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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
A 37-year-old woman who has never been pregnant and her 40-year-old husband have been attempting to conceive a child for the past 3 years. An infertility evaluation has shown no cause for the difficulty. She is ovulating regularly, and a hysterosalpingogram shows that her reproductive tract is anatomically normal. He has a normal sperm count; he has not fathered any children. They
The Clinical Problem
Strategies and Evidence
Screening before IVF
Benefits of IVF
Risks of IVF
Multiple Gestations
Adverse Perinatal Outcomes
Birth Defects
Maternal Health Risks
Areas of Uncertainty
Alternatives to IVF
Preimplantation Genetic Diagnosis
Guidelines
Conclusions and Recommendations
Source Information
From the Division of Reproductive Endocrinology and Infertility, University of Iowa School of Medicine, Iowa City.
Address reprint requests to Dr. Van Voorhis at the Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr., Iowa City, IA 52242, or at brad-van-voorhis@uiowa.edu.
This article has been cited by other articles:
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