For many patients with endometriosis, laparoscopic surgery is the most effective treatment to alleviate severe chronic pelvic pain and improve quality of life. Because endometriosis is common among in...
Fertility OutcomesEndometriosis Surgery ClaimsReproductive Treatment Access
Infertility affects 1 in 6 people globally (and up to a third of physicians) and is recognized by the World Health Organization and the American Medical Association as a disease. Since 1978, the devel...
Critique of RRMAccess to Fertility TreatmentEvidence Evaluation
Frank-Herrmann P et al.2026Fertility and sterility
Peipert et al. (1) claim that restorative reproductive medicine (RRM) originated as a political and religious movement with the purpose to limit access to in vitro fertilization (IVF). In so doing, th...
Sebire E et al.2026The Lancet regional health. Europe
BACKGROUND: Down's syndrome (DS) is the most common chromosomal congenital condition diagnosed in pregnancy. Antenatal screening for DS is available in Scotland, and in September 2020, non-invasive pr...
BACKGROUND: Social Egg Freezing (SEF), often promoted in Western contexts as a means to enhance reproductive autonomy, has seen varied uptake in countries with wider gender disparities. In such settin...
Meijering JR et al.2026Diving and hyperbaric medicine
INTRODUCTION: Hyperbaric oxygen therapy (HBOT) is used for various medical conditions. HBOT is demanding and varies in effectiveness. This intensity combined with logistical challenges may lead to pat...
BACKGROUND: Healthcare professionals' and students' willingness to provide abortion influences access to care and workforce readiness.
OBJECTIVE: We conducted a literature synthesis to identify patte...
GBD 2023 Intimate Partner Violence and Sexual Violence against Children Collaborators2026Lancet (London, England)
BACKGROUND: Violence against women and against children are human rights violations with lasting harms to survivors and societies at large. Intimate partner violence (IPV) and sexual violence against ...
BACKGROUND: Published evidence on patient experiences, perceptions, and challenges related to early breast cancer (eBC) in Italy is limited. Understanding these aspects is critical for improving diagn...
Breast Cancer Patient ExperienceSocial Media ListeningUnmet Needs in Cancer
# Overview of HFEA public consultation on Choose a Fertility Clinic 2025
Consultation held August-September 2025 on clinic’s main profile statistics on the Choose a Fertility Clinic webpage
Published:...
Clinic Reporting StandardsClinic Selection and TransparencyFertility Treatment Reporting
Boyle P2025
Open Access
Journal of Restorative Reproductive Medicine
Recently, editorials have been published in reproductive medical journals that have misunderstood and misrepresented the origin and meaning of “restorative reproductive medicine” (RRM).1,2 This term w...
Definition and PrinciplesPatient AutonomyRRM vs IVF
Importance: Medical gaslighting, in which a patient's concerns are dismissed without proper evaluation, has been described anecdotally in vulvovaginal patient care, but has not been quantified.
Objec...
Patient ExperienceGaslighting and DismissalVulvovaginal Conditions
INTRODUCTION: Among the religious factors that significantly contribute to believers' well-being, research on the personal experience of divine forgiveness (DF) remains in its infancy. The aim of this...
# Family formations in fertility treatment 2022
Preliminary UK family type statistics for IVF and DI treatment, storage, and donation
Published: November 2024
[Download the underlying dataset as .xlsx...
IVF Statistics and TrendsFamily Formation DemographicsNHS Fertility Funding
# State of the fertility sector 2023/24
Annual publication on HFEA licensed clinics
(1st April 2023 – 31st March 2024)
Published: 1st October 2024
[Download the underlying dataset as .xlsx](https://ww...
UK OversightClinic Safety and ComplianceFertility Treatment Governance
Sharma M et al.2024
Open Access
Journal of Perinatology : Official Journal of the California Perinatal Association
Objective: To determine the association between fertility treatment, socioeconomic status (SES), and neonatal and post-neonatal mortality.
STUDY Design: Retrospective cohort study of all births (19,3...
Neonatal MortalityART and Socioeconomic StatusInfant Health Outcomes
Objective: Women who have experienced reproductive loss (i.e., miscarriage, stillbirth, abortion) evaluated the usefulness of a novel screening tool, Reproductive Grief Screen (RGS), to identify patie...
Grief Assessment ToolsReproductive GriefTool Development
# State of the fertility sector 2022/23
Annual publication on HFEA licensed centres
(1st April 2022 – 31st March 2023)
Published: 12th September 2023
[Download the underlying dataset as .xlsx](https:/...
Gompel A et al.2023Climacteric : the Journal of the International Menopause Society
A recent Perspective article asserted that progesterone secretion during ovulatory cycles is the cause of breast cancer. However, we challenge most of the evidence developed in this publication. First...
