patterns in early pregnancy after assisted reproduction

Fridström

Garoff

Sjöblom

et al. 1995

Acta Obstet Gynecol Scand

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“…Bütün bu uğraşılara rağmen gebe kalamayacağı anlaşılan kadınlara infertilite tedavisi yapılır. [48][49][50][51] İnfertilite tedavisi öncelikle nedene göre planlanır. İnfertiliteye neden olduğu düşünülen belli bir anatomik veya fizyolojik sorun varsa ortadan kaldırılır.…”

Section: İnfertilite Tedavisiunclassified

Psychosocial Problems in Infertility Treatment

Kırca¹,

Pasinlioğlu²

2013

Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychia

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ÖZET İnfertilite, eşlerin her ikisi için genellikle psikolojik olarak tehdit edici, duygusal olarak stresli, ekonomik olarak pahalı ve genellikle tanı-tedavi amacıyla yapılan işlemler nedeniyle fiziksel olarak acı veren karmaşık, durumsal bir krizdir. İnfertilitenin fiziksel, psikolojik, sosyal, duygusal ve maddi etkileri vardır. İnfertil çiftler toplumsal olarak büyük bir baskı altındadırlar ve problemin çok özel olması nedeniyle sorunu gizleme ihtiyacı duymaktadırlar. Gebelik konusundaki sorunları ailesi ve yakınlarıyla paylaşmamak infertil kişileri desteksiz bırakmaktadır. Çiftler infertilite deneyimlerini, yaşamlarının en stresli deneyimi olarak tanımlamaktadırlar.

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