INFERTILITY TREATMENT - RELATIVE EFFECTIVENESS OF CONVENTIONAL AND ASSISTED CONCEPTION METHODS

被引：73

作者：

HULL, MGR

机构：

[1] University of Bristol, Department of Obstetrics and Gynaecology, St Michael's Hospital

来源：

HUMAN REPRODUCTION | 1992年 / 7卷 / 06期

关键词：

ASSISTED CONCEPTION INFERTILITY; FEMALE INFERTILITY; MALE INFERTILITY TREATMENT;

D O I：

10.1093/oxfordjournals.humrep.a137738

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The effectiveness of infertility treatments is still questioned, particularly the assisted conception methods because of their complexity and cost. Furthermore, pregnancies often occur independent of treatment but many treatments have not been properly evaluated. The most basic audit of outcome with or without treatment requires pregnancy and preferably birth rates to be calculated in a cycle-specific and/or time-specific way; cumulative rates are the preferable method of calculation, in order to account for the usual tendency for fecundity to fall progressively. The choice of treatment usually depends on a balance of the chances of conceiving with or without treatment, and with more or less complicated treatments, and on other factors such as duration of infertility and the woman's age. This review aims to address those choices by assessing the actual and comparative effectiveness of treatments insofar as there are well defined and strictly comparable time-specific or cycle-specific published data available. Cumulative rates are described wherever possible and presented graphically for easy reference.

引用

页码：785 / 796

页数：12

共 108 条

[51]

Hull M., Epidemiology of infertility and polycystic ovarian disease: Endocrinological and demographic studies, Gynecol. Endocrinol, 1, pp. 235-245, (1987)

[52]

Hull M., Indications for assisted conception, Br. Med. Bull, 46, (1990)

[53]

Hull M.G., R. (1992) Gonadotrophin therapy in anovulatory infertility, Gonadotrophins, Gonadotrophin-Releasing Hormone Analogues and Growth Factors in Infertility: Future Perspectives. Medi-Fax International, pp. 56-70

[54]

Hull M., Savage P.E., Jacobs H.S., Investigation and treatment of amenorrhoea resulting in normal fertility, Br. Med, J, 1, pp. 1257-1261, (1979)

[55]

Hull M., Glazener C., Kelly N.J., Conway D.I., Foster P.A., Hinton R.A., Coulson C., Lambert P.A., Watt E.M., Desai K.M., Population study of causes, treatment, and outcome of infertility, Br. Med, J, 291, pp. 1693-1697, (1985)

[56]

Hull M., Eddowes H.A., Fahy U., Abuzeid M.I., Mills M.S., Cahill D.J., Fleming C.F., Wardle P.G., Ford W., McDermott A., Expectations of assisted conception for infertility, Br. Med, J, 304, (1992)

[57]

Irianni F.M., Acosta A.A., Oehninger S., Acosta M.R., Therapeutic intrauterine insemination (TII)-controversial treatment for infertility, Arch. Androl, 25, (1990)

[58]

Kerin J., Kirby C., Peek J., Jeffrey R., Wames G.M., Matthews C.D., Improved conception rate after intrauterine insemination of washed spermatozoa from men with poor quality semen. Lancet, March, pp. 533-535, (1984)

[59]

Kovacs G.T., Rogers P., Leeton J.F., Trounson A.O., Wood C., Baker H.W., In-vitro fertilization and embryo transfer, Med, J. Aust, 144, (1986)

[60]

Laatikainen T.J., Tenhunan A.K., Venesmaa P.K., Apter D.L., Factors influencing the success of microsurgery for distal tubal occlusion, Arch. Gynecol. Obstet, 243, (1988)

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