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An overview of assisted reproductive technology procedures
Author(s) -
Bhandari Harish M,
Choudhary Meenakshi K,
Stewart Jane A
Publication year - 2018
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1111/tog.12509
Subject(s) - luteal phase , follicular phase , downregulation and upregulation , assisted reproductive technology , fertility preservation , menstrual cycle , protocol (science) , medicine , oocyte , fertility , computer science , hormone , biology , infertility , endocrinology , embryo , pregnancy , alternative medicine , genetics , biochemistry , population , environmental health , pathology , microbiology and biotechnology , gene
Key content Assisted reproductive technology (ART) is an effective treatment option for couples and individuals with fertility problems. A number of key steps, including pituitary downregulation, controlled ovarian stimulation, final follicular maturation trigger, oocyte retrieval, fertilisation, embryo transfer and luteal support constitute a conventional ART cycle. Individualised treatment protocols according to each couple's specific characteristics may optimise treatment outcome and reduce safety concerns. Multidisciplinary team management is essential when managing patients with complex medical and ethical issues.Learning objectives To learn what is meant by ART and the available evidence in managing various steps involved in an ART cycle. To appreciate the need for pituitary downregulation and understand the various downregulation protocols. To understand the importance of ovarian reserve assessment to determine the appropriate controlled ovarian stimulation protocol and to learn about the most accepted methods to monitor controlled ovarian stimulation. To understand the use of hormonal agents for luteal phase support.