Article
Does fertility preservation in patients with breast cancer impact relapse rates and disease-specific mortality?
Evidence continues to support fertility preservation, with or without hormonal ovarian stimulation, in...
Opinion
Top 10 unproven infertility tests and treatments
Since the inception of in vitro fertilization itself, infertility patients have been subjected to many unproven tests and procedures that enter...
Opinion
BMI and reproduction – weighing the evidence
Female obesity is related to poorer outcomes in natural and assisted conception, including an increased risk of miscarriage.
Opinion
Endometriosis and infertility – Combining a chronic physical and emotional pain
The delay in promptly identifying endometriosis is further impaired by the lack of specific biomarkers, awareness, and inadequate evaluation.
Opinion
Precocious puberty – how early is too soon?
A thorough history (growth, headaches, behavior or visual change, seizures, abdominal pain), physical exam, including Tanner staging, and bone age...
Opinion
Müllerian anomalies – old problem, new approach and classification
A diagnosis of müllerian anomalies justifies a comprehensive consultation with the patient given the risk of pregnancy complications.
Opinion
Unraveling primary ovarian insufficiency
Unless there is an absolute contraindication, estrogen therapy should be prescribed to women with POI to reduce the risk of osteoporosis,...
Opinion
Fertility after tubal ligation – It’s a matter of ‘AGE’
To compare tubal reanastomosis with IVF, a retrospective cohort study of 163 patients demonstrated the cumulative delivery rate over 72 months was...
Opinion
Hyperprolactinemia – When, why, and how to evaluate prolactin
Like the management of thyroid dysfunction, our field must be aware of prolactin disorders for early detection, prompt referral, and appropriate...
Opinion
Treating unexplained infertility – avoiding trial and error
The first-line treatment of unexplained infertility is clomiphene citrate with intrauterine insemination.
Opinion
The male biological clock – How to tell the time
For all ages, studies have suggested that elevated male body mass index as well as alcohol consumption and cigarette smoking, including e-...
Audio
Optimizing thyroid management in reproduction
For now, it is reasonable to obtain a serum TSH on all women desiring fertility, to treat SCH with levothyroxine to maintain TSH <2.5 mIU/L in...
Opinion
Fibroids: Is surgery the only management approach?
The current literature cannot conclude that fibroids reduce the likelihood of achieving pregnancy with or without fertility treatment based on a...
Opinion
Polycystic ovary syndrome: It’s not just about fertility
PCOS is not “just about fertility” but has extensive gynecologic and metabolic consequences that require a personalized approach to care.
Opinion
Preimplantation genetic testing for aneuploidy
Where does preimplantation genetic testing belong in the IVF armamentarium and why, after 30 years, are there two diametrically opposed views on...