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February 2009 · Vol. 21, No. 02

UPDATE

FERTILITY

If you’re looking for better ways to treat infertility or enhance fecundity, here are some developments you’ll want to know about


Fast Track

Postoperative adhesions after abdominal myomectomy may reduce fertility

Well-performed surgery is effective for all stages of endometriosis, endometriomas, and disease of the cul de sac, to treat pain or infertility, or both

The fertility rate peaks in women’s mid-20s and declines by about 25% by age 35 and 50% by age 40

Intercourse every day or every other day yields the highest pregnancy rate

Only approximately 50% of patients who have infertility ever seek treatment, often because they lack access to care

IN THIS ARTICLE

G.  David  Adamson,  MD

Dr. Adamson is Director of Fertility Physicians of Northern California in Palo Alto and San Jose. He is also Adjunct Clinical Professor of ObGyn at Stanford University School of Medicine in Stanford and Associate Clinical Professor of Obstetrics and Gynecology at the University of California, San Francisco, School of Medicine. He is Immediate Past President of the American Society for Reproductive Medicine.

Dr. Adamson is CEO of Advanced Reproductive Care Inc., and receives research support from IBSA.

The diagnosis and treatment of fertility are evolving rapidly as a result of clinical studies, scientific research, and changing socioeconomic and ethical perspectives. These developments benefit health-care consumers, but they also pose new challenges to general ObGyns and other practitioners committed to the best possible care for their patients.

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