Fertility and sterility
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Fertility and sterility · Sep 2009
Randomized Controlled TrialClomiphene citrate or anastrozole for ovulation induction in women with polycystic ovary syndrome? A prospective controlled trial.
To compare the effects of anastrozole (1 mg) and clomiphene citrate (CC; 100 mg) used for ovulation induction in women with polycystic ovary syndrome. ⋯ Anastrozole was associated with significantly fewer mature and growing follicles, thicker endometrium, and slightly higher pregnancy rate. Anastrozole may be helpful in situations in which multiple pregnancy is not desirable or the risk of ovarian hyperstimulation syndrome is high.
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Fertility and sterility · Sep 2009
Ultrasonographer experience does not impact outcomes following ultrasound-guided embryo transfer.
To determine the effect of sonographer experience during ultrasound guided embryo transfer on pregnancy outcomes. ⋯ The clinical experience of the person performing ultrasound guidance during IVF-ET does not have an effect on clinical outcome. Thus, the use of an assistant without formal ultrasound training during IVF-ET is a reasonable option.
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Fertility and sterility · Sep 2009
CommentLetrozole versus clomiphene citrate: which is better for ovulation induction?
Letrozole is at least as effective as clomiphene for inducing ovulation and achieving pregnancy in patients with polycystic ovarian syndrome. Potential advantages of letrozole include reduced multiple pregnancies, absence of antiestrogenic adverse effects, and the subsequent need for less intensive monitoring.
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Fertility and sterility · Jul 2009
Randomized Controlled TrialReducing blood loss at myomectomy with use of a gelatin-thrombin matrix hemostatic sealant.
To evaluate the hemostatic efficacy and handling of gelatin-thrombin matrix in abdominal myomectomy. ⋯ Reductions in hemorrhage in FloSeal-treated women undergoing a myomectomy are encouraging, and provide evidence for the ability of gelatin-thrombin matrix to reduce blood loss when applied immediately and directly to bleeding uterine tissue.
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To describe a case of chronic isolated fallopian tubal torsion in a woman without identifiable risk factors and discuss the difficulty of diagnosis. ⋯ Isolated fallopian tube torsion is rare and often difficult to diagnose. Despite ultrasonographic evidence of arterial and/or venous flow to the adnexa, adnexal torsion cannot be ruled out. If clinical suspicion for torsion is high, early diagnosis and treatment via laparoscopy is encouraged as a means of preserving fallopian tube integrity and maintaining fertility, especially in reproductive-age women.