Heterotopic Triplet Pregnancy in Gonadotropin Stimulation Cycle: A Case Report.

Background: Heterotopic pregnancy is defined as the simultaneous presence of 2 or more pregnancies at different implantation sites, most commonly one intrauterine and one ectopic. Triplet heterotopic pregnancy refers to the presence of specifically 3 concurrent gestations with at least 1 being abnormally implanted. Heterotopic pregnancy is a potentially life-threatening condition that requires thorough diagnostic workup and prompt intervention.

SGI 2012: what's new in obstetrics/gynecology and reproductive medicine: an update from the Society for Gynecologic Investigation.

The Society for Gynecologic Investigation (SGI) hosted its 59th Annual Meeting in San Diego (CA, USA) on 21-24 March 2012. The program attracted 1313 attendees, 918 from the USA and Canada and 395 from the rest of the world. The event was hosted by the SGI president Stephen J Lye and the program director Stephen Matthews.

Physicians' perspectives and practices regarding the fertility management of obese patients.

To assess the practice patterns and personal beliefs of fertility physicians who care for obese patients seeking assisted reproduction, we conducted a national survey of fertility program directors from both private and academic practices and discovered that although few practices have firm guidelines regarding the management of obese patients, the overwhelming majority of providers believe that body mass index guidelines or cutoffs should exist.

Poor success of gonadotropin-induced controlled ovarian hyperstimulation and intrauterine insemination for older women.

Objective: To determine the success rates and utility of controlled ovarian hyperstimulation in conjunction with intrauterine insemination (COH/IUI) cycles in women aged 38-39 years versus women >or=40 years old.

Design: Retrospective cohort study.

Setting: Tertiary-care academic medical center.

Ultrasonographer experience does not impact outcomes following ultrasound-guided embryo transfer.

Objective: To determine the effect of sonographer experience during ultrasound guided embryo transfer on pregnancy outcomes.

Design: Retrospective chart review.

Setting: A university-based academic practice.

Fertility and the aging male.

In the United States since 1980, the birth rate in women aged > 35 years has increased by nearly 60%, whereas the birth rate for women aged 20 to 34 years has increased by only 10%. The trend in parenthood at an older age has also been seen in men. Since 1980, the fertility rate for men in their 30s has increased by 21% and for men aged 40 years and older, the rate has increased nearly 30%.