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Assisted reproduction – principles, procedures, and their effectiveness


Authors: Karel Řežábek;  Martina Moosová;  Simona Jirsová
Authors‘ workplace: Centrum asistované reprodukce, Klinika gynekologie, porodnictví a neonatologie 1. LF UK a VFN v Praze
Published in: Čas. Lék. čes. 2023; 162: 179-193
Category: Review Article

Overview

Assisted reproduction is an integral part of infertility treatment. The basic method is in vitro fertilisation (IVF), and intracytoplasmic sperm injection into the oocyte, cryopreservation of sperm, oocytes and embryos is also commonly used. The proportion of embryos tested with preimplantation genetic testing (PGT) for chromosomal aneuploidy or defects in specific genes is increasing. The use of donated oocytes is also significant, particularly because of the depletion of ovarian reserve in women over 40 years of age. The effectiveness of treatment is always very fundamentally dependent on the age of the woman. Assisted reproductive treatment is very well available in the Czech Republic, as is fertility preservation by sperm/oocyte freezing.

Keywords:

assisted reproduction – trends – IVF – Cryopreservation – PGT – success rate


Sources
  1. Řezáčová J. Reprodukční medicína: Současné možnosti v asistované reprodukci. 1. vydání. Mladá fronta, Praha, 2018.
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  3. Řežábek K. Asistovaná reprodukce. 3., aktualizované a doplněné vydání. Maxdorf, Praha, 2018.
  4. Lacey L, Hassan S, Franik S et al. Assisted hatching on assisted conception (in vitro fertilisation [IVF] and intracytoplasmic sperm injection [ICSI]). Cochrane Database Syst Rev 2021; 3: CD001894.
  5. Check JH, Summers-Chase D, Yuan W et al. Embryo glue does not seem to improve chances of subsequent pregnancy in refractory in vitro fertilization cases. Clin Exp Obstet Gynecol 2012; 39 (1): 11–12.
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Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management
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