Effective use of assisted reproduction

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Subfertility affects one in seven couples in the western world. Although the availability of assisted reproduction has changed the outlook for many childless couples, the procedures themselves have far-reaching implications in terms of invasiveness, acceptability and cost. There is now greater awareness that effective care involves using treatments that combine efficacy, appropriateness and efficiency with safety. Randomized trials addressing assisted reproduction are few and generally tend to suffer from a number of methodological inadequacies. Although IVF continues to be the treatment of choice for couples with persistent infertility, there is currently insufficient evidence from trial data to indicate that IVF is more effective than the other treatment options available for unexplained infertility. Intracytoplasmic sperm injection is beneficial in severe male factor infertility but is not warranted in other situations. There is an urgent need to focus on developing strategies to improve success rates of assisted reproduction and minimize the side-effects such as ovarian hyperstimulation and multiple pregnancy. Multiple pregnancy is the most common major complication of IVF and has a profound effect on maternal and neonatal morbidity as well as health service costs.
Original languageEnglish
Pages (from-to)S60-62
Number of pages3
JournalHuman Fertility
Volume6
Issue number2 Suppl
DOIs
Publication statusPublished - 2003

Fingerprint

Infertility
Reproduction
Multiple Pregnancy
Western World
Intracytoplasmic Sperm Injections
Male Infertility
Health Care Costs
Health Services
Mothers
Morbidity
Safety
Costs and Cost Analysis
Therapeutics

Cite this

Effective use of assisted reproduction. / Bhattacharya, Siladitya.

In: Human Fertility, Vol. 6, No. 2 Suppl, 2003, p. S60-62.

Research output: Contribution to journalArticle

Bhattacharya, Siladitya. / Effective use of assisted reproduction. In: Human Fertility. 2003 ; Vol. 6, No. 2 Suppl. pp. S60-62.
@article{92708a2dcac6429da60fa0d493f1d2a5,
title = "Effective use of assisted reproduction",
abstract = "Subfertility affects one in seven couples in the western world. Although the availability of assisted reproduction has changed the outlook for many childless couples, the procedures themselves have far-reaching implications in terms of invasiveness, acceptability and cost. There is now greater awareness that effective care involves using treatments that combine efficacy, appropriateness and efficiency with safety. Randomized trials addressing assisted reproduction are few and generally tend to suffer from a number of methodological inadequacies. Although IVF continues to be the treatment of choice for couples with persistent infertility, there is currently insufficient evidence from trial data to indicate that IVF is more effective than the other treatment options available for unexplained infertility. Intracytoplasmic sperm injection is beneficial in severe male factor infertility but is not warranted in other situations. There is an urgent need to focus on developing strategies to improve success rates of assisted reproduction and minimize the side-effects such as ovarian hyperstimulation and multiple pregnancy. Multiple pregnancy is the most common major complication of IVF and has a profound effect on maternal and neonatal morbidity as well as health service costs.",
author = "Siladitya Bhattacharya",
year = "2003",
doi = "10.1080/1464770312331369283",
language = "English",
volume = "6",
pages = "S60--62",
journal = "Human Fertility",
issn = "1464-7273",
publisher = "Informa Healthcare",
number = "2 Suppl",

}

TY - JOUR

T1 - Effective use of assisted reproduction

AU - Bhattacharya, Siladitya

PY - 2003

Y1 - 2003

N2 - Subfertility affects one in seven couples in the western world. Although the availability of assisted reproduction has changed the outlook for many childless couples, the procedures themselves have far-reaching implications in terms of invasiveness, acceptability and cost. There is now greater awareness that effective care involves using treatments that combine efficacy, appropriateness and efficiency with safety. Randomized trials addressing assisted reproduction are few and generally tend to suffer from a number of methodological inadequacies. Although IVF continues to be the treatment of choice for couples with persistent infertility, there is currently insufficient evidence from trial data to indicate that IVF is more effective than the other treatment options available for unexplained infertility. Intracytoplasmic sperm injection is beneficial in severe male factor infertility but is not warranted in other situations. There is an urgent need to focus on developing strategies to improve success rates of assisted reproduction and minimize the side-effects such as ovarian hyperstimulation and multiple pregnancy. Multiple pregnancy is the most common major complication of IVF and has a profound effect on maternal and neonatal morbidity as well as health service costs.

AB - Subfertility affects one in seven couples in the western world. Although the availability of assisted reproduction has changed the outlook for many childless couples, the procedures themselves have far-reaching implications in terms of invasiveness, acceptability and cost. There is now greater awareness that effective care involves using treatments that combine efficacy, appropriateness and efficiency with safety. Randomized trials addressing assisted reproduction are few and generally tend to suffer from a number of methodological inadequacies. Although IVF continues to be the treatment of choice for couples with persistent infertility, there is currently insufficient evidence from trial data to indicate that IVF is more effective than the other treatment options available for unexplained infertility. Intracytoplasmic sperm injection is beneficial in severe male factor infertility but is not warranted in other situations. There is an urgent need to focus on developing strategies to improve success rates of assisted reproduction and minimize the side-effects such as ovarian hyperstimulation and multiple pregnancy. Multiple pregnancy is the most common major complication of IVF and has a profound effect on maternal and neonatal morbidity as well as health service costs.

U2 - 10.1080/1464770312331369283

DO - 10.1080/1464770312331369283

M3 - Article

VL - 6

SP - S60-62

JO - Human Fertility

JF - Human Fertility

SN - 1464-7273

IS - 2 Suppl

ER -