Minimal Stimulation And Natural Cycle In Vitro Fertilization

​ This contributed volume regenerates the significance of and respect for natural phenomenon in the background of the risks and complications seen in ART such as ovarian hyperstimulation and multiple pregnancies. Balancing the clinical practice between the beneficial natural physiology and the prolific use of stimulation drugs for ART may help eliminate risks that may prove clinically, financially and psychologically expensive. It underscores the fact that ‘greater’ is not always synonymous with ‘better’ with regard to the oocyte yield. While highlighting the risks involved with the use of high-dose gonadotropins, the book presents a stratification of patients who might benefit from the ‘soft’ minimal and natural cycle IVF stimulation protocols that may be used. Additionally, clinicians can understand the significance of cryopreservation technology, now a useful adjunct to minimal stimulation protocols, with its manifold future advantages. Written by an international team of experts, this handbook emphasizes how minimal stimulation and natural cycle IVF can lead to a milder, safer and more effective approach to ART.

This textbook discusses Assisted Reproductive Technology (ART) and alternative solutions that mimic natural phenomena. With contributions from leading international experts, the book describes risks and complications, such as ovarian hyperstimulation and multiple pregnancies, as well as the financial, psychological, ethical and legal issues involved. Separate chapters are dedicated to IVF in developing countries, the mini-IVF experience at the New Hope Fertility Center, and the Kato Ladies Clinic Experience.

This practical book focuses on the most recent advances in natural cycle and minimal stimulation in vitro fertilization (IVF). The volume presents the steps that need to be followed to successfully perform these techniques and covers all aspects and competences involved. The book provides information on physiology of folliculogenesis, ovulation, oocytes and luteal phase and based on this information on clinical practice of stimulation, ovulation induction and inhibition, follicle aspiration and luteal phase support in natural cycle and minimal stimulation IVF. In addition costs, risks, success rates and several treatment protocols are provided. An overview of large European, Japanese and American programs and the discussion of clinical cases will complete the coverage of the topic. This practical and easy-to-use guide is a valuable resource for all clinicians performing any kind of IVF techniques.

This comprehensive review of the factors that affect the harvesting and preparation of oocytes and the management of embryos will allow practitioners to make evidence-based decisions for successful IVF. The book reviews and re-considers the value of strategies and outcomes in the management of fertility and conception rates, centred on the production of oocytes, and successful development of the embryo. Authored by leading experts in the field, chapters engage with treatments and strategies that affect the production of oocytes and embryos, optimizing outcomes in the management of female fertility, conception rates, and live births. This vital guide covers controlled ovarian hyperstimulation, the role of AMH in determining ovarian reserve, and primary stimulation agents and the use of adjuncts. Integral for all clinicians and embryologists working in reproductive medicine units, readers are provided with evidence-based, comprehensive advice and review of all factors affecting the management of oocytes and the embryo that are vital for successful IVF cycles.

An ideal reference for infertility specialists and reproductive endocrinologists alike, this comprehensive text discusses current natural and mild approaches to in vitro fertilization (IVF) and the development of in vitro maturation (IVM) as a clinical treatment. It is divided thematically into four sections. Part I presents the basic science of ovarian endocrinology and the mechanism of oocyte maturation, including follicular development and the importance of mitochondrial changes. The differences between natural cycle IVF and stimulated IVF are presented in part II, including the standard ovarian stimulation protocols and their outcomes and the etiology, prevention and management of ovarian hyperstimulation syndrome (OHSS). Minimal and mild stimulation for IVF is discussed in part III, including mild stimulation protocols for oncofertility patients and the new minimally invasive INVO procedure. In vitro maturation as a clinical treatment is the subject of part IV, discussing the methodology of immature oocyte retrieval as well as other laboratory aspects and congenital and obstetrical outcomes of babies born from IVM. Combining expertise from thought leaders around the world, Development of In Vitro Maturation for Human Oocytes will be a go-to resource for infertility researchers and practitioners and reproductive endocrinologists working with infertile couples looking for safer and more cost-effective options for treatment.

Offers a comprehensive guide to assisted reproductive technology surveillance, describing its history, global variations, and best practices.

Groundbreaking, comprehensive, and developed by a panel of leading international experts in the field, Textbook of Assisted Reproduction provides a multidisciplinary overview of the diagnosis and management of infertility, which affects 15% of all couples around the world. The book aims to cover all aspects of assisted reproduction. Particular attention is given to topics such as the assessment of infertile couples; assisted reproductive techniques (ARTs) including ovulation induction, intra uterine insemination (IUI), in vitro fertilization (IVF) and intracytoplasmic sperm injection (clinical and laboratory aspects); reproductive genetics; and obstetric and perinatal outcomes.

This book provides updates on the most recent developments in individualized infertility treatment resulting in improved outcomes.