Purpose Of Review: Traditionally, ovarian stimulation for IVF/intracytoplasmic sperm injection is performed by healthcare professionals, requiring the patient to make frequent visits to these centres. We describe the rationale, research findings and early clinical experience with home-based sonography for IVF patients.
Recent Findings: Published experience indicates that selected patients are able to procure video sequences themselves; they value the empowerment, discretion and decreased stress involved in these visits; partner involvement increases as well.
Summary: Experience is still limited but consistently indicate patients' willingness and competence to procure sonograms; home sonography is positive from the patients' perspective but may be disruptive form the healthcare provider's point of view.
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| http://dx.doi.org/10.1097/GCO.0000000000000363 | DOI Listing |
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Telemonitoring in IVF/ICSI.
Curr Opin Obstet Gynecol
June 2017
Centre for Reproductive Medicine, University Hospital Ghent, Ghent, Belgium.
Purpose Of Review: Traditionally, ovarian stimulation for IVF/intracytoplasmic sperm injection is performed by healthcare professionals, requiring the patient to make frequent visits to these centres. We describe the rationale, research findings and early clinical experience with home-based sonography for IVF patients.
Recent Findings: Published experience indicates that selected patients are able to procure video sequences themselves; they value the empowerment, discretion and decreased stress involved in these visits; partner involvement increases as well.
Outcome of one hundred consecutive ICSI attempts using patient operated home sonography for monitoring follicular growth.
Facts Views Vis Obgyn
September 2016
Women's Clinic, University Hospital Ghent, De Pintelaan 185, 9000 Ghent, Belgium.
Objective: cohort study describing clinical and laboratory outcomes in ICSI patients using self-operated endovaginal tele-monitoring (SOET).
Setting: University department of reproductive medicine.
Patients: 78 patients undergoing 100 consecutive ICSI attempts.
Self-operated endovaginal telemonitoring versus traditional monitoring of ovarian stimulation in assisted reproduction: an RCT.
Hum Reprod
September 2014
Centre for Reproductive Medicine, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium.
Study Question: Does self-operated endovaginal telemonitoring (SOET) of the ovarian stimulation phase in IVF/ICSI produce similar laboratory, clinical, patient reported and health-economic results as traditional monitoring (non-SOET)?
Summary Answer: SOET is not inferior to traditional monitoring (non-SOET).
What Is Known Already: Monitoring the follicular phase is needed to adapt gonadotrophin dose, detect threatening hyperstimulation and plan HCG administration. Currently, patients pay visits to care providers, entailing transportation costs and productivity loss.
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