China
Africa
Explore chapters and articles related to this topic
Genetic Counseling
Published in Hung N. Winn, Frank A. Chervenak, Roberto Romero, Clinical Maternal-Fetal Medicine Online, 2021
Zoltán Papp, Valéria Váradi, Júlia Hajdú
Classical genetic counseling is aimed to help families with emotional support by disclosing and discussing the causes of certain “genetic” problems, the risks of recurrence, and the possibilities for prevention or other options. In many situations, no reliable figures for recurrence risk were available. The classic options in many cases included contraception, sterilization, adoption, or AID (artificial heterologous insemination by donor) (1–7).
Conceiving Ethics
Published in Michael van Manen, The Birth of Ethics, 2020
With medical innovation, at times we can overcome infertility. Many different assisted reproductive technologies are available: ovulation induction, in vitro fertilization (IVF), artificial insemination, intracytoplasmic sperm injection, and so forth. And yet, achieving pregnancy with such means poses risks. Multiple gestation pregnancies (twin, triplet, and so forth) while being associated with assisted reproductive technologies are also associated with preterm birth that carries its own complications (Kushnir et al., 2017; Sunderam et al., 2019). Even when precautions are taken to mitigate the risks of conceiving a multiple gestation pregnancy (such as single- rather than multiple-embryo transfer), preterm birth and congenital anomalies remain present as risks (Liberman et al., 2017). In other words, assisted reproduction would seem to demand we accept risks for a child even before we conceive him or her. What worry should we have when we knowingly place a child at risk in our efforts to conceive him or her? Should this future child not be first and foremost in our mind even before attempts at conception? Is this not the ethical imperative of conception?
EMQ Answers
Published in Justin C. Konje, Complete Revision Guide for MRCOG Part 2, 2019
J Expectant management for 12 monthsNICE recommends that women aged under 40 years should be offered three full cycles of IVF if they have failed to conceive after 2 years of regular intercourse or 12 cycles of artificial insemination (where six or more are by intrauterine insemination). (Fertility Problems: Assessment and Treatment. NICE CG156, First published: February 2013, Last updated: September 2017)
The effects of selective serotonin reuptake inhibitors on male and female fertility: a brief literature review
Published in International Journal of Psychiatry in Clinical Practice, 2022
Jovana Z. Milosavljević, Miloš N. Milosavljević, Petar S. Arsenijević, Milica N. Milentijević, Srđan M. Stefanović
In addition to in vitro fertilisation, there are other forms of artificial insemination used to treat infertility, such as intrauterine insemination (IUI). Intrauterine insemination is less invasive and less expensive than IVF, and it is the method of choice in the treatment of unexplained infertility in women under 37 years of age (Jasović and Jasović-Siveska 2012). However, to our best knowledge there are no published studies about the effect of antidepressants on the success of the IUI procedure. On the other hand, it is known that the success rate of the IUI is only 10-17% per cycle (Nuojua- Huttunen et al. 1999). Also, after each failed cycle of artificial insemination there is an increase in symptoms of depression and anxiety in couples (Verhaak et al. 2002). Therefore, future studies are required to elucidate the possibility of using SSRIs in couples undergoing IUI who experience these unpleasant psycho-somatic symptoms.
Fertility-Sparing Surgery Using Knitted TiNi Mesh Implants and Sentinel Lymph Nodes: A 10-Year Experience
Published in Journal of Investigative Surgery, 2021
Alena Chernyshova, Larisa Kolomiets, Timofey Chekalkin, Vladimir Chernov, Ivan Sinilkin, Victor Gunther, Ekaterina Marchenko, Gulsharat Baigonakova, Ji Hoon Kang
The control group (n = 68) in our study consisted of patients who did not receive the KTNM. Poor obstetric outcomes were noted in this contingent as no spontaneous pregnancies occurred in all cases. Three patients underwent stimulated intrauterine insemination in a spontaneous cycle; however, no pregnancies occurred as well. Eight individuals received IVF treatment. Transvaginal ovarian puncture and oocyte collection were performed on the 13–15th day of the menstrual cycle, from 8 to 17 oocytes were collected. Transfer to the uterine cavity was on the 5th day of culturing at the blastocyst stage using the transvaginal route. The pregnancy was noted in three cases. A termination as spontaneous miscarriage was observed after 18, 23, and 26 weeks of gestation, respectively, resulted from severe ischemic-cervical insufficiency, with one of these developed chorioamnionitis and placentitis.
Pregnancy (im)possibilities: identifying factors that influence sexual minority women’s pregnancy desires
Published in Social Work in Health Care, 2020
Emma Carpenter, Bethany G. Everett, Madelyne Z. Greene, Sadia Haider, C. Emily Hendrick, Jenny A. Higgins
Similarly, Heather (lesbian, 29, Madison-focus group) described feeling unclear about how she would respond to an unintended pregnancy, in part due to the barriers to intentional or planned pregnancy When asked what it would be like to get pregnant right now, the only way she could imagine this happening was through sexual assault. She said she “would have had to have been too drunk to consent or … would have to have been attacked in some way.” However, Heather described herself as “completely ambivalent” about such an unplanned pregnancy, partially due to the perceived difficulty in becoming pregnant intentionally with her spouse and her emerging readiness to parent. She continued: I’m 29 and I’m married and we have double incomes and we’re at a point where we have talked about [having] kids or not. So, I think if I got pregnant when I was younger unintentionally, I would have had an abortion no question. But now that we’re at the age where we are talking about if we want kids, how are we going to do it? Are we going to adopt? That’s super expensive and takes a long time. Will we use artificial insemination or IVF? Again, super expensive and time-consuming. I was sitting here thinking about it for the first time, and I was like ‘Oh my gosh, I might consider keeping that pregnancy.’”