OBJECTIVE To compare the efficacy and safety of luteal phase support in IVF with a progesterone (P) vaginal ring or gel (VR or VG). DESIGN Prospective, randomized, single-blind, multicenter, phase III clinical trial (ClinicalTrials.gov identifier: NCT00615251). SETTING Nineteen private and three academic high-volume U.S. IVF centers. PATIENT(S) One thousand two hundred ninety-seven infert...

PURPOSE OF REVIEW The management of uterine fibroids in patients requiring treatment who desire future fertility remains controversial. Myomectomy has been the most common operative procedure to improve pregnancy rates and outcomes. Uterine fibroid embolization is an increasingly popular, minimally invasive treatment for fibroids. This review aims to provide critical analysis of available data ...

BACKGROUND There is a growing interest in examining death rates associated with different pregnancy outcomes for time periods beyond one year. Previous population studies, however, have failed to control for complete reproductive histories. In this study we seek to eliminate the potential confounding effect of unknown prior pregnancy history by examining mortality rates associated specifically ...

SUMMARY OBJECTIVES To find out why the detection of ectopic pregnancy before its rupture continues to be low at the Korle Bu Teaching Hospital and to suggest ways of improving upon the detection rates. DESIGN Longitudinal retrospective descriptive survey. SETTING Gynaecology unit of Department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital. SUBJECTS AND METHODS Interview, betwe...

OBJECTIVE The aim of this study was to evaluate the influence of maternal age on fertilization, embryo quality, and clinical pregnancy in patients undergoing intracytoplasmic sperm injection (ICSI) using testicular sperm from partners with azoospermia. METHODS A total of 416 ICSI cycles using testicular spermatozoa from partners with obstructive azoospermia (OA, n=301) and non-obstructive azo...

OBJECTIVES Recurrent pregnancy loss (RPL) is a serious problem in the reproductive age women. We aimed to study the role of anticoagulant therapy on pregnancy complications and perinatal outcomes in pregnant patients with histories of RPL. MATERIAL AND METHODS One hundred fifty-three pregnants, with RPL history and thrombophilia positivity, were grouped into two as 89 treated with anticoagula...

OBJECTIVE We describe rates of unintended pregnancy among HIV positive couples in Lusaka, Zambia. We also identify factors associated with unintended pregnancy among oral contraceptive pill (OCP) using couples in this cohort. DESIGN Data were analyzed from couples randomized in a factorial design to two family planning intervention videos. METHODS Rates of unintended pregnancy were stratifi...

BACKGROUND The purpose of this study was to quantify spontaneous first trimester miscarriage rates per woman among parous women. A vast amount of data has accumulated regarding miscarriage rates per recognized pregnancy as well as about recurrent miscarriage. This is the second study of miscarriage rates per woman in a parous population and the first study of recurrent and non-recurrent, sponta...

The objective of the study was to investigate whether transferring zygotes on day 1 would result in similar pregnancy rates compared to transferring cleavage stage embryos on day 3 in a prospective randomized trial, using the office microlaparoscopic procedure. Patients undergoing IVF/ICSI treatments were randomized to either day 1 or day 3 transfers after previous failed ICSI trials due to fai...

In an experiment involving the artificial insemination of 312 Merino ewes, fertilization, early (18 day), and late (100 day) pregnancy rates were examined after intrauterine insemination with frozen semen using a laparoscope. Oestrus was synchronized in ewes by progestagen sponge/PMSG treatment. After cervical insemination of fresh semen (control) 55 hrs after sponge removal, the fertilization,...