Cairo consensus- An expert report for designing ART Laboratories
•
0 likes•298 views
The Cairo Consensus was an expert meeting led by the industry's leading embryologists regarding a wide array of topics ranging from safety protocols, quality management and the construction of a new ART Laboratory or the revamping of a previous one to meet the newly discussed and accepted standards. All aspects of an ART Laboratory were investigated in the consensus along with best practices on management of laboratory, culture, materials, HVAC system and overall management.
Report
Share
Report
Share
Download to read offline
Recommended
Sperm retrieval techniques - nuts and bolts
This document summarizes a training program in assisted reproductive technology focusing on azoospermia. It discusses the differences between obstructive and non-obstructive azoospermia and various sperm retrieval techniques such as PESA, MESA, TESA, and TESE. Success rates of sperm retrieval are provided for different causes of azoospermia. Predictive markers for sperm retrieval success are also examined, such as hormone levels, testicular volume, histopathology, and microdeletions. Micro-TESE is highlighted as a promising surgical method for non-obstructive azoospermia.
Sperm retrieval techniques
This document discusses various surgical sperm retrieval techniques for assisted reproduction, including:
1) Percutaneous epididymal sperm aspiration (PESA) and microsurgical epididymal sperm aspiration (MESA) are used to retrieve sperm from the epididymis in cases of obstructive azoospermia.
2) Testicular sperm aspiration (TESA) and testicular sperm extraction (TESE) are used to retrieve sperm directly from the testes in cases of non-obstructive azoospermia or previous failed epididymal sperm retrieval.
3) Microsurgical testicular sperm extraction (Micro-TESE) uses an operating microscope to identify and extract semin
Thin Endometrium
Invited Lecture delivered by Dr Sujoy Dasgupta in the Annual Conference of ISAR (Indian Society of Assisted Reproduction) held at Kolkata in November, 2019
Markers of ovarian reserve presentation
Ovarian reserve refers to the reproductive potential left within a woman's two ovaries based on number and quality of eggs. Diminished ovarian reserve is the loss of normal reproductive potential in the ovaries due to a lower count or quality of the remaining eggs
Optimizing iui results
Dr. Vandana Bansal is a senior gynaecologist and obstetrician who specializes in infertility and IVF. She directs the Arpit Test Tube Baby Centre in Prayagraj, India. The document discusses intrauterine insemination (IUI), providing rationales for its use, details on techniques and protocols, success rates based on factors like age and ovarian stimulation methods, and alternatives when IUI is unsuccessful. It summarizes evidence from clinical studies on optimizing IUI outcomes.
Management of Non Obstructive Azoospermia
This document discusses the management of non-obstructive azoospermia (NOA). It begins by defining NOA and providing statistics on prevalence. It then discusses the process of diagnosing NOA, including semen analysis and differential diagnosis. Etiologies of NOA including congenital and acquired causes are presented. Key points are made about selecting candidates for sperm retrieval based on etiology, biomarkers and genetic screening. Interventions prior to sperm retrieval for men with NOA and hypogonadism or clinical varicocele are discussed. The importance of proper laboratory handling of surgically extracted gametes is also mentioned. Overall, the document provides an overview of evaluating and managing men with NOA.
Day3 versus Day5 Embryo Transfer
Dr. Sujoy Dasgupta presented information on blastocyst versus cleavage stage embryo transfer. Key points include:
- Blastocyst transfer results in higher implantation and clinical pregnancy rates per embryo transferred compared to cleavage stage. However, it also results in more cycle cancellations and fewer embryos available for freezing.
- Blastocyst biopsy is preferable for PGT due to analysis of more cells and lower mosaicism compared to cleavage stage biopsy.
- While blastocyst transfer improves outcomes in good prognosis patients, it may also be associated with risks like preterm birth, monozygotic twinning, and perinatal outcomes that require more research. Selection of embryos likely to reach blastocyst stage could help reduce
Repeated Implantation failure
This document discusses reasons why IVF cycles may fail and provides guidance on learning from failed cycles. It defines recurrent IVF failure and recurrent implantation failure. Common causes of failure discussed include embryo quality, endometrial factors, and uterine issues like polyps or hydrosalpinx. Investigations like hysteroscopy and salpingectomy are recommended to address correctable causes. Other potential factors explored are endometrial thickness, scratching, and refractory endometrium. The goal is to identify avoidable causes and improve outcomes in subsequent cycles.
