Apr 30

Multiple births: Risks, rewards and reality

By Geri K. Metzger, Staff Writer, myOptumHealth

Fertility treatments, such as in vitro fertilization (IVF), have made possible the gift of children for many people not able to conceive on their own. But as with many medical advances, there comes a delicate balance of risk to reward.

With IVF, women have a much higher risk (1 in 3) of having multiple births – twins, triplets or even more babies. For an infertile couple, the choice of more babies versus no babies may seem like a slam dunk.

But there’s a down side. Doctors know firsthand the toll of difficult pregnancies, problem births and babies struggling with multiple complications.

For this reason, the American Society for Reproductive Medicine (ASRM) recommends that doctors work with women to transfer the fewest number of embryos for the highest likelihood of pregnancy. For a woman under 35 who has good chances of a pregnancy developing, the guideline is to transplant only one embryo. Continue reading »

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Apr 27

If going through infertility wasn’t enough, now a clinic used wrong sperm.  My heart goes out to the individuals this happened to.

A TOP fertility clinic used the wrong sperm to fertilize eggs on at least THREE occasions earlier this year.The Sun – London,UK

Embryos belonging to the couples, who were being treated at Guy’s and St Thomas’ Hospital, had to be destroyed and their treatment cycles abandoned.

The blunder was discovered because one of the couples was also undergoing PGD – screening to ensure their child would not carry a life-limiting gene defect.

Doctors checking the embryos for gene faults realised they could not have been produced using sperm and eggs from the couple named on paperwork. The other mistakes emerged when worried staff then ran checks on all embryos created the same day.

Danger

But fertility watchdogs have known since 2006 that slack laboratory rules meant there was a danger eggs could be fertilised with the wrong sperm.

In December 2006 HFEA inspectors raised concerns about sperm samples for more than one patient being in the lab when samples were being processed.

Guy’s & St Thomas’ IVF unit … warnings

Fertility expert Lord Winston said he was shocked that more than one sample was in the lab at any time.

“We never, never did that when I was working at Hammersmith.

The HFEA asked for a risk assessment, but did not impose any conditions on the clinic’s licence ordering doctors to tighten up their procedures.

But an inspection carried out in February 2008 revealed the clinic was still in danger of using the wrong sperm to fertilize eggs.

Inspectors noted: “The centre employs the practice of having all unprocessed sperm samples in the work area at one time.”

It added, this was “not compliant” with HFEA rules, but it went ahead and renewed the hospital’s licence without imposing any additional conditions.

Lord Winston said: “It’s a horrifying thing to happen once, you would have thought if it had happened before they would be absolutely scrupulous about making sure it didn’t happen again.”

Josephine Quintavalle of the campaign group Comment on Reproductive Ethics said: “The casualness is just dreadful.

“We don’t even know if this is just the tip of the iceberg.”

The HFEA says it hopes to issue a statement tomorrow on the blunder and its role in monitoring the clinic.

A spokeswoman for the Guy’s and St Thomas’ said the hospital was introducing electronic tagging of sperm, eggs and embryo to beef up controls.

Apr 21

Infertility Specialist Todd Deutch, MD joins Advanced Fertility……
PR WEB (press release)-Ferndale, WA, USA
Reproductive endocrinologist and three-dimensional ultrasound specialist Todd Deutch, MD, is joining Richard Sherbahn, MD, at the Advanced Fertility Center of Chicago, with offices in Gurnee and Crystal Lake, Ill.

The Advanced Fertility Center of Chicago, with offices in Gurnee and Crystal Lake, Ill., offers advanced reproductive technology services such as in-vitro fertilization (IVF), intracytoplasmic sperm injection and egg donation. The Center specializes in individualized care, and enjoys IVF success rates consistently higher than the national average. Its highly successful egg donation program has egg donors available immediately, with no third-party egg donor agency needed.

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