Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 3 de 3
Filtrar
1.
Acta Obstet Gynecol Scand ; 97(12): 1471-1477, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30155915

RESUMO

INTRODUCTION: Men play an important role in couples' decisions about the timing of parenthood and they tend to delay parenthood. The reasons for delaying childbearing are multifaceted and complex. Their decisions may be based on a lack of accurate information about the reproductive life span and the consequences of delaying parenthood. The aim of this study was to explore men's expectations and experiences of fertility counseling. MATERIAL AND METHODS: Data were collected through semi-structured qualitative interviews with 21 men attending either the Fertility Assessment and Counseling Clinic in Copenhagen or in Horsens, Denmark. The men had no known fertility problems before going to the fertility counseling. They were interviewed before and after fertility counseling. RESULTS: The men were not concerned about their fertility before going to counseling. They believed they would be able to conceive whenever they wanted. Three of them had low semen quality and felt "punched in the gut" when they received these results at the fertility counseling. The study participants preferred clear and concrete information, and relevant knowledge at the right time was very important. The men felt empowered after the fertility counseling because they were equipped with concrete information that could inform their parenthood plans and decisions. Even the men who received unexpected bad news felt positive about the counseling. The participants perceived their knowledge and awareness of risk factors concerning fertility had increased. CONCLUSIONS: Men may benefit from an individualized approach where their fertility is assessed and they receive tailored fertility counseling specific to their personal fertility results. This type of intervention may be effective in increasing men's fertility awareness because it is personally relevant.


Assuntos
Atitude Frente a Saúde , Aconselhamento , Fertilidade , Infertilidade Masculina/diagnóstico , Serviços de Saúde Reprodutiva , Adulto , Tomada de Decisões , Humanos , Infertilidade Masculina/psicologia , Infertilidade Masculina/terapia , Entrevistas como Assunto , Masculino , Saúde do Homem , Pesquisa Qualitativa
2.
Acta Obstet Gynecol Scand ; 93(1): 64-72, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24266525

RESUMO

OBJECTIVE: To examine the costs to the public health care system of couples in medically assisted reproduction. DESIGN: Longitudinal cohort study of infertile couples initiating medically assisted reproduction treatment. SETTING: Specialized public fertility clinics in Denmark. SAMPLE: Seven hundred and thirty-nine couples having no child at study entry and with data on kind of treatment and live birth (yes/no) for each treatment attempt at the specialized public fertility clinic. METHODS: Treatment data for medically assisted reproduction attempts conducted at the public fertility clinics were abstracted from medical records. Flow diagrams were drawn for different standard treatment cycles and direct costs at each stage in the flow charts were measured and valued by a bottom-up procedure. Indirect costs were distributed to each treatment cycle on the basis of number of visits as basis. Costs were adjusted to 2012 prices using a constructed medical price index. MAIN OUTCOME MEASURES: Live birth, costs. RESULTS: Total costs per live birth in 2012 prices were estimated to 10,755€. Costs per treated couple - irrespective of whether the treatment was terminated by a live birth or not - were estimated at 6607€. Costs per live birth of women <35 years at treatment initiation were 9338€ and 15,040€ for women ≥35 years. CONCLUSION: The public costs for live births after conception with medically assisted reproduction treatment are relatively modest. The results can be generalized to public fertility treatment in Denmark and to other public treatment settings with similar limitations in numbers of public treatment cycles offered.


Assuntos
Fertilidade/fisiologia , Custos de Cuidados de Saúde , Técnicas de Reprodução Assistida/economia , Adulto , Estudos de Coortes , Dinamarca , Feminino , Seguimentos , Humanos , Masculino , Gravidez , Saúde Pública/economia
3.
Reprod Biomed Online ; 20(4): 477-84, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20129825

RESUMO

The effect on ploidy rate in donated human oocytes after in-vitro culture with recombinant human granulocyte-macrophage colony-stimulating factor (GM-CSF; 2 ng/ml) from fertilization until day 3 was examined in a multicentre, prospective placebo-controlled and double-blinded study including 73 women donating 86 oocytes. The primary endpoint was to investigate the chromosomal constitution of human embryos (fluorescence in-situ hybridization analysis for chromosomes 13, 16, 18, 21, 22, X and Y) cultured with or without GM-CSF. The secondary endpoints were number of top-quality embryos (TQE) and number of normally developed embryos evaluated morphologically on day 3. The cytogenetic analyses demonstrated non-inferiority and therefore the chromosomal constitution of human embryos cultured in vitro in the presence of 2 ng/ml GM-CSF was no worse than the control group cultured without GM-CSF. In-vitro culture of human embryos in the presence of 2 ng/ml GM-CSF resulted in 34.8% (8/23) uniformly normal embryos. Culture without 2 ng/ml GM-CSF resulted in 33.3% (9/27) uniformly normal embryos. A trend towards a higher number of TQE in the test group was observed; however, due to lack of TQE in the control group, this was considered a random finding.


Assuntos
Cromossomos Humanos/genética , Embrião de Mamíferos/efeitos dos fármacos , Fator Estimulador de Colônias de Granulócitos e Macrófagos/farmacologia , Oócitos/citologia , Adulto , Células Cultivadas , Cromossomos Humanos/efeitos dos fármacos , Feminino , Fertilização in vitro , Humanos , Hibridização in Situ Fluorescente , Ploidias , Proteínas Recombinantes , Injeções de Esperma Intracitoplásmicas
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...