Recommended
Sperm retrieval techniques - nuts and bolts
This document summarizes a training program in assisted reproductive technology focusing on azoospermia. It discusses the differences between obstructive and non-obstructive azoospermia and various sperm retrieval techniques such as PESA, MESA, TESA, and TESE. Success rates of sperm retrieval are provided for different causes of azoospermia. Predictive markers for sperm retrieval success are also examined, such as hormone levels, testicular volume, histopathology, and microdeletions. Micro-TESE is highlighted as a promising surgical method for non-obstructive azoospermia.
Sperm retrieval techniques
This document discusses various surgical sperm retrieval techniques for assisted reproduction, including:
1) Percutaneous epididymal sperm aspiration (PESA) and microsurgical epididymal sperm aspiration (MESA) are used to retrieve sperm from the epididymis in cases of obstructive azoospermia.
2) Testicular sperm aspiration (TESA) and testicular sperm extraction (TESE) are used to retrieve sperm directly from the testes in cases of non-obstructive azoospermia or previous failed epididymal sperm retrieval.
3) Microsurgical testicular sperm extraction (Micro-TESE) uses an operating microscope to identify and extract semin
Thin Endometrium
Invited Lecture delivered by Dr Sujoy Dasgupta in the Annual Conference of ISAR (Indian Society of Assisted Reproduction) held at Kolkata in November, 2019
Markers of ovarian reserve presentation
Ovarian reserve refers to the reproductive potential left within a woman's two ovaries based on number and quality of eggs. Diminished ovarian reserve is the loss of normal reproductive potential in the ovaries due to a lower count or quality of the remaining eggs
Optimizing iui results
Dr. Vandana Bansal is a senior gynaecologist and obstetrician who specializes in infertility and IVF. She directs the Arpit Test Tube Baby Centre in Prayagraj, India. The document discusses intrauterine insemination (IUI), providing rationales for its use, details on techniques and protocols, success rates based on factors like age and ovarian stimulation methods, and alternatives when IUI is unsuccessful. It summarizes evidence from clinical studies on optimizing IUI outcomes.
Management of Non Obstructive Azoospermia
This document discusses the management of non-obstructive azoospermia (NOA). It begins by defining NOA and providing statistics on prevalence. It then discusses the process of diagnosing NOA, including semen analysis and differential diagnosis. Etiologies of NOA including congenital and acquired causes are presented. Key points are made about selecting candidates for sperm retrieval based on etiology, biomarkers and genetic screening. Interventions prior to sperm retrieval for men with NOA and hypogonadism or clinical varicocele are discussed. The importance of proper laboratory handling of surgically extracted gametes is also mentioned. Overall, the document provides an overview of evaluating and managing men with NOA.
Day3 versus Day5 Embryo Transfer
Dr. Sujoy Dasgupta presented information on blastocyst versus cleavage stage embryo transfer. Key points include:
- Blastocyst transfer results in higher implantation and clinical pregnancy rates per embryo transferred compared to cleavage stage. However, it also results in more cycle cancellations and fewer embryos available for freezing.
- Blastocyst biopsy is preferable for PGT due to analysis of more cells and lower mosaicism compared to cleavage stage biopsy.
- While blastocyst transfer improves outcomes in good prognosis patients, it may also be associated with risks like preterm birth, monozygotic twinning, and perinatal outcomes that require more research. Selection of embryos likely to reach blastocyst stage could help reduce
Repeated Implantation failure
This document discusses reasons why IVF cycles may fail and provides guidance on learning from failed cycles. It defines recurrent IVF failure and recurrent implantation failure. Common causes of failure discussed include embryo quality, endometrial factors, and uterine issues like polyps or hydrosalpinx. Investigations like hysteroscopy and salpingectomy are recommended to address correctable causes. Other potential factors explored are endometrial thickness, scratching, and refractory endometrium. The goal is to identify avoidable causes and improve outcomes in subsequent cycles.
Fertility Preserving Hysteroscopic Surgery
Lecture delivered by Dr SUjoy Dasgupta at ISAR Bengal Conference 2017, where he was invited as the Faculty
Panel Discussion Problems of MALE INFERTILITY & Management of Oligo Astheno T...
This document summarizes a panel discussion on male infertility and the management of oligo astheno teratospermia (OAT). The panel included urologists, IVF experts, and gynaecologists who discussed topics such as the causes of male infertility, recent WHO criteria for semen analysis, what constitutes OAT, specific and idiopathic causes of OAT, how smoking affects fertility, and the steps in evaluating a male for infertility including history, examination, semen analysis, hormone assays, ultrasound, and additional tests or procedures when indicated.
Hysteroscopy pre IVF is it neccessary ??
