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Cochrane subfertility

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https://www.readbyqxmd.com/read/27852101/human-chorionic-gonadotrophin-priming-for-fertility-treatment-with-in-vitro-maturation
#1
REVIEW
Jane Reavey, Katy Vincent, Timothy Child, Ingrid E Granne
BACKGROUND: In vitro maturation (IVM) is a fertility treatment that involves the transvaginal retrieval of immature oocytes, and their subsequent maturation and fertilisation. Although the live birth rate is lower than conventional in vitro fertilisation (IVF) with ovarian stimulation, it is a useful treatment, as it avoids the risk of ovarian hyperstimulation syndrome (OHSS). Women with polycystic ovaries (PCO) or polycystic ovarian syndrome (PCOS) are at an increased risk of OHSS. Thus, IVM may be a more useful treatment in this patient group...
November 16, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27731904/chinese-herbal-medicine-for-subfertile-women-with-polycystic-ovarian-syndrome
#2
REVIEW
Kunyan Zhou, Jing Zhang, Liangzhi Xu, Taixiang Wu, Chi Eung Danforn Lim
BACKGROUND: Polycystic ovarian syndrome (PCOS) is one of the most common reproductive endocrinology abnormalities, and affects 5% to 10% of women of reproductive age. Western medicines, such as oral contraceptives, insulin sensitizers and laparoscopic ovarian drilling (LOD), have been used to treat PCOS. Recently, many studies have been published that consider Chinese herbal medicine (CHM) as an alternative treatment for women with PCOS. OBJECTIVES: To assess the efficacy and safety of CHM for subfertile women with PCOS...
October 12, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27664205/iui-and-ivf-for-unexplained-subfertility-where-did-we-go-wrong
#3
R I Tjon-Kon-Fat, A J Bensdorp, I Scholten, S Repping, M van Wely, B W J Mol, F van der Veen
IUI is a first-line treatment for couples with unexplained or mild male subfertility and has become one of the most widely used fertility-enhancing treatments. The results of a recent trial comparing IVF to IUI, demonstrating similar live birth rates, have been used to build a case supporting the effectiveness of IUI. Yet, this conclusion might be somewhat premature, as the superiority of neither IUI nor IVF over no treatment has ever been proven. The evidence on the effectiveness and safety of IUI and IVF has been evaluated in two Cochrane reviews which both suggested that there is insufficient evidence to conclude that IUI or IVF is effective compared to sexual intercourse in couples with unexplained subfertility...
September 22, 2016: Human Reproduction
https://www.readbyqxmd.com/read/27622779/there-were-large-discrepancies-in-risk-of-bias-tool-judgements-when-a-randomized-controlled-trial-appeared-in-more-than-one-systematic-review
#4
V M B Jordan, S F Lensen, C M Farquhar
OBJECTIVE: To assess the consistency in risk of bias (RoB) judgements across Cochrane reviews for studies appearing in more than one Cochrane review in the field of subfertility STUDY DESIGN AND SETTING: We retrieved any study that had been used more than once in systematic reviews present on the Cochrane Database of Systematic Reviews in the area of subfertility. We then retrieved the recorded risk of bias assessments for these studies and looked at the consistency of judgements made between different authoring teams on the same trials...
September 10, 2016: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/27393283/laparoscopic-imaging-techniques-in-endometriosis-therapy-a%C3%A2-systematic-review
#5
REVIEW
Stijn L Vlek, M C I Lier, M Ankersmit, Johannes C F Ket, J J M L Dekker, V Mijatovic, J B Tuynman
Endometriosis is a common disease associated with pelvic pain and subfertility. Laparoscopic surgical treatment has proven effective in endometriosis, but is hampered by a high rate of recurrence. The aim of this systematic review was to evaluate the intraoperative identification of endometriosis by enhanced laparoscopic imaging techniques, focusing on sensitivity and specificity. A systematic review was conducted according to PRISMA guidelines in PubMed, Embase, Cochrane Library, and Web of Science. Published prospective studies reporting on enhanced laparoscopic imaging techniques during endometriosis surgery were included...
September 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27296541/endometrial-injury-for-pregnancy-following-sexual-intercourse-or-intrauterine-insemination
#6
REVIEW
Sarah F Lensen, Marlies Manders, Carolina O Nastri, Ahmed Gibreel, Wellington P Martins, Gabriella E Templer, Cindy Farquhar
BACKGROUND: Intentional endometrial injury is currently being proposed as a technique to improve the probability of pregnancy in women undergoing assisted reproductive technologies (ART) such as in vitro fertilisation (IVF). Endometrial injury is often performed by pipelle biopsy or a similar technique, and is a common, simple, gynaecological procedure that has an established safety profile. However, it is also known to be associated with a moderate degree of discomfort/pain and requires an additional pelvic examination...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27261985/osteopathic-manipulative-treatment-in-gynecology-and-obstetrics-a-systematic-review
#7
REVIEW
Nuria Ruffini, Giandomenico D'Alessandro, Lucia Cardinali, Franco Frondaroli, Francesco Cerritelli
OBJECTIVE: The aim of the review was to evaluate the effects of the osteopathic manipulative treatment (OMT) on women with gynaecological and obstetric disorders. MATERIALS AND METHODS: An extensive search from inception to April 2014 was conducted on MEDLINE, Embase, the Cochrane library using MeSH and free terms. Clinical studies investigating the effect of OMT in gynaecologic and obstetric conditions were included as well as unpublished works. Reviews and personal contributions were excluded...
