How to recognize PCOS: results of a web-based survey at IVF-worldwide.com.

This retrospective evaluation of a web-based survey posted from 1 to 30 September 2010 was to determine which diagnostic tools physicians are currently utilizing to diagnose polycystic ovary syndrome (PCOS). Responses from 262 IVF centres in 68 countries are included in the study. Providers used various diagnostic criteria to diagnose PCOS, including the Rotterdam criteria (82%), National Institutes of Health criteria (8%), Androgen Excess Society 2006 criteria (3%) and other classification systems (7%).

The impact of luteal phase support on endometrial estrogen and progesterone receptor expression: a randomized control trial.

Background: To assess the impact of luteal phase support on the expression of estrogen receptor (ER) alpha and progesterone receptors B (PR-B) on the endometrium of oocyte donors undergoing controlled ovarian hyperstimulation (COH).

Methods: A prospective, randomized study was conducted in women undergoing controlled ovarian hyperstimulation for oocyte donation. Participants were randomized to receive no luteal support, vaginal progesterone alone, or vaginal progesterone plus orally administered 17 Beta estradiol.

A modern trends retrospective.

Editorship of the Modern Trends section has been a great ride. The section raised the level of interest and readership of Fertility and Sterility, while providing important, up-to-date material for students, scientists and practitioners.

Pelvic pain and surgeries in women before interstitial cystitis/painful bladder syndrome.

Objective: The objective of the study was to compare subjects with interstitial cystitis/painful bladder syndrome (IC/PBS) with controls on prior surgeries.

Study Design: IC/PBS subjects were compared with matched controls on surgeries and possible surgical indications prior to their index dates.

Results: Adjusted for demographic variables, logistic regression showed subjects exceeded controls in surgeries longer than 12 months and less than 1 month before the index date.

Effects of utero-ovarian anastomoses on basal follicle-stimulating hormone level change after uterine artery embolization with tris-acryl gelatin microspheres.

Purpose: To assess the prevalence of anastomoses between uterine and ovarian arteries on angiography and their impact on changes in basal follicle-stimulating hormone (FSH) level after uterine artery embolization (UAE).

Materials And Methods: Consecutive premenopausal women who underwent UAE for symptomatic uterine leiomyomata according to a uniform embolization technique with tris-acryl gelatin microspheres at a single institution were included in the study. Basal FSH levels before UAE and 6 months after UAE were compared for patients with and without anastomoses between uterine and ovarian arteries on angiography.

Effects of utero-ovarian anastomoses on clinical outcomes and repeat intervention rates after uterine artery embolization.

Purpose: To assess the prevalence of anastomoses between uterine and ovarian arteries on angiography and their association with clinical outcome after uterine artery embolization (UAE).

Materials And Methods: Consecutive patients who underwent UAE for symptomatic uterine leiomyomata according to a uniform embolization technique by a single operator at a single institution were included in the study. Patients' angiographic images, pre- and postoperative magnetic resonance (MR) images, and clinical symptom evaluations were reviewed.

The social implications of embryo cryopreservation.

Objective: To summarize the existing literature regarding the social implications of embryo cryopreservation and outline areas in need of further study.

Result(s): The potential social impact of oocyte cryopreservation has not been investigated. Embryo cryopreservation has been increasingly used to improve the cost-effectiveness of in vitro fertilization (IVF) and expand the options available to infertile couples, yet its widespread adoption has occurred more rapidly than our ability to study the social consequences for the couples and health professionals involved.

Women with ovulatory dysfunction undergoing ovarian stimulation with clomiphene citrate for intrauterine insemination may benefit from administration of human chorionic gonadotropin.

Objective: To investigate factors that may affect pregnancy outcome following ovarian stimulation with clomiphene citrate (CC) combined with intrauterine insemination (IUI).

Design: Retrospective cohort study.

Setting: University teaching hospital.

Uterine myomas: an overview of development, clinical features, and management.

Objective: To review the biology and the pathophysiology of uterine myomas, focus on options for management, and emphasize principles that will render the decision-making process as logical as possible.

Design: Literature review and synthesis of the authors' experience and philosophy.

Results: Uterine myomas are the most common solid pelvic tumors in women.

Impact of semen characteristics on the success of intrauterine insemination.

Purpose: To evaluate the influence of sperm characteristics on the outcome of infertility treatment using intrauterine insemination (IUI).

Methods: Retrospective study of 431 infertility couples who underwent 1007 IUI treatment cycles from June 1999 to October 2002. Sperm parameters before and after preparation for IUI were evaluated and correlated with pregnancy outcome.

Clinical outcome of using ganirelix acetate versus a 4-day follicular phase leuprolide acetate protocol in unselected women undergoing in vitro fertilization.

Objective: To compare the clinical outcome of controlled ovarian hyperstimulation (COH) in unselected patients undergoing IVF using multidose ganirelix acetate versus 4 days of administration of leuprolide acetate.

Design: Retrospective cohort study.

Setting: A fertility and IVF center.