UTERINE CAVITY EVALUATION PRE IVF IS A MUST
THIS PRESENTATION DISCUSSES WITH EVIDENCE HOW WE SHOULD GO ABOUT
NICE Guidelines 2013, in relation to IUI & IVF Dr. Jyoti Agarwal,Dr. Sharda J...
The document summarizes guidelines from NICE in 2013 regarding IUI and IVF treatments. It recommends that for unexplained infertility, couples should try to conceive naturally for 2 years before being offered IVF. For IVF, it provides guidance on patient selection criteria, protocols for ovarian stimulation and embryo transfer, and factors that influence success rates. The document emphasizes protocols to prevent ovarian hyperstimulation syndrome and informed consent discussions on treatment risks and benefits.
Management of thin endometrium isar 2019
This document discusses strategies for managing a thin endometrium. It begins by providing background on endometrial anatomy and physiology. It then discusses the rise of assisted reproductive technology (ART) in India. Common causes of a thin endometrium are described, including iatrogenic injuries, infections, low estrogen levels, and inadequate blood flow. A variety of treatment strategies are discussed, such as hormonal adjustments, medications like pentoxifylline and tocopherol, acupuncture, L-arginine, and more recently investigated options like vaginal sildenafil, granulocyte colony-stimulating factor, and endometrial scratch. Specific studies investigating treatments like extended estrogen administration, tamox
Novel treatments to trigger final follicular maturation and luteal phase support
This document summarizes novel strategies for triggering final follicular maturation and supporting the luteal phase in fertility treatments. It discusses evaluating the quality of trigger and luteal phase support methods based on indicators of safety, effectiveness, and patient-centeredness. Specific strategies used at Androfert clinic are presented, including individualizing triggers and support according to patient risk factors. Recombinant hCG is shown to have advantages over urinary hCG in terms of effectiveness, safety, and patient preferences. GnRH agonist triggering avoids risk of ovarian hyperstimulation syndrome but needs additional luteal phase support.
Recent Trends In Art (1)
Recent advances in assisted reproductive technology include:
1. The 1978 birth of Louise Brown, the first "test-tube baby", using in vitro fertilization without ovarian stimulation.
2. Developments like intracytoplasmic sperm injection (ICSI) and preimplantation genetic diagnosis (PGD) that have improved treatment options for male factor infertility and genetic disorders.
3. Continued research on techniques such as cryopreservation of eggs/embryos, stem cell therapy, and cloning that could further advance reproductive medicine if proven successful and safe.
Diagnosis and classification of tubal factor infertility
This document discusses tubal factor infertility (TFI), including causes such as damage from injury or pelvic inflammatory disease. It evaluates various diagnostic tests for TFI like hysterosalpingography (HSG), laparoscopy, and chlamydial antibody testing. Treatment options discussed include expectant management, antibiotics, tubal surgery like cannulation or anastomosis, and IVF. The evidence for different approaches is limited, with no randomized controlled trials directly comparing treatments. The conclusion is that IVF is generally the best treatment for older patients or more severe TFI, while surgery may be considered for milder cases or proximal tubal obstruction.
In vitro fertilization and embryo transfer "IVF"; Overview on the Story FRO...
The document discusses the history and development of in vitro fertilization (IVF). It mentions:
- Aldous Huxley predicted IVF techniques in his 1931 novel "Brave New World".
- The first reported pregnancies from IVF occurred in the late 1950s and early 1960s involving animals.
- The first reported human pregnancy from IVF was in 1973, though it resulted in miscarriage.
- The first successful human birth from IVF, Louise Brown, occurred in 1978 in the UK from the work of Steptoe and Edwards.
Evaluation of male infertility
This document provides an overview of the evaluation and investigations for male infertility. It discusses the key components of the medical history and physical exam, including reproductive, sexual, childhood, medical, and family histories. Initial laboratory assessments include semen analysis according to WHO standards and endocrine evaluation if indicated. Imaging tools like ultrasound, Doppler ultrasound, and MRI can identify conditions affecting fertility. Traditional and modern methods are described to further evaluate couples where initial testing is normal but functional defects may still impair fertilization. A postcoital or Sims test examines sperm-mucus interaction ability.
Sperm preparation techniques
This document discusses various sperm preparation techniques used prior to assisted reproductive technologies. It begins by explaining the reasons for processing sperm samples, such as removing components that could prevent pregnancy and selecting morphologically normal, motile sperm free of debris. Several migration-based techniques are described, including swim-up, density gradient centrifugation, and magnetic activated cell sorting. Glass wool filtration and zeta potential techniques are also covered. The document discusses preparation of epididymal and testicular sperm samples. It concludes by outlining methods for preparing sperm from retrograde ejaculation samples.
