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What are the medical advances in in vitro fertilization in the last several years? Are your chances of getting pregnant with fertility treatment improving? What have we learned about helping people conceive? Host Dawn Davenport interviewed Dr. Eric Forman, Board Certified Reproductive Endocrinologist at RMA New Jersey, and co-author of the cover story in July 2014 issue of Contemporary OB/GYN Magazine: “The New IVF Paradigm”
 

+ Highlights of the show (click to expand)

  • In your article in Contemporary OBGYN Magazine you talk about a new IVF Paradigm. What is the new paradigm?
  • Difference between preimplantation genetic screening (PGS), preimplantation genetic diagnosis (PGD), and Comprehensive Chromosomal Screening (CSS).
  • How much does chromosomal screening add to the cost of IVF?
  • Does health insurance that covers IVF also cover the cost of chromosomal screening of the embryos?
  • Who should consider CSS and single embryo transfer?
  • What are the success rates for elective single embryo transfer (eSET) along with Comprehensive Chromosomal Screening?
  • What is the twin outcome percentage nationally for all fresh and frozen embryo transfers?
  • Meta-analysis showed lower delivery rates after eSET when compared to double embryo transfer. What does the research show when you compare single embryo transfer and subsequent frozen single embryo transfer as compared to a double fresh embryo transfer?
  • Realistically, how often do patient agree to, or even doctors recommend, to follow a failed SET with a single frozen embryo transfer. The temptation is to transfer two frozen embryos.
  • Why has it been difficult until recently to safely and accurately identify the chromosomal status of an embryo?
  • We’ve been doing chromosomal testing on fetuses for year via amniocentesis or chorionic villus sampling. Why is testing an embryo so much harder?
  • What does the research show about potential harm to the embryo and subsequent child from having a biopsy at the blastocyst stage?

 

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Image credit: Adrian Wiggins