Medicine an Surgery notes

Apr 25th, 2015
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The Current Controversies andOpportunities in Reproductive MedicineLateef Akinola, PhD, MRCOG, MBAPost-CCT fellowDepartment of Obstetrics & GynaecologyQueens University HospitalRomford, EssexCurrent areas of controversiesHealth and safetyEthics & morality- eSET and eBlastocyst- Life style issues- Stimulation protocols- ICSI- PGD\PGS-Admix embryo & cloning(Designer babies)-Parental order surrogacy-Rights of same-sexcouples-Cross-borderreproductionReproductive endocrinology-PCOS:diagnosis, phenotypes,pathophysiologyHealth and safetye-SET and e-Blastocyst transferMultiple births - bane of IVFprivate paying patient- maximising livebirthssuccess rates eSET + FET comparable DETeBlastocyst transfer- betterINCREASEDImproved fundingimplement NICE guidelineREDUCEDMULTIPLE PREGNANCIESPERINATAL MORBIDITYPERINATAL MORTALITYHealthcare COSTSPREMATURITYMATERNAL RISKSPSYCHOLOGICAL EFFECTSPOSTCODE LOTTERYMinimal / Mild OR Conventional IVF: 7 oocytes/cycle affect oocyte/embryo quality Success rates comparableMILD IVFREDUCEDEXPENSESDRUG USAGECOMPLICATIONS - OHSSDISCOMFORTCANCELATIONSDEPRESSIONOPPORTUNITIESRESEARCHEgg /embryo QUALITIES Better DRUGS COH techniques Basic science ovarianresponseLife styleDEBATE: INCREASING TREND......age-related unexplained infertilityAssociated postpone

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