Professional Education :: CHR
As a clinical research center dedicated to dissemination of the most up-to-date medical knowledge to the Ob/Gyn community, Center for Human Reproduction makes selected Grandrounds presentations available to the public. Please note that copyright belongs to each presenter. Any use of the material beyond your personal professional education, without explicit consent from the presenter, is strictly prohibited.
Surgical Procedures That Improve Fertility
May 10, 2011: Tommaso Falcone, MD
Need Statement: Some surgical interventions, such as excision of endometriomas, may decrease, rather than improve, fertility. However, many physicians lack sufficient understanding of the consequences of surgical interventions in women of reproductive age. In this lecture, outcomes of surgeries for advanced endometriosis, types of fibroid surgery that may improve fertility, and conditions of tubes that should be surgically removed, will be discussed.
Objectives
- Understand the consequences of removing an ovarian endometrioma
- Evaluate which fibroids should be removed
- Discuss different surgical techniques that may help surgical outcomes
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CHR Spring Research Update
May 11, 2010: Norbert Gleicher, MD & David Barad, MD, MS
Need Statement: Women above age 40, represent the most rapidly growing age group having children in the US. As more women at advanced ages seek to achieve pregnancy, their need for fertility-supporting services has significantly increased, leading to the "graying" of patient populations in infertility centers. CHR is a private and freestanding fertility center, which has gained national and international prominence for its special expertise with women with diminished ovarian reserve, whether due to physiologic aging or due to premature ovarian aging. This expertise primarily derives from a close integration of basic research and clinical practice in areas relevant to the ovarian aging process over the last 6-7 years. Consequently, CHR has been able to make a number of breakthroughs, which have very beneficially affected the medical care of women with diminished ovarian reserve. The last year was especially productive in this regard, not only leading to a better understanding of the ovarian aging process but also to better diagnosis of clinical conditions and better patient selection for various treatment options. This meeting will report on the progress made in these areas.
Objectives
- Know what constitutes ovarian reserve
- Discuss how ovarian reserve is best assessed, and limitations of such assessments
- Determine how diminished ovarian reserve is best treated
- Assess what expected outcomes of treatment are, including miscarriage and live birth rates
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CHR Spring Research Update
June 16, 2009: Norbert Gleicher, MD & David Barad, MD, MS
Need Statement: The quality of ovarian function is a basic component of female infertility. How well a woman's ovaries accomplish their function has in the literature, to a significant degree, been equated with the concept of ovarian reserve (OR) which, in turn, is believed to reflect the number of functionally active remaining follicles. OR declines with advancing female age in predictive ways but approximately 10% of all women are, for various reasons, believed to deviate, and to prematurely lose OR. They, thus, develop diminished ovarian reserve (DOR) prematurely, a condition for which researchers at CHR have coined the term premature ovarian aging (POA). This annual "Research Update" will offer a review of recent research at CHR, which over the last few years has disproportionately to other subjects focused on the accurate and timely diagnosis and treatment of DOR, due to its various potential causes.
Objectives
- Know the major causes of POA
- Be aware of more accurate assessment methods of OR than are currently in routine use
- Understand that DOR< at least in some women, is predictable
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Fertility in Cancer Patients
April 21, 2009: Ann Partridge, MD
Need Statement: Cancer survivors, particularly young women, constitute a growing number of women seeking fertility treatment to have biological children after treatment. Thus, appropriate and timely dissemination of knowledge to cancer patients, regarding their options for fertility preservation, is becoming more and more important.
Objectives
- List the risks of premature menopause and infertility in young women treated for cancer
- Discuss the limitations of literature, particularly with regard to actual fertility after treatments
- Contrast pros and cons of different fertility preservation strategies
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The Latest on Menopause from NIH's Women's Health Initiative
April 14, 2009: David Barad, MD
Need Statement: In our daily practice, we are each called upon to provide our patients with an understandable and balanced interpretation of existing medical evidence, to help guide their treatment. In the case of patients dealing with menopause-related symptoms, these discussions have become increasingly difficult. This lecture will review some of the latest findings regarding menopause and how those findings will impact our daily decisions in caring for patients.
Objectives
- List ways in which hormonal therapy can be individualized
- Discuss key evidence regarding coronary heart disease, breast cancer, venus thromboembolic events, stroke and osteoporotic fractures
- Describe three effective menopausal therapy talking points that help patients make informed decisions about hormone therapy
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