Multiple pregnancy after art
Multiple births—the delivery of twins, triplets, or more—is common with fertility treatments. During the use of assisted reproductive technology (ART)—such as in vitro fertilization (IVF)—multiple births primarily result from transfer of more than one embryo during the procedure
Role of ultrasound in the Infertility management
Ultrasound plays a key role in the management of infertile patients. Transvaginal ultrasound provides high resolution images of the cervix, uterus, and ovaries. 3D and Doppler ultrasound can further aid in assessing endometrial thickness and blood flow. Ultrasound is used for ovulation monitoring, evaluating uterine and ovarian abnormalities, predicting assisted reproduction outcomes, and guiding interventional procedures. New techniques like 3D power Doppler and automated follicle counting provide additional information on endometrial receptivity and ovarian reserve that can help manage infertility.
Optimize oocyte yield to maximize live birth in ART
This document discusses strategies for optimizing ovarian response in ART to maximize live birth rates. It introduces the POSEIDON criteria for stratifying "low prognosis" ART patients based on age, ovarian reserve markers, and number of oocytes retrieved. The target is to retrieve over 15 oocytes to maximize cumulative live birth rates. Personalized gonadotropin protocols and adjuvant therapies can be used to optimize response based on POSEIDON stratification. This includes starting dose, supplementation with LH, and dual stimulation if needed to obtain the estimated number of oocytes for at least one euploid embryo transfer.
Optimizing IUI Outcome
Intrauterine insemination (IUI) is a procedure in which processed and concentrated motile sperm are placed directly into the uterine cavity.
Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...
This document discusses optimizing success with intrauterine insemination (IUI). It lists male and female factors that can indicate IUI, including issues like retrograde ejaculation or cervical hostility. Standard protocols for IUI are discussed, including using clomiphene, gonadotropins, or a combination. The timing of hCG administration and IUI is outlined. Techniques for sperm preparation and factors affecting IUI success rates are also summarized. Limitations of IUI are noted.
Mesh in Pelvic Organ Prolapse
to mesh or not to mesh in pelvic organ prolapse
overview, historical timeline , detailed description of mesh types complication
Sperm preparation by Dr.Renukadevi
This document discusses various sperm preparation methods used for intrauterine insemination (IUI). It describes the simple wash method, swim-up method, and density gradient centrifugation method. For each method, it provides the steps, including centrifugation speeds and times. It also covers preparing samples for retrograde ejaculation and samples from HIV-infected patients. The goal of sperm preparation is to select motile sperm and remove other seminal constituents like debris to maximize the chances of fertilization during IUI.
Stimulation Protocols
This document describes various ovarian stimulation protocols for infertility treatment, including oral medications, injectable medications, and monitoring techniques. It summarizes protocols for natural cycles, mild stimulation, conventional stimulation, antagonist protocols, and protocols for poor responders. Key points include the use of clomiphene citrate, gonadotropins like hMG and rFSH, protocols with and without downregulation, monitoring with ultrasound and hormones, and tailoring the protocol based on ovarian reserve and previous response. The goal is to recruit multiple follicles for retrieval while avoiding overstimulation and maintaining endometrial receptivity.
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
UoA毕业证学历书【微信95270640】办文凭{昆士兰科技大学毕业证}Q微Q微信95270640UoA毕业证书成绩单/学历认证UoA Diploma未毕业、挂科怎么办？+QQ微信：Q微信95270640-大学Offer（申请大学）、成绩单（申请考研）、语言证书、在读证明、使馆公证、办真实留信网认证、真实大使馆认证、学历认证
办理国外昆士兰科技大学毕业证书 #成绩单改成绩 #教育部学历学位认证 #毕业证认证 #留服认证 #使馆认证（留学回国人员证明） #（证）等
真实教育部认证教育部存档中国教育部留学服务中心认证（即教育部留服认证）网站100%可查.
真实使馆认证（即留学人员回国证明）使馆存档可通过大使馆查询确认.
留信网认证国家专业人才认证中心颁发入库证书留信网永久存档可查.
昆士兰科技大学昆士兰科技大学毕业证文凭证书毕业证 #成绩单等全套材料从防伪到印刷从水印到钢印烫金跟学校原版100%相同.
