Wednesday, November 1, 2017

The International Glossary on Infertility and Fertility care updated


The International Committee for Monitoring Assisted Reproductive Technology(ICMART) along with 20 more organization notably ASRM, ESHRE, IFFS, MOD, AFS, GIERAF, ASPIRE, MEFS, REDLARA and FIGO has released a new evidence and consensus based updated document that includes the current definitions of 283 terms that are used in infertility and fertility care. 

The updated document was simultaneously published in Fertility and Sterility and Human Reproduction.

Earlier, the list contained 87 terms in 2009 and was developed to facilitate better communications between infertility professionals and researchers around the world.

Twenty-five Infertility professionals around the world grouped into 5 groups to work on adding more words and terms to the existing list, particularly in areas of male fertility, epidemiology and public health. The final list was reviewed by independent experts around the globe in particular category.

The definition of infertility was revised in the new glossary - “A disease characterized by the failure to establish a clinical pregnancy after 12 months of regular, unprotected sexual intercourse or due to an impairment of a person's capacity to reproduce either as an individual or with his/her partner. […] Infertility is a disease, which generates disability as an impairment of function.”

According to the new edition ‘subfertility’ and ‘infertility’ could be used interchangeably.

Richard J. Paulson, MD, ASRM President, said in a press release, “The new glossary is a great tool that will help us improve patient care as well as collaborative research.  Agreeing on standardized definitions and meanings that go beyond culture and context is essential for medical and scientific advancements. Everyone in the field of reproductive medicine and science will benefit from using the new glossary.” 


Source: ASRM Bulletein.



News from ASRM 2017: Yoga helps to improve the outcome in infertility patients


Two papers presented here today at the at the American Society for Reproductive Medicine’s Scientific Congress in San Antonio (ASRM 2017) highlighted the importance of yoga in patients undergoing infertility treatments.

It is known that stress negatively affects reproductive outcome in ARTs and Yoga help improve the pregnancy rate and reduce the anxiety levels as an adjuvant treatment during the period.

Both the papers were also published in Fertility and Sterility September supplement.


A team of researchers from a private clinic in New Delhi examined the impact of Yoga on pregnancy rates for women who had already undergone one unsuccessful IVF treatment with fresh embryos.
Women with more than 5 years of subfertility, less than 38 years of age with no anatomical uterine anomalies were randomized to receive (n=105) either 30 sessions of Yoga over a period of 3 months, including asana (exercises) and pranayama (regulated breathing) followed by frozen embryo transfer or to have the embryo transfer in subsequent month(n=53) without any yoga sessions.

All women in the Yoga group completed Hamilton Depression Rating Scale (HAM- D), Hamilton Anxiety Rating Scale (HAM-A) and FertiQol questionnaire at baseline (S1) and after 3 months of YOGA sessions (S2) to assess the anxiety scores.

Following embryo transfer, 63% of the women in the yoga group achieved pregnancy as compared with 43% in the group with no Yoga training (P = 0.039). There was also remarkable improvement in the psychological wellbeing in women who had the yoga training.

The team from Chicago investigated the efficacy of attending an on-line or in person yoga class in bringing down the stress and anxiety levels in women with previous failed IVF.

In this small prospective cohort study of 26 patients, women were allowed to enroll into in person or an online yoga class for about 6 sessions. Spielberger State-Trait Anxiety Inventory (STAI) were completed before and after the intervention.

A significant decrease in anxiety and stress was observed in both the groups, which furthers the idea that an online yoga teaching is also equally effective as in person.
The study is still ongoing and recruiting participants, and the additional data will help strengthen the previous results.

We know infertility patients suffer from very high stress levels. These studies show that yoga represents a promising therapy for reducing patient stress during infertility treatment and even potentially improve outcome of such treatment,” said Richard J. Paulson, MD, President of the ASRM in a news release.



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Normal and abnormal fetal cardiac structures reconstructed using HDlive Flow

Watch the new videoclip from Ultrasound in obstetrics and gynecology (UOG) Journal September issue illustrating HDlive Flow silhouette mode and spatiotemporal image correlation for diagnosing congenital heart disease by Ito et al. http://onlinelibrary.wiley.com/doi/10.1002/uog.17519/abstract.


ISUOG Journal members can access the full article