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Re: Fertility drugs:stop or go?From: art fougner, md (evsono@pipeline.com)Wed Nov 26 13:30:18 1997
At Wed, 26 Nov 1997, Embryo@aol.com wrote: > >The major blunder that occurred in the Iowa disaster revolves around the fact >that there was complete ignorance that a multifetal pregnancy could have >resulted from the stimulation cycle. There had to have been inadequate >monitoring for the "fertility specialist" to have been so "shocked" at the >outcome. However, if a couple wishes to risk a high order pregnancy and >agrees to reduce the number of embryos to a safe number, it's probably >acceptable rather than scrap the cycle. The other issue is the ceiling of >estradiol to avoid hyperstimulation syndrome: we use 1500 pg/ml in an >insemination cycle, and have stayed out of trouble. The medium sized >follicles (12-14mm) are the culprits there. If there is ambivalence regarding >reduction, limiting the follicles at 16mm or greater to 3 or 4 is highly >unlikely to result in 100% fertilization, implantation, and continuation. The >lack of proper discussion, and, yes, informed consent, made this "miracle" >possible. > >Ed Marut, MD >Highland Park IVF and God sometimes DOES watch out for the fools. art
-- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com
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