Clinical Review
2013 Update on fertility
Two experts discuss a Tool Box for tackling infertility, the safety of reproductive technologies, and smoking’s detrimental effects on...
G. David Adamson, MD, is Professor, Adjunct Clinical Faculty, Stanford University, and Associate Clinical Professor, University of California San Francisco. He is also Medical Director, Assisted Reproductive Technologies Program, Palo Alto Medical Foundation Fertility Physicians of Northern California in Palo Alto and San Jose, California.
Mary E. Abusief, MD, is a Board-Certified Specialist in Reproductive Endocrinology and Infertility at Palo Alto Medical Foundation Fertility Physicians of Northern California
Dr. Adamson reports that he receives grant or research support from Auxogyn and LabCorp, is a consultant to Palo Alto Medical Foundation, and has other financial relationships with Advanced Reproductive Care, Auxogen, and LabCorp.
Dr. Abusief reports no financial relationships relevant to this article.
WHAT THIS EVIDENCE MEANS FOR PRACTICE
Adhesions are the most common complication following gynecologic surgery, and they pose potential longstanding consequences to patients. There is no evidence that anti-inflammatory agents reduce postoperative adhesions and insufficient evidence to recommend peritoneal instillates. FDA-approved surgical barriers reduce postoperative adhesions but there is not substantial evidence that their use improves fertility, decreases pain, or reduces the incidence of postoperative bowel obstruction. All gynecologists need to understand the importance of using microsurgical principles rather than relying on adhesion barriers to reduce postoperative adhesions.
WE WANT TO HEAR FROM YOU!
Drop us a line and let us know what you think about current articles, which topics you'd like to see covered in future issues, and what challenges you face in daily practice. Tell us what you think by emailing us at: obg@frontlinemedcom.com
Two experts discuss a Tool Box for tackling infertility, the safety of reproductive technologies, and smoking’s detrimental effects on...
PCOS is one of the most common reproductive endocrine disorders of women—and one of the most impenetrable to understand and difficult to manage....
Ovarian hyperstimulation syndrome after controlled ovarian stimulation cannot be avoided completely—but its likelihood can be reduced...
Clomiphene-resistant women often ovulate, and then become pregnant, when treated with a combination of clomiphene and dexamethasone
Addressing the risks of multiple gestation, a new method of cryopreservation of embryos, and the unique value of anti-Müllerian hormone as a...
Here is new information on reducing adhesions, the stress and cost of fertility treatment, unhelpful testing, and “long-shot” oocyte...
By arming yourself with knowledge of the most common complications—and their causes—and employing well-chosen surgical strategies, you can lower...
Vaccination coverage is only around 50% for pregnant women