June 2016: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/27195724/intrauterine-administration-of-human-chorionic-gonadotropin-hcg-for-subfertile-women-undergoing-assisted-reproduction
#8
REVIEW
Laurentiu Craciunas, Nikolaos Tsampras, Arri Coomarasamy, Nick Raine-Fenning
BACKGROUND: Subfertility affects 15% of couples and represents the inability to conceive naturally following 12 months of regular unprotected sexual intercourse. Assisted reproduction refers to procedures involving the in vitro handling of both human gametes and represents a key option for many subfertile couples. Most women undergoing assisted reproduction treatment will reach the stage of embryo transfer (ET) but the proportion of embryos that successfully implant following ET has remained small since the mid-1990s...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27132058/blood-biomarkers-for-the-non-invasive-diagnosis-of-endometriosis
#9
REVIEW
Vicki Nisenblat, Patrick M M Bossuyt, Rabia Shaikh, Cindy Farquhar, Vanessa Jordan, Carola S Scheffers, Ben Willem J Mol, Neil Johnson, M Louise Hull
BACKGROUND: About 10% of reproductive-aged women suffer from endometriosis, a costly chronic disease causing pelvic pain and subfertility. Laparoscopy is the gold standard diagnostic test for endometriosis, but is expensive and carries surgical risks. Currently, there are no non-invasive or minimally invasive tests available in clinical practice to accurately diagnose endometriosis. Although other reviews have assessed the ability of blood tests to diagnose endometriosis, this is the first review to use Cochrane methods, providing an update on the rapidly expanding literature in this field...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27126581/gonadotrophin-releasing-hormone-antagonists-for-assisted-reproductive-technology
#10
REVIEW
Hesham G Al-Inany, Mohamed A Youssef, Reuben Olugbenga Ayeleke, Julie Brown, Wai Sun Lam, Frank J Broekmans
BACKGROUND: Gonadotrophin-releasing hormone (GnRH) antagonists can be used to prevent a luteinizing hormone (LH) surge during controlled ovarian hyperstimulation (COH) without the hypo-oestrogenic side-effects, flare-up, or long down-regulation period associated with agonists. The antagonists directly and rapidly inhibit gonadotrophin release within several hours through competitive binding to pituitary GnRH receptors. This property allows their use at any time during the follicular phase...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27106604/recombinant-versus-urinary-human-chorionic-gonadotrophin-for-final-oocyte-maturation-triggering-in-ivf-and-icsi-cycles
#11
REVIEW
Mohamed A Youssef, Ahmed M Abou-Setta, Wai Sun Lam
BACKGROUND: For the last few decades urinary human chorionic gonadotrophin (uhCG) has been used to trigger final oocyte maturation in cycles of in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). Recombinant technology has allowed the production of two drugs, recombinant human chorionic gonadotrophin (rhCG) and recombinant luteinising hormone (rLH), that can be used for the same purpose, to mimic the endogenous luteinising hormone (LH) surge. This allows commercial manufacturers to adjust production according to market requirements and to remove all urinary contaminants, facilitating the safe subcutaneous administration of a compound with less batch-to-batch variation...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27094925/endometrial-biomarkers-for-the-non-invasive-diagnosis-of-endometriosis
#12
REVIEW
Devashana Gupta, M Louise Hull, Ian Fraser, Laura Miller, Patrick M M Bossuyt, Neil Johnson, Vicki Nisenblat
BACKGROUND: About 10% of reproductive-aged women suffer from endometriosis, which is a costly, chronic disease that causes pelvic pain and subfertility. Laparoscopy is the gold standard diagnostic test for endometriosis, but it is expensive and carries surgical risks. Currently, there are no non-invasive tests available in clinical practice that accurately diagnose endometriosis. This is the first diagnostic test accuracy review of endometrial biomarkers for endometriosis that utilises Cochrane methodologies, providing an update on the rapidly expanding literature in this field...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27087494/acupuncture-for-dysmenorrhoea
#13
REVIEW
Caroline A Smith, Mike Armour, Xiaoshu Zhu, Xun Li, Zhi Yong Lu, Jing Song
BACKGROUND: Primary dysmenorrhoea is the most common form of period pain and affects up to three-quarters of women at some stage of their reproductive life. Primary dysmenorrhoea is pain in the absence of any organic cause and is characterised by cramping pain in the lower abdomen, starting within the first eight to 72 hours of menstruation.This review examines the currently available evidence supporting the use of acupuncture (stimulation of points on the body using needles) and acupressure (stimulation of points on the body using pressure) to treat primary dysmenorrhoea...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27031818/psychological-and-educational-interventions-for-subfertile-men-and-women
#14
REVIEW
Jolijn Verkuijlen, Christianne Verhaak, Willianne L D M Nelen, Jack Wilkinson, Cindy Farquhar
BACKGROUND: Approximately one-fifth of all subfertile couples seeking fertility treatment show clinically relevant levels of anxiety, depression, or distress. Psychological and educational interventions are frequently offered to subfertile couples, but their effectiveness, both in improving mental health and pregnancy rates, is unclear. OBJECTIVES: To assess the effectiveness of psychological and educational interventions for subfertile couples on psychological and fertility treatment outcomes...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26984837/acupuncture-for-treating-polycystic-ovary-syndrome-guidance-for-future-randomized-controlled-trials
#15
Yan Wu, Nicola Robinson, Paul J Hardiman, Malcolm B Taw, Jue Zhou, Fang-fang Wang, Fan Qu
OBJECTIVE: To provide guidance for future randomized controlled trials (RCTs) based on a review concerning acupuncture for treating polycystic ovary syndrome (PCOS). METHODS: A comprehensive literature search was conducted in October 2015 using MEDLINE, EMBASE, SCISEARCH, Cumulative Index to Nursing and Allied Health Literature, the Cochrane Menstrual Disorders and Subfertility Group trials register, Allied and Complementary Medicine (AMED), China National Knowledge Infrastructure (CNKI), and the Wanfang databases...
