The International Glossary on Infertility and Fertility Care, 2017

Zegers‐Hochschild, Fernando; Adamson, G. David; Dyer, Silke; Racowsky, Catherine; Mouzon, J. de; Sokol, Rebecca Z.; Rienzi, Laura; Sunde, Arne; Schmidt, Lone; Cooke, I. D.; Simpson, Joe Leigh; Poel, Sheryl van der

doi:10.1016/j.fertnstert.2017.06.005

Cited by 824 publications

(499 citation statements)

References 8 publications

(5 reference statements)

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“…Endometriosis is characterized by the presence of endometrium-like epithelium and stroma outside the endometrium and myometrium [1]. It is a common benign disorder that may be accompanied by subfertility.…”

Section: Introductionmentioning

confidence: 99%

Use of the Endometriosis Fertility Index to Predict Natural Pregnancy after Endometriosis Surgery: A Single-Center Study

Kim

Lee

Yun

et al. 2018

Gynecol Obstet Invest

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Aims: Our objective was to predict natural pregnancy after endometriosis surgery using the endometriosis fertility index (EFI). Methods: A retrospective medical records review was conducted, examining patients surgically treated for endometriosis at a single center in Korea between January 2009 and February 2015. In total, 68 women attempting natural conception were analyzed by assessing age, preoperative serum CA-125, body mass index, revised American Fertility Society (rAFS) stage, EFI, and pregnancy outcome. Kaplan-Meier estimates and log-rank tests were used to generate cumulative natural pregnancy rate curves based on an EFI cut-point. A receiver-operating characteristic (ROC) curve was plotted for EFI. Results: Seventy-seven patients attempted conceptions, resulting in 33 natural and 9 assisted conceptions. Excluding assisted conceptions, the mean EFI scores of 68 women who were not pregnant and pregnant were 5.43 ± 0.36 and 6.88 ± 0.28 respectively. The relation between EFI and natural pregnancy was significant (cumulative overall pregnancy rate, p = 0.006), whereas rAFS stage was not (univariate logistics, p = 0.853). The cut-point for maximum natural pregnancy outcomes was 6 (area under ROC curve = 0.710, 95% CI 0.586–0.835). Conclusion: The EFI is a reliable staging system for predicting natural pregnancy after endometriosis surgery. EFI scores can be used to guide postoperative treatment of women with endometriosis.

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Section: Introductionmentioning

confidence: 99%

Use of the Endometriosis Fertility Index to Predict Natural Pregnancy after Endometriosis Surgery: A Single-Center Study

Kim

Lee

Yun

et al. 2018

Gynecol Obstet Invest

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“…In 2017, an international glossary proposes "cross border reproductive care" as the preferred term for "the provision of reproductive health services in a different jurisdiction or outside of a recognized national border within which the person or persons legally reside". 22 Views on these semantic shifts range from concerns about manipulating perceptions and presenting a more benign image to facilitate communication through language that is more acceptable to some stakeholders. 21 ICS is commonly described as a fertility treatment.…”

Section: A Word On Languagementioning

confidence: 99%

Current perspectives on the ethics of selling international surrogacy support services

Fronek¹

2018

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This review presents current knowledge on selling surrogacy support services in developing countries. Rather than focusing on dichotomous positions, ethical issues that are present and unresolved are discussed by following the journey of surrogate mothers and highlighting the position of children whose well-being is generally assumed in surrogacy arrangements. Ethical concerns about conflicts of interest, fundamental freedoms, autonomy, informed consent, self-determination, privacy, and protecting children are shared across countries. International commercial surrogacy is predicated on profit made by service providers and intermediaries where producing a healthy, desired child for the consumer of services is the goal. As such, business models conflict with the well-being of women and children. Selling international surrogacy support services presents complex and multi-layered problems that must be understood in the context of a growing body of knowledge to ensure ethical deliberations are not based on fallacious premise or assumed propositions. International surrogacy is not a level playing field. Would-be parents and practitioners need the information and the opportunity to grapple with ethical issues when considering surrogacy arrangements, or enabling or profiting from it.

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“…What the ASRM report and much of the writing on this topic does not address is the advent of “convenience” sex selection. Many couples, especially those who are of “advanced” age or of a familial disease state, undergo pregestational testing (previously termed “pregestational screening”) for aneuploidy rather than diagnosis. This technique involves testing embryos for aneuploidies and selecting for transfer only those euploid embryos with a higher potential for success.…”

Section: Sex Selection For Nonmedical Purposesmentioning

confidence: 99%

Should Clinicians Set Limits on Reproductive Autonomy?

King¹

2017

Hastings Center Report

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As a gynecologic surgeon with a focus on infertility, I frequently hold complex discussions with patients, exploring with them the risks and benefits of surgical options. In the past, we physicians may have expected our patients to simply defer to our expertise and choose from the options we presented. In our contemporary era, however, patients frequently request options not favored by their physicians and even some they've found themselves online. In reproductive endocrinology and infertility, the range of options that may be offered or that patients may themselves seek out is continuously widening. Physicians certainly seek to find the option that will result in the best outcome for their patients, but the information to guide us in achieving the best outcome can be vague or conflicting. Add to this the financial and emotional pressures bearing on patients seeking assisted reproduction. In this essay, I explore the extent to which clinicians in reproductive medicine should follow patient requests with which they disagree or instead try to persuade the patient to do something else or simply refuse outright to meet the request. And if persuasion is to be used, what would be legitimate methods? Clearly, coercion is unacceptable, but the line between persuasion and coercion can be elusive. At what point can or should clinicians resist such requests—and to what degree?

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The International Glossary on Infertility and Fertility Care, 2017

Abstract: N/A.

Cited by 824 publications

References 8 publications

Use of the Endometriosis Fertility Index to Predict Natural Pregnancy after Endometriosis Surgery: A Single-Center Study

Use of the Endometriosis Fertility Index to Predict Natural Pregnancy after Endometriosis Surgery: A Single-Center Study

Current perspectives on the ethics of selling international surrogacy support services

Should Clinicians Set Limits on Reproductive Autonomy?

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