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Chapter-19 What's New in Art

BOOK TITLE: Advances in Obstetrics and Gynecology (Volume 2)

Author
1. Malik Sonia
2. Sharma Rashmi
ISBN
9788184483048
DOI
10.5005/jp/books/10031_19
Edition
1/e
Publishing Year
2008
Pages
18
Author Affiliations
1. Holy Angels Hospital, New Delhi, India, Southend Fertility and IVF, Delhi, Nova Southend Fertility and IVF, New Delhi, India, Southend Fertility & IVF, New Delhi, India, Southend Fertility and IVF, Delhi NCR, India, IVF, New Delhi, India, Southend Fertility and IVF, New Delhi, India; Southend Fertility and IVF, New Delhi, India; Indian Fertility Society; FOGSI Infertility Committee, Southend Fertility and IVF Center, Mumbai, Maharashtra, India, Southend Fertility and IVF, New Delhi, India, Southend Infertility and IVF Centres, New Delhi, Southend Fertility & IVF Centres, New Delhi, India, Southend Fertility and IVF Centers, Delhi NCR, India, Southend Fertility and IVF Center, New Delhi, India, CGHS, Chandigarh, India, Southend Fertility and IVF Centre, Holy Angels Hospital, Delhi, Southend Rotunda Center for Human Reproduction, Holy Angels Hospital, Vasant Lok, Vasant Vihar, New Delhi, India, Southend Rotunda, Center for Human Reproduction, Holy Angels Hospital, Vasant Vihar, New Delhi, National Institute of
2. Holy Angels Hospital, New Delhi, India, Southend Fertility and IVF Centre Holy Angels Hospital, Delhi, Holy Angels Hospital, Vasant Vihar, New Delhi, India, Government Medical College, Jammu, Jammu and Kashmir, India, Max Hospital, New Delhi, India, Madhukar Rainbow Children’s, Hospital and BirthRight Hospital, New Delhi, India, Fortis Hospital, New Delhi, India, GMERS Medical College and Hospital, Ahmedabad, Gujarat, India
Chapter keywords

Abstract

The turn of century has seen new strides in assisted reproductive technology and it has lead to development in other fields like molecular biology and reproductive endocrinology. Ovarian reserve should be tested before subjecting the patient to ovulation induction. Three most important parameters indicating poor ovarian reserve are advanced age, high basal FSH and low antral follicles. GnRH antagonist (ganirelix, cetrorelix) have recently been made available and they are not associated with the initial flare effect unlike the agonists. New ooplasm and nucleus transfer techniques have been developed to craft young oocytes from older ones without disturbing the nuclear genome of the older woman. In vitro maturation of oocytes is another technique which circumvents the need of inconvenient and costly stimulation of ovaries. Assisted hatching is indicated in older women with high basal FSH and thick zona. Pre-implantation genetics use has now increased in couples with repeated IVF failures and miscarriages to exclude embryos with aneuploidy and thus holding a promising outcome for them.

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