Best of 2021 Interview Luca Gianaroliwatch

BEST OF ASRM & ESHRE

Still a place for PGT-A, if not for everyone

Luca Gianaroli, who was first author of the first randomised study of PGT-A in 1997, tells Focus on Reproduction that the place of blastocyst testing for aneuploidy is still a matter of discussion. A debate on ‘PGT-A for everyone’ with Gianaroli and Richard Paulson will be streamed online at 18.30 on Friday 9 April as part of the Best of ASRM & ESHRE meeting, followed by live discussion.

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CAMPUS MEETING

New concepts and strategies aiming to improve success rates in ART

At a time when European pregnancy rates have plateau’d a well attended Campus meeting in January reviewed new (and old) concepts in the planning and strategies of treatments to improve success rates. The debates continue, some after many years.

genomic medicineread

GENOMIC MEDICINE

The expanding role of genomics in preconceptional ‘personalised’ medicine

A well attended online Campus course staged by the SIG Reproductive Genetics heard that the expansion of sequencing analysis is poised to push forward the development of cost-effective preconception tests able to identify several underlying genetic causes of infertility

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ERRORS IN ART 1

Mishaps and their prevention in the IVF lab

Although errors in the IVF lab are reportedly few, their consequences may be catastrophic for both patients and clinic. A well attended online Campus meeting in November heard how they may occur and how prevented.

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Best of ASRM & ESHRE

Double stimulation in predicted poor responders

Filippo Ubaldi, whose group in Rome has completed several studies of dual stimulation in poor responders in the same ovarian cycle and has now extended its routine experience, talks to Focus on Reproduction ahead of a Back-to-Back session at this year’s Best of ASRM & ESHRE meeting. The session will be streamed online at 16.30 on Friday 9 April, followed by live discussion.

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COVID-19 VACCINE

A precautionary edge to ESHRE’s statement on COVID-19 vaccination in and before pregnancy

A recent statement from ESHRE’s COVID-19 working group, also evident in the vaccines’ product information, notes limited data on vaccination in pregnancy and none before conception with assisted reproduction. Eligibility for COVID-19 vaccination in and before pregnancy so far rests on an individual assessment of risks and benefits.

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COVID-19

ESHRE reaffirms its guidance for a COVID-free clinic

ESHRE’s COVID-19 working group hosted a session at this year’s Progress Educational Trust annual meeting to reveal striking differences between clinic activity during the first infection wave and the second. A strict protocol of triage and testing can keep fertility centres COVID-free.

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COUNSELLING

Counselling faces a minefield of hazards in donor conception today

The availability of genealogy services today and the non-guarantee of donor anonymity has raised new questions for counsellors in donor conception. A Campus meeting in January explored the priorities, especially for the children born.

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FERTILITY PRESERVATION

Patient age the determinant of success in elective fertility preservation for women - and men

A well attended online Campus meeting in December heard that outcome from elective oocyte cryopreservation depends on the number of MII oocytes retrieved, and that varies with age. Older age also brings more neonatal risks for mother and baby.

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ERRORS IN ART 2

Quality management and reducing the risks of errors in the IVF lab

A well attended Campus meeting in November heard how quality management systems and a willingness to discuss all mishaps and near-misses reduce the risks of errors in the ART clinic.

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