国际留学归国服务中心：实体公司注册经营行业标杆精益求精！
国外毕业证学位证成绩单办理流程：
1客户提供办理昆士兰科技大学昆士兰科技大学毕业证文凭证书信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询）；
2开始安排制作昆士兰科技大学毕业证成绩单电子图；
3昆士兰科技大学毕业证成绩单电子版做好以后发送给您确认；
4昆士兰科技大学毕业证成绩单电子版您确认信息无误之后安排制作成品；
5昆士兰科技大学成品做好拍照或者视频给您确认；
6快递给客户（国内顺丰国外DHLUPS等快递邮寄昆士兰科技大学昆士兰科技大学毕业证文凭证书）。闷不乐的样子父亲特意带山娃去找三楼房东家的儿子小伍玩小伍比山娃小一岁虎头虎脑的很霸气父亲让山娃跟小伍去夏令营听课山娃很高兴夏令营就设在附近一所小学山娃发现那所小学比自己的学校更大更美操场上还铺有塑胶跑道呢里面很多小朋友一班一班的快快乐乐原来城里娃都藏这儿来了怪不得平时见不到他们山娃恍然大悟起来吹拉弹唱琴棋书画山娃都不懂却什么都想学山娃怨自己太笨什么都不会斟酌再三山娃终于选定了学美术当听说每月要交感
More Related Content
What's hot
Fertility Preserving Hysteroscopic Surgery
Lecture delivered by Dr SUjoy Dasgupta at ISAR Bengal Conference 2017, where he was invited as the Faculty
Panel Discussion Problems of MALE INFERTILITY & Management of Oligo Astheno T...
This document summarizes a panel discussion on male infertility and the management of oligo astheno teratospermia (OAT). The panel included urologists, IVF experts, and gynaecologists who discussed topics such as the causes of male infertility, recent WHO criteria for semen analysis, what constitutes OAT, specific and idiopathic causes of OAT, how smoking affects fertility, and the steps in evaluating a male for infertility including history, examination, semen analysis, hormone assays, ultrasound, and additional tests or procedures when indicated.
Hysteroscopy pre IVF is it neccessary ??
UTERINE CAVITY EVALUATION PRE IVF IS A MUST
THIS PRESENTATION DISCUSSES WITH EVIDENCE HOW WE SHOULD GO ABOUT
NICE Guidelines 2013, in relation to IUI & IVF Dr. Jyoti Agarwal,Dr. Sharda J...
The document summarizes guidelines from NICE in 2013 regarding IUI and IVF treatments. It recommends that for unexplained infertility, couples should try to conceive naturally for 2 years before being offered IVF. For IVF, it provides guidance on patient selection criteria, protocols for ovarian stimulation and embryo transfer, and factors that influence success rates. The document emphasizes protocols to prevent ovarian hyperstimulation syndrome and informed consent discussions on treatment risks and benefits.
Management of thin endometrium isar 2019
This document discusses strategies for managing a thin endometrium. It begins by providing background on endometrial anatomy and physiology. It then discusses the rise of assisted reproductive technology (ART) in India. Common causes of a thin endometrium are described, including iatrogenic injuries, infections, low estrogen levels, and inadequate blood flow. A variety of treatment strategies are discussed, such as hormonal adjustments, medications like pentoxifylline and tocopherol, acupuncture, L-arginine, and more recently investigated options like vaginal sildenafil, granulocyte colony-stimulating factor, and endometrial scratch. Specific studies investigating treatments like extended estrogen administration, tamox
Novel treatments to trigger final follicular maturation and luteal phase support
This document summarizes novel strategies for triggering final follicular maturation and supporting the luteal phase in fertility treatments. It discusses evaluating the quality of trigger and luteal phase support methods based on indicators of safety, effectiveness, and patient-centeredness. Specific strategies used at Androfert clinic are presented, including individualizing triggers and support according to patient risk factors. Recombinant hCG is shown to have advantages over urinary hCG in terms of effectiveness, safety, and patient preferences. GnRH agonist triggering avoids risk of ovarian hyperstimulation syndrome but needs additional luteal phase support.
Recent Trends In Art (1)
Recent advances in assisted reproductive technology include:
1. The 1978 birth of Louise Brown, the first "test-tube baby", using in vitro fertilization without ovarian stimulation.
2. Developments like intracytoplasmic sperm injection (ICSI) and preimplantation genetic diagnosis (PGD) that have improved treatment options for male factor infertility and genetic disorders.
3. Continued research on techniques such as cryopreservation of eggs/embryos, stem cell therapy, and cloning that could further advance reproductive medicine if proven successful and safe.
Diagnosis and classification of tubal factor infertility
This document discusses tubal factor infertility (TFI), including causes such as damage from injury or pelvic inflammatory disease. It evaluates various diagnostic tests for TFI like hysterosalpingography (HSG), laparoscopy, and chlamydial antibody testing. Treatment options discussed include expectant management, antibiotics, tubal surgery like cannulation or anastomosis, and IVF. The evidence for different approaches is limited, with no randomized controlled trials directly comparing treatments. The conclusion is that IVF is generally the best treatment for older patients or more severe TFI, while surgery may be considered for milder cases or proximal tubal obstruction.
