By Victor Y. Fujimoto, Linda C. Giudice, V.Y. Fujimoto, L.C. Giudice (auth.), Bradley J. Voorhis, Peter N. Schlegel, Catherine Racowsky, Douglas T. Carrell (eds.)
Infertility is a common clinical situation. As new applied sciences emerge, the speed at which our realizing of reproductive drugs grows should be overwhelming. The Biennial evaluation of Infertility presents the hottest advances, rules, and controversies jointly in a single quantity. as a result distinct nature of infertility, a panel of well-respected specialists strives to give each one bankruptcy in a transparent demeanour, particularly fascinated about evidence-based drugs. The Biennial assessment of Infertility offers a balanced view of clinically appropriate latest details for the evolving parts. Created to supply an ongoing appraisal of present wisdom, the Biennial evaluation of Infertility motivates communique among all these operating to aid unravel their infertility.
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Additional info for Biennial Review of Infertility: Volume 1
However, concerns have been raised about using these procedures for women who would like to become pregnant. Further studies are needed to evaluate the risks and benefits compared to standard treatment options. M. edu (1, 2). Common symptoms are related to the number and size of the myomas, as well as their location in the uterus, and include pressure, discomfort, excess bleeding, urinary frequency, or retention and constipation. Myomas have also been implicated as a cause of infertility and pregnancy loss.
Hum Reprod Update 2007;13:527–37. Legro RS, Barnhart HX, Schlaff WD, Carr BR, Diamond MP, Carson SA et al. Clomiphene, metformin, or both for infertility in the polycystic ovary syndrome. N Engl J Med 2007;356:551–66. Cataldo NA, Barnhart HX, Legro RS, Myers ER, Schlaff WD, Carr BR et al. Extended-release metformin does not reduce the clomiphene citrate dose required to induce ovulation in polycystic ovary syndrome. J Clin Endocrinol Metab 2008;93:3124–7. Sills ES, Perloe M, Palermo GD. Correction of hyperinsulinemia in oligoovulatory women with clomiphene-resistant polycystic ovary syndrome: a review of therapeutic rationale and reproductive outcomes.
There are no prospective randomized, controlled studies comparing the rate of adhesion formation after laparoscopic compared to abdominal myomectomy. Adhesion rate following abdominal myomectomy has been reported to be 80–100% (26–28), with the highest 31 rate of bowel and adnexal adhesions seen with a posterior incision on the uterus (26). Several case series have evaluated adhesion formation following laparoscopic myomectomy by second-look laparoscopy. These studies have, in general, shown adhesion formation to be lower than described with abdominal myomectomy.