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Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
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Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
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In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
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Fertility Preservation Through Oocyte Vitrification: Clinical and Laboratory Perspectives
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Top 10 priorities for future infertility research: an international consensus development study†  ‡.

J M N Duffy1,2, G D Adamson3, E Benson4

  • 1King's Fertility, Fetal Medicine Research Institute, London, UK.

Human Reproduction (Oxford, England)
|November 30, 2020
PubMed
Summary

Future infertility research priorities were identified through international surveys and consensus meetings. These priorities address key areas including male and female infertility, assisted reproduction, and care access, guiding future research agendas.

Keywords:
Consensus science methodsinfertilitymodified Delphi methodmodified Nominal Group Techniquereproductive medicineresearch priorities

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Area of Science:

  • Reproductive Medicine and Endocrinology
  • Public Health and Healthcare Policy

Background:

  • Numerous unanswered questions in infertility prevention, management, and consequences hinder improved patient care.
  • A significant gap exists in understanding and addressing the multifaceted aspects of fertility challenges.

Purpose of the Study:

  • To identify and prioritize future research needs in the field of infertility.
  • To establish a consensus-driven agenda for research in male infertility, female/unexplained infertility, medically assisted reproduction, and ethics/access to care.

Main Methods:

  • A multi-stage process involving international surveys, systematic reviews of guidelines, and consensus development meetings.
  • Utilized the modified nominal group technique with diverse stakeholders, including patients, healthcare professionals, and funders.
  • Data collated from 388 participants (initial survey) and 317 respondents (interim survey), culminating in a consensus meeting of 41 international participants.

Main Results:

  • Identified the top 10 research priorities across four key areas: male infertility, female and unexplained infertility, medically assisted reproduction, and ethics/access to care.
  • Priorities encompass prevention, treatment, and the longer-term impact of infertility, including psychological aspects and access in low-resource settings.
  • Highlighted the need for diverse research methodologies, from laboratory science to qualitative and quantitative population studies.

Conclusions:

  • The identified research priorities represent critical clinical needs as perceived by a broad range of stakeholders.
  • This consensus-driven agenda is expected to guide research funding organizations and researchers in shaping future infertility research.
  • Addressing these priorities will advance the field and improve care for individuals experiencing fertility problems.