Personalized prediction of live-birth prognosis incorporating baseline clinical characteristics and antimullerian hormone can be achieved at a center specific level, with no added value from incorporating antral follicle count.
Three months of supplementation with alpha-lipoic acid improved sperm quality in infertile men. Medical therapy with oral antioxidants can improve quality of semen parameters.
Spermatozoa miR-34c levels are correlated with the quality of day-3 embryos, pregnancy rate, implantation rate, and live birth rate and can be used as an indicator of ICSI outcomes.
Seminal plasma proteome reflects semen lipid peroxidation status, with the expression of proteins related to reactive oxygen species metabolism. These proteins may be used as biomarkers for semen oxidative stress.
Reflections on “Antimüllerian hormone levels and antral follicle count as prognostic indicators in a personalized prediction model of live birth” by Nelson et al.
Genetic testing for inherited genetic conditions is an important component of preconception planning, to assist in assessing the risk of genetic disease in a child, as well as anticipating the management of a woman’s reproductive care. Traditional methods of carrier screening have focused on panethnic screening for conditions including cystic fibrosis and spinal muscular atrophy, whereas other conditions, including hemoglobinopathies and Tay-Sachs, are screened according to a race- or ethnicity-based approach.
Infertility patients need emotional counseling for many purposes, all of which are beneficial to the health care team as well. Mental health professionals should be established members on that team.
Reproductive counselors could broaden care to a more collaborative approach involving education, training, and support to fertility clinic staff to help reduce staff stress, prevent burnout, and improve patient care.
The end of fertility treatment can be an emotionally difficult time. Mental health professionals can provide counseling to support patients’ adjustment.
Men with infertility represent a significant percentage of the infertile population. Public awareness of this fact is limited in part because literature and other media have neglected the male component.
Mental health professionals play a varied and critical role in addressing the psychosocial needs of infertile individuals and couples and can contribute significantly to the outcomes and satisfaction of infertility patients and those who care for them.
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