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Related Concept Videos

Infertility in Females01:28

Infertility in Females

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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.
Endometriosis, a condition characterized by abnormal growth of...
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In Vitro Fertilization01:24

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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.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
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Infertility in Males01:23

Infertility in Males

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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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Oogenesis02:07

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In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
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Outcomes for Female Physicians Compared With Nonphysicians After Assisted Reproductive Technology.

Anna C Vanderhoff1, Andrea Lanes, Rachel Herz-Roiphe

  • 1Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, and the Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts; the Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, and the Department of Obstetrics and Gynecology, New York University Langone Health, New York, New York; and the Division of Aerospace Medicine, San Antonio Military Medicine Center, Fort Sam Houston, Texas.

Obstetrics and Gynecology
|October 24, 2024
PubMed
Summary
This summary is machine-generated.

Female physicians and nonphysicians have similar outcomes after assisted reproductive technology (ART) cycles, including live-birth rates. Physicians achieved pregnancy slightly faster than nonphysicians in this study.

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Area of Science:

  • Reproductive Endocrinology
  • Clinical Obstetrics & Gynecology
  • Medical Professional Studies

Background:

  • Assisted reproductive technology (ART) is crucial for managing infertility.
  • Understanding outcomes in specific professional groups, like physicians, can inform patient counseling and resource allocation.
  • Previous research has not extensively compared ART outcomes between female physicians and the general patient population.

Purpose of the Study:

  • To compare live-birth rates and other key outcomes of ART between female physicians and nonphysician patients.
  • To investigate differences in implantation rates, early pregnancy loss, and time to pregnancy after ART.
  • To identify potential factors influencing ART success in female physicians.

Main Methods:

  • A retrospective cohort study analyzed data from 248 physician patients and 3,470 nonphysician patients undergoing ART.
  • The study included 10,095 fresh or frozen ART cycles from January 2015 to March 2022.
  • Outcomes such as live-birth rate, implantation rate, early pregnancy loss, and time to pregnancy were evaluated, with adjustments for confounders.

Main Results:

  • Physicians had similar live-birth rates (39.3% vs. 38.2%), implantation rates (34.7% vs. 33.7%), and early pregnancy loss rates (21.9% vs. 19.8%) compared to nonphysicians.
  • Physicians exhibited lower body mass index (BMI) and a higher utilization of preimplantation genetic testing for aneuploidy.
  • Female physicians achieved pregnancy slightly faster, with a shorter time from initial ART cycle to pregnancy (21.82 weeks vs. 25.16 weeks).

Conclusions:

  • Female physicians experience comparable ART cycle outcomes to nonphysician patients.
  • Physicians may conceive slightly more rapidly through assisted reproduction.
  • These findings suggest that professional status does not negatively impact ART success rates.