In vitro fertilization and embryo transfer "IVF"; Overview on the Story FRO...
The document discusses the history and development of in vitro fertilization (IVF). It mentions:
- Aldous Huxley predicted IVF techniques in his 1931 novel "Brave New World".
- The first reported pregnancies from IVF occurred in the late 1950s and early 1960s involving animals.
- The first reported human pregnancy from IVF was in 1973, though it resulted in miscarriage.
- The first successful human birth from IVF, Louise Brown, occurred in 1978 in the UK from the work of Steptoe and Edwards.
Evaluation of male infertility
This document provides an overview of the evaluation and investigations for male infertility. It discusses the key components of the medical history and physical exam, including reproductive, sexual, childhood, medical, and family histories. Initial laboratory assessments include semen analysis according to WHO standards and endocrine evaluation if indicated. Imaging tools like ultrasound, Doppler ultrasound, and MRI can identify conditions affecting fertility. Traditional and modern methods are described to further evaluate couples where initial testing is normal but functional defects may still impair fertilization. A postcoital or Sims test examines sperm-mucus interaction ability.
Sperm preparation techniques
This document discusses various sperm preparation techniques used prior to assisted reproductive technologies. It begins by explaining the reasons for processing sperm samples, such as removing components that could prevent pregnancy and selecting morphologically normal, motile sperm free of debris. Several migration-based techniques are described, including swim-up, density gradient centrifugation, and magnetic activated cell sorting. Glass wool filtration and zeta potential techniques are also covered. The document discusses preparation of epididymal and testicular sperm samples. It concludes by outlining methods for preparing sperm from retrograde ejaculation samples.
Multiple pregnancy after art
Multiple births—the delivery of twins, triplets, or more—is common with fertility treatments. During the use of assisted reproductive technology (ART)—such as in vitro fertilization (IVF)—multiple births primarily result from transfer of more than one embryo during the procedure
Role of ultrasound in the Infertility management
Ultrasound plays a key role in the management of infertile patients. Transvaginal ultrasound provides high resolution images of the cervix, uterus, and ovaries. 3D and Doppler ultrasound can further aid in assessing endometrial thickness and blood flow. Ultrasound is used for ovulation monitoring, evaluating uterine and ovarian abnormalities, predicting assisted reproduction outcomes, and guiding interventional procedures. New techniques like 3D power Doppler and automated follicle counting provide additional information on endometrial receptivity and ovarian reserve that can help manage infertility.
Optimize oocyte yield to maximize live birth in ART
This document discusses strategies for optimizing ovarian response in ART to maximize live birth rates. It introduces the POSEIDON criteria for stratifying "low prognosis" ART patients based on age, ovarian reserve markers, and number of oocytes retrieved. The target is to retrieve over 15 oocytes to maximize cumulative live birth rates. Personalized gonadotropin protocols and adjuvant therapies can be used to optimize response based on POSEIDON stratification. This includes starting dose, supplementation with LH, and dual stimulation if needed to obtain the estimated number of oocytes for at least one euploid embryo transfer.
Optimizing IUI Outcome
Intrauterine insemination (IUI) is a procedure in which processed and concentrated motile sperm are placed directly into the uterine cavity.
Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...
This document discusses optimizing success with intrauterine insemination (IUI). It lists male and female factors that can indicate IUI, including issues like retrograde ejaculation or cervical hostility. Standard protocols for IUI are discussed, including using clomiphene, gonadotropins, or a combination. The timing of hCG administration and IUI is outlined. Techniques for sperm preparation and factors affecting IUI success rates are also summarized. Limitations of IUI are noted.
Mesh in Pelvic Organ Prolapse
to mesh or not to mesh in pelvic organ prolapse
overview, historical timeline , detailed description of mesh types complication
Sperm preparation by Dr.Renukadevi
This document discusses various sperm preparation methods used for intrauterine insemination (IUI). It describes the simple wash method, swim-up method, and density gradient centrifugation method. For each method, it provides the steps, including centrifugation speeds and times. It also covers preparing samples for retrograde ejaculation and samples from HIV-infected patients. The goal of sperm preparation is to select motile sperm and remove other seminal constituents like debris to maximize the chances of fertilization during IUI.
