ABSTRACT
OBJECTIVE: The aim of the current study was to determine the predictive value of anti-Mullerian hormone (AMH) levels for pregnancy outcomes in patients over 40 years of age who underwent in vitro fertilization or intracytoplasmic sperm injection-embryo transfer (IVF/ICSI-ET) cycles. METHODS: We retrospectively analyzed the medical records of 188 women aged 40 to 44 years who underwent IVF/ICSI-fresh ET cycles due to unexplained infertility in the fertility center of CHA Gangnam Medical Center. Patients were divided into group A, with AMH levels or =1.0 ng/mL (n=91). We compared the clinical pregnancy rate (CPR) in the two groups and performed logistic regression analysis to identify factors that had a significant effect on the CPR. RESULTS: The CPR was significantly lower in group A than group B (7.2% vs. 24.2%, p or =1.90 ng/mL than in the group with AMH levels <1.90 ng/mL (p<0.001). CONCLUSION: Our study showed that AMH levels were predictive of clinical pregnancy in infertility patients over 40 years of age. Further prospective studies should be conducted to validate the predictive capability of AMH levels for the outcome of clinical pregnancy.
Subject(s)
Female , Humans , Pregnancy , Anti-Mullerian Hormone , Cardiopulmonary Resuscitation , Fertility , Fertilization in Vitro , Infertility , Logistic Models , Medical Records , Pregnancy Outcome , Pregnancy Rate , Prospective Studies , Retrospective Studies , ROC Curve , SpermatozoaABSTRACT
El objetivo de este estudio fue describir la percepción del paciente infértil acerca del equipo médico tratante y conocer sus expectativas de recibir apoyo emocional. Se evaluaron 106 pacientes infértiles, 72 mujeres y 34 varones, en tratamiento en Unidades de Medicina Reproductiva de la ciudad de Santiago. Los pacientes evaluaron como buena la información entregada por el médico. No obstante, la mayoría (89%) declaró desear recibir más información sobre infertilidad. La acogida por parte del equipo médico tratante fue evaluada como regular (promedio 3,9 en escala 1 a 5), influyendo negativamente en la percepción de los pacientes la dificultad en el contacto telefónico y la falta de continuidad del equipo tratante. En otros aspectos la percepción de acogida fue positiva, tanto en el contexto del hospital universitario como en el de las clínicas privadas. Para las mujeres, haber sido citadas con su pareja se correlacionó positivamente con la percepción de ser escuchadas por su médico.
The aim of this study was to describe the perception of the infertile patient about the medical team and to determine his (her) expectations about receiving emotional support. One hundred and six infertile patients (72 women, 34 men) undergoing treatment in Reproductive Medicine Units of the city of Santiago were assessed. Patients reported that information given by their physicians was good. Nevertheless, most of them said they would like to receive more information on infertility. Receptivity of the medical team was rated as moderate. Difficulties in contacting the medical team by phone and lack of continuity of the medical staff negatively influenced patient's perception about the receptivity of the medical team. Regarding to other aspects, patients tended to view favourably the receptivity of the medical team, both in university hospitals and private clinics. For Women, having been asked to attend appointments with their partners positively correlated with the perception of being heard by their physicians.
ABSTRACT
Objective:To study the infertility patients' ethical attitude towards the artificial insemination technology,with the aim of its better service for them.Methods:A questionnaire of 220 infertility patients Results:There exists notable difference in infertility patients' attitude towards AIH and AID(P
ABSTRACT
Objective:To study the ethical attitude of infertility patients and the public towards the artificial insemination technology,with the aim of its better clinical application.Methods:A questionnaire among 220 infertility patients and 720 persons of different social walks,followed by a contrastive study of the results.Results:There is distinctive difference(P