Towards complication-free assisted reproduction technology
- PMID: 30473208
- DOI: 10.1016/j.beem.2018.10.006
Towards complication-free assisted reproduction technology
Abstract
Assisted reproductive technology (ART) has vastly improved over the last 40 years, from a frequently unsuccessful and complicated procedure requiring hospital admission and routine laparoscopy to a fairly simple outpatient technique with relatively high success rates. However, it is important to stress that ART is not without risk and medical complications may still occur. The incidence of most of these ART-related complications is associated with how women undergo ovarian stimulation. For this reason, physicians should be aware that a carefully thought-out ovarian stimulation protocol and cycle monitoring are of paramount importance to maximise the success of the treatment while avoiding potentially life-threating complications to occur in this frequently otherwise healthy patient population. This review discusses the rationale and evolution of ovarian stimulation strategies over the years and the current developments towards finding a balance between the retrieval of a sufficient number of oocytes and ART-related complication prevention.
Keywords: assisted reproductive technology; freeze-all strategy; ovarian hyperstimulation syndrome; ovarian stimulation; ovarian torsion; thromboembolism.
Copyright © 2018 Elsevier Ltd. All rights reserved.
Similar articles
-
[Ovarian stimulation and follicular puncture risks].Gynecol Obstet Fertil. 2009 Nov-Dec;37(11-12):926-33. doi: 10.1016/j.gyobfe.2009.06.007. Epub 2009 Oct 8. Gynecol Obstet Fertil. 2009. PMID: 19818668 French.
-
Ovarian hyperstimulation syndrome and complications of ART.Best Pract Res Clin Obstet Gynaecol. 2009 Oct;23(5):691-709. doi: 10.1016/j.bpobgyn.2009.02.006. Epub 2009 Jul 25. Best Pract Res Clin Obstet Gynaecol. 2009. PMID: 19632900 Review.
-
Emergent complications of assisted reproduction: expecting the unexpected.Radiographics. 2013 Jan-Feb;33(1):229-44. doi: 10.1148/rg.331125011. Radiographics. 2013. PMID: 23322839
-
Adnexal torsion after gonadotrophin ovulation induction for IVF or ICSI and its conservative treatment.Arch Gynecol Obstet. 2002 Nov;267(1):4-6. doi: 10.1007/s00404-001-0251-x. Arch Gynecol Obstet. 2002. PMID: 12410364
-
Ovarian hyperstimulation syndrome and thrombotic events.Am J Reprod Immunol. 2014 Dec;72(6):541-8. doi: 10.1111/aji.12310. Epub 2014 Aug 22. Am J Reprod Immunol. 2014. PMID: 25146913 Review.
Cited by
-
Live births after in vitro maturation of oocytes in women who had suffered adnexal torsion and unilateral oophorectomy following conventional ovarian stimulation.J Assist Reprod Genet. 2021 Jun;38(6):1323-1329. doi: 10.1007/s10815-021-02171-8. Epub 2021 Apr 7. J Assist Reprod Genet. 2021. PMID: 33826051 Free PMC article.
-
Research priorities in infertility and assisted reproductive technology treatments - a James Lind Alliance priority setting partnership with brazilian patients.JBRA Assist Reprod. 2020 Jul 14;24(3):265-272. doi: 10.5935/1518-0557.20190077. JBRA Assist Reprod. 2020. PMID: 32157860 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