Stimulation Protocols
This document describes various ovarian stimulation protocols for infertility treatment, including oral medications, injectable medications, and monitoring techniques. It summarizes protocols for natural cycles, mild stimulation, conventional stimulation, antagonist protocols, and protocols for poor responders. Key points include the use of clomiphene citrate, gonadotropins like hMG and rFSH, protocols with and without downregulation, monitoring with ultrasound and hormones, and tailoring the protocol based on ovarian reserve and previous response. The goal is to recruit multiple follicles for retrieval while avoiding overstimulation and maintaining endometrial receptivity.
What's hot (20)
Panel Discussion Problems of MALE INFERTILITY & Management of Oligo Astheno T...
Panel Discussion Problems of MALE INFERTILITY & Management of Oligo Astheno T...
NICE Guidelines 2013, in relation to IUI & IVF Dr. Jyoti Agarwal,Dr. Sharda J...
NICE Guidelines 2013, in relation to IUI & IVF Dr. Jyoti Agarwal,Dr. Sharda J...
Novel treatments to trigger final follicular maturation and luteal phase support
Novel treatments to trigger final follicular maturation and luteal phase support
Diagnosis and classification of tubal factor infertility
Diagnosis and classification of tubal factor infertility
In vitro fertilization and embryo transfer "IVF"; Overview on the Story FRO...
In vitro fertilization and embryo transfer "IVF"; Overview on the Story FRO...
Optimize oocyte yield to maximize live birth in ART
Optimize oocyte yield to maximize live birth in ART
Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...
Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...
What is the role of hysteroscopy for the management of women undergoing IVF?
What is the role of hysteroscopy for the management of women undergoing IVF?
Recently uploaded
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
UoA毕业证学历书【微信95270640】办文凭{昆士兰科技大学毕业证}Q微Q微信95270640UoA毕业证书成绩单/学历认证UoA Diploma未毕业、挂科怎么办？+QQ微信：Q微信95270640-大学Offer（申请大学）、成绩单（申请考研）、语言证书、在读证明、使馆公证、办真实留信网认证、真实大使馆认证、学历认证
办理国外昆士兰科技大学毕业证书 #成绩单改成绩 #教育部学历学位认证 #毕业证认证 #留服认证 #使馆认证（留学回国人员证明） #（证）等
真实教育部认证教育部存档中国教育部留学服务中心认证（即教育部留服认证）网站100%可查.
真实使馆认证（即留学人员回国证明）使馆存档可通过大使馆查询确认.
留信网认证国家专业人才认证中心颁发入库证书留信网永久存档可查.
昆士兰科技大学昆士兰科技大学毕业证文凭证书毕业证 #成绩单等全套材料从防伪到印刷从水印到钢印烫金跟学校原版100%相同.
国际留学归国服务中心：实体公司注册经营行业标杆精益求精！
国外毕业证学位证成绩单办理流程：
1客户提供办理昆士兰科技大学昆士兰科技大学毕业证文凭证书信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询）；
2开始安排制作昆士兰科技大学毕业证成绩单电子图；
3昆士兰科技大学毕业证成绩单电子版做好以后发送给您确认；
4昆士兰科技大学毕业证成绩单电子版您确认信息无误之后安排制作成品；
5昆士兰科技大学成品做好拍照或者视频给您确认；
6快递给客户（国内顺丰国外DHLUPS等快递邮寄昆士兰科技大学昆士兰科技大学毕业证文凭证书）。闷不乐的样子父亲特意带山娃去找三楼房东家的儿子小伍玩小伍比山娃小一岁虎头虎脑的很霸气父亲让山娃跟小伍去夏令营听课山娃很高兴夏令营就设在附近一所小学山娃发现那所小学比自己的学校更大更美操场上还铺有塑胶跑道呢里面很多小朋友一班一班的快快乐乐原来城里娃都藏这儿来了怪不得平时见不到他们山娃恍然大悟起来吹拉弹唱琴棋书画山娃都不懂却什么都想学山娃怨自己太笨什么都不会斟酌再三山娃终于选定了学美术当听说每月要交感
Get Covid Testing at Fit to Fly PCR Test
A Fit-to-Fly PCR Test is a crucial service for travelers needing to meet the entry requirements of various countries or airlines. This test involves a polymerase chain reaction (PCR) test for COVID-19, which is considered the gold standard for detecting active infections. At our travel clinic in Leeds, we offer fast and reliable Fit to Fly PCR testing, providing you with an official certificate verifying your negative COVID-19 status. Our process is designed for convenience and accuracy, with quick turnaround times to ensure you receive your results and certificate in time for your departure. Trust our professional and experienced medical team to help you travel safely and compliantly, giving you peace of mind for your journey.www.nxhealthcare.co.uk
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Our aim is to organise conscious gatherings and retreats for open and inquisitive minds and souls, with and without the assistance of sacred plants.
