COVID IN PREGNANCY
Against a background of high neonatal and maternal relative risk, investigators from a new meta-analysis urge COVID vaccination for all women of childbearing age; ‘consistent and compelling’ evidence
ART AS POPULATION POLICY
A recent opinion piece in Fertility & Sterility makes a persuasive case for state-supported fertility treatment based on economic and fiscal arguments; infertility, say the authors, is a personal matter with ‘public importance’
ACCESS TO ART
ESHRE hosted a session at the annual conference of the UK’s Progress Educational Trust, the publishers of BioNews. The conference’s overall theme was fair access to treatment, with the ESHRE session looking at disparities in funding and regulation in four European countries: Turkey, Belgium, Germany and Italy.
MALE INFERTILITY
Following a Campus meeting in October organised by the Male Reproductive Health Initiative, Focus on Reproduction spoke to Allan Pacey, Professor of Andrology at the University of Sheffield, UK, about the latest meta-analysis of Levine et al showing an accelerated decline in sperm counts since the beginning of this century, and what these findings might mean more generally for male health.
OOCYTE RETRIEVAL
A new registry study of more than 170,000 IVF/ICSI cycles finds highest live birth rates among high and normal responders, but the ‘benefit’ comes with a suggestion of greater risks; authors call for policy review to reduce the number of oocytes retrieved in IVF
FERTILITY TESTS
Results from a time-to-conceive cohort study expose the limitations of everyday tests to predict future fertility; no association found between ovarian reserve as measured by AMH, FSH and inhibin B and future likelihood of live birth
CAMPUS: PREGNANCY LOSS
A well attended Campus meeting in December organised jointly by the ESHRE SIGs Implantation & Early Pregnancy and Endometriosis & Endometrial Disorders considered the conditions and diseases associated with recurring loss of pregnancy, and the interplay between endometrial and embryonic factors.
SPERM DONATION
A study of sperm donor applicants at a Danish and US sperm bank with the same recruitment protocols found continuing low levels of acceptance, with some explanations for the high rates of attrition apparently country-dependent; applicants who opted for ID-release were more frequently accepted than those who did not.
UNEXPLAINED INFERTILITY
A recently published clinical trial of expectant management or stimulated IUI in unexplained infertility patients with a poor outlook for natural conception confirmed the superiority of IUI. A recent editorial has proposed all such treatment should be based on an individualised prognostic approach.
CAMPUS: ERRORS IN ART
A Campus meeting in November organised by four ESHRE SIGs reviewed the most common source of errors in fertility clinics – in egg collection, embryo transfer and OHSS – but maintained throughout that scrupulous reporting and being honest with patients were necessary to maintain and restore trust.
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