March 2016: Journal of Zhejiang University. Science. B
https://www.readbyqxmd.com/read/26919512/imaging-modalities-for-the-non-invasive-diagnosis-of-endometriosis
#16
REVIEW
Vicki Nisenblat, Patrick M M Bossuyt, Cindy Farquhar, Neil Johnson, M Louise Hull
BACKGROUND: About 10% of women of reproductive age suffer from endometriosis. Endometriosis is a costly chronic disease that causes pelvic pain and subfertility. Laparoscopy, the gold standard diagnostic test for endometriosis, is expensive and carries surgical risks. Currently, no non-invasive tests that can be used to accurately diagnose endometriosis are available in clinical practice. This is the first review of diagnostic test accuracy of imaging tests for endometriosis that uses Cochrane methods to provide an update on the rapidly expanding literature in this field...
February 26, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26915339/assisted-reproductive-technologies-for-male-subfertility
#17
REVIEW
Maartje Cissen, Alexandra Bensdorp, Ben J Cohlen, Sjoerd Repping, Jan Peter de Bruin, Madelon van Wely
BACKGROUND: Intra-uterine insemination (IUI), in vitro fertilisation (IVF) and intracytoplasmic sperm injection (ICSI) are frequently used fertility treatments for couples with male subfertility. The use of these treatments has been subject of discussion. Knowledge on the effectiveness of fertility treatments for male subfertility with different grades of severity is limited. Possibly, couples are exposed to unnecessary or ineffective treatments on a large scale. OBJECTIVES: To evaluate the effectiveness and safety of different fertility treatments (expectant management, timed intercourse (TI), IUI, IVF and ICSI) for couples whose subfertility appears to be due to abnormal sperm parameters...
February 26, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26892070/intra-uterine-insemination-for-unexplained-subfertility
#18
REVIEW
Susanne M Veltman-Verhulst, Edward Hughes, Reuben Olugbenga Ayeleke, Ben J Cohlen
BACKGROUND: Intra-uterine insemination (IUI) is a widely used fertility treatment for couples with unexplained subfertility. Although IUI is less invasive and less expensive thAppendixan in vitro fertilisation (IVF), the safety of IUI in combination with ovarian hyperstimulation (OH) is debated. The main concern about IUI treatment with OH is the increase in multiple pregnancy rate. This is an update of a Cochrane review (Veltman-Verhulst 2012) originally published in 2006 and updated in 2012...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26676093/trocar-types-in-laparoscopy
#19
REVIEW
Claire F la Chapelle, Hilko A Swank, Monique E Wessels, Ben Willem J Mol, Sidney M Rubinstein, Frank Willem Jansen
BACKGROUND: Laparoscopic surgery has led to great clinical improvements in many fields of surgery; however, it requires the use of trocars, which may lead to complications as well as postoperative pain. The complications include intra-abdominal vascular and visceral injury, trocar site bleeding, herniation and infection. Many of these are extremely rare, such as vascular and visceral injury, but may be life-threatening; therefore, it is important to determine how these types of complications may be prevented...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26649916/levonorgestrel-intrauterine-system-for-endometrial-protection-in-women-with-breast-cancer-on-adjuvant-tamoxifen
#20
REVIEW
Sally Dominick, Martha Hickey, Jason Chin, H Irene Su
BACKGROUND: Adjuvant tamoxifen reduces the risk of breast cancer recurrence in women with oestrogen receptor-positive breast cancer. Tamoxifen also increases the risk of postmenopausal bleeding, endometrial polyps, hyperplasia, and endometrial cancer. The levonorgestrel-releasing intrauterine system (LNG-IUS) causes profound endometrial suppression. This systematic review considered the evidence that the LNG-IUS prevents the development of endometrial pathology in women taking tamoxifen as adjuvant endocrine therapy for breast cancer...
December 9, 2015: Cochrane Database of Systematic Reviews
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