Hypertension and it's role of physiotherapy in it.
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
U Part Wigs_ A Natural Look with Minimal Effort Jokerwigs.in.pdf
Joker Wigs has been a one-stop-shop for hair products for over 26 years. We provide high-quality hair wigs, hair extensions, hair toppers, hair patch, and more for both men and women.
Sectional dentures for microstomia patients.pptx
Microstomia, characterized by an abnormally small oral aperture, presents significant challenges in prosthodontic treatment, including limited access for examination, difficulties in impression making, and challenges with prosthesis insertion and removal. To manage these issues, customized impression techniques using sectional trays and elastomeric materials are employed. Prostheses may be designed in segments or with flexible materials to facilitate handling. Minimally invasive procedures and the use of digital technologies can enhance patient comfort. Education and training for patients on prosthesis care and maintenance are crucial for compliance. Regular follow-up and a multidisciplinary approach, involving collaboration with other specialists, ensure comprehensive care and improved quality of life for microstomia patients.
English Drug and Alcohol Commissioners June 2024.pptx
Presentation made by Mat Southwell to the Harm Reduction Working Group of the English Drug and Alcohol Commissioners. Discuss stimulants, OAMT, NSP coverage and community-led approach to DCRs. Focussing on active drug user perspectives and interests
VEDANTA AIR AMBULANCE SERVICES IN REWA AT A COST-EFFECTIVE PRICE.pdf
Air Ambulance Services In Rewa works in close coordination with ground-based emergency services, including local Emergency Medical Services, fire departments, and law enforcement agencies.
More@: https://tinyurl.com/2shrryhx
More@: https://tinyurl.com/5n8h3wp8
Friendly Massage in Ajman - Malayali Kerala Spa Ajman
At Malayali Kerala Spa Ajman, Full Service includes individualized care for every client. We specifically design each massage session for the individual needs of the client. Our therapists are always willing to adjust the treatments based on the client's instruction and feedback. This guarantees that every client receives the treatment they expect.
By offering a variety of massage services, our Ajman Spa Massage Center can tackle physical, mental, and emotional illnesses. In addition, efficient identification of specific health conditions and designing treatment plans accordingly can significantly enhance the quality of massaging.
At Malayali Kerala Spa Ajman, we firmly believe that everyone should have the option to experience top-quality massage services regularly. To achieve that goal we offer cheap massage services in Ajman.
If you are interested in experiencing transformative massage treatment at Malayali Kerala Spa Ajman, you can use our Ajman Massage Center WhatsApp Number to schedule your next massage session.
Contact @ +971 529818279
Visit @ https://malayalikeralaspaajman.com/
Mental Health and Physical Wellbeing.pdf
Mental Health and well-being Presentation. Exploring innovative approaches and strategies for enhancing mental well-being. Discover cutting-edge research, effective strategies, and practical methods for fostering mental well-being.
NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPT
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli.
It is a type of chronic obstructive
pulmonary disease.
It is a progressive disease of lungs.
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
Sexual Disorders.gender identity disorderspptx
Gender identity disorder, paraphilias , sexual dysfunction
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
This edition features a handful of Innovative Minds: France's Most Impactful Healthcare Leaders that are leading us into a better future.
National Rural Health Mission(NRHM).pptx
This document describes the NRHM Scheme, its goals, objectives, components, and new initiatives.
Data-Driven Dispensing- Rise of AI in Pharmacies.pdf
Imagine AI making your pharmacy experience smoother, safer, and more personalized.
Monopoly PCD Pharma Franchise in Tripura
Our company incorporates various drug formulations covering pharma tablets, syrups, capsules, gels, sachets, ointments, creams, injectables.
Recently uploaded (20)
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Hypertension and it's role of physiotherapy in it.
Hypertension and it's role of physiotherapy in it.
U Part Wigs_ A Natural Look with Minimal Effort Jokerwigs.in.pdf
U Part Wigs_ A Natural Look with Minimal Effort Jokerwigs.in.pdf
English Drug and Alcohol Commissioners June 2024.pptx
English Drug and Alcohol Commissioners June 2024.pptx
VEDANTA AIR AMBULANCE SERVICES IN REWA AT A COST-EFFECTIVE PRICE.pdf
VEDANTA AIR AMBULANCE SERVICES IN REWA AT A COST-EFFECTIVE PRICE.pdf
Friendly Massage in Ajman - Malayali Kerala Spa Ajman
Friendly Massage in Ajman - Malayali Kerala Spa Ajman
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
Data-Driven Dispensing- Rise of AI in Pharmacies.pdf
Data-Driven Dispensing- Rise of AI in Pharmacies.pdf