In vitro fertilization
BJ Van Voorhis - New England Journal of Medicine, 2007 - Mass Medical Soc
New England Journal of Medicine, 2007•Mass Medical Soc
Foreword 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. Stage 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 …
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. Stage 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 …
Foreword
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.
Stage
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 are frustrated and want to proceed with in vitro fertilization. What should you advise?
The Clinical Problem
Infertility is common — approximately 10% of couples have difficulty conceiving a child. In young, healthy couples, the probability of . . .
The New England Journal Of Medicine