Breast Cancer RiskCancer Risk AssessmentProgesterone Safety Evidence
The doctrine (or principle) of double effect is often invoked to explain the permissibility of an action that causes a serious harm, such as the death of a human being, as a side effect of promoting s...
Thomas C et al.2023The Journal of Obstetrics and Gynaecology Research
Aim: The objectives of this review are to identify and characterize attempts to transfer ectopic embryos to the uterus, and to understand arguments for and against the feasibility of such an intervent...
Embryo Transfer AttemptsEctopic Pregnancy ManagementEctopic Pregnancy Treatment
This article is a case study illuminating the experience of a cradle Catholic who pursued a career in the field of Assisted Reproductive Technology (ART) as a laboratory director and embryologist. Twe...
Perrotta M et al.2022
Open Access
Sociology of Health & Illness
With the increasing offer of fertility treatment by a largely privatised sector, which has involved the proliferation of treatment add-ons lacking evidence of effectiveness, In-Vitro Fertilisation (IV...
# State of the fertility sector 2021/22
Annual publication on HFEA licensed clinics
Published: October 2022
[Download the underlying dataset as .xlsx](https://www.hfea.gov.uk/media/lxkhzo04/state-of-t...
Buskmiller C et al.2022American Journal of Obstetrics & Gynecology MFM
Background: Perinatal palliative care is an emerging concept in fetal medicine that offers quality-of-life options and anticipatory grief management for families of fetuses with complex conditions. Fe...
Perinatal Palliative CarePrenatal Decision MakingFamily-Centered Care
Purpose: Professional bodies such as the American College of Obstetrics and Gynecology recognize the impact of conscience-based decisions. The first time such decisions affect patients and providers i...
Fielding-Singh P et al.2022Social Science & Medicine (1982)
Gaslighting is a type of abuse aimed at making victims question their sanity as well as the veracity and legitimacy of their own perspectives and feelings. In this article, we show how gaslighting can...
Objective: To assess whether editorial desk rejection at general medical journals (without peer review) of two clinical research manuscripts may relate to author gender or women's physiology topics. G...
Body LiteracyEthics/PhilosophyResearch Methodology
Gallo P et al.2022
Open Access
Revista de Medicina y Ética
La progresiva medicalización de la infertilidad en las últimas tres décadas se corresponde con una creciente difusión de las Tecnologías de Reproducción Asistida (TRA), que han dejado en la somb...
Comparison with ARTAssisted Reproduction AlternativesNatural Procreative Technology
# Trends in egg, sperm and embryo donation 2020
Statistics on donation and donor treatments in the UK fertility sector
Published: November 2022
[Download the underlying dataset as .xlsx](https://www.h...
Gamete and Embryo DonationUK Fertility RegulationDonor Conception
Infertility is a worldwide problem today. The more conventional approach of medicine would be to diagnose the causes and correct them, so that the fertility potential of the couple would permit them t...
Procreation and InfertilityRestorative vs Assisted ReproductionNatural Procreative Methods
Buskmiller C et al.2021American Journal of Perinatology
Objective: Perinatal palliative care (PPC) is an option for patients who discover that their infant has a life-limiting fetal condition, which decreases the burden of the condition using a multidiscip...
Perinatal Palliative CareLife-Limiting Fetal DiagnosisPalliative Care Programs
To investigate the sociological, environmental, and economic impact of hormonally active contraceptives, a series of comprehensive literature surveys were employed. Sociological effects are discussed ...
In recent years, the term 'medical gaslighting' and accompanying accounts of self-identified women experiencing invalidation, dismissal and inadequate care have proliferated in the media. Gaslighting ...
Gender Bias in MedicineMedical GaslightingStructural Healthcare Barriers
This paper looks at the ethics of assisted reproductive technology (ART) from the perspective of the Catholic Church. The three criteria of evaluation of the ethics of ART are the right to life and ph...
Catholic BioethicsEthical Alternative to ARTNaProTECHNOLOGY
Hormonal contraceptives have been on the market for over fifty years and, while their formulations have changed, the basic mechanism of action has remained the same. During this time, numerous studies...
Marital chastity is the practice of periodic abstinence with use of natural family planning (NFP). The purpose of this study was to determine the influence of the most common methods of contraception ...
Konicki AJ et al.2020Journal of Christian Nursing : a Quarterly Publication of Nurses Christian Fellowship
Infertility affects one in 16 married women in the United States where 12.7% of these seek treatment. The stress of infertility and treatment is known to impact marital satisfaction, which can be furt...
Stanford JB et al.2020Reproductive Biomedicine Online
While we agree with many of the points stated by Dyer et al. in their recent commentary inRBMO(Dyer et al., 2020), we believe their conclusions are focused too narrowly. Limiting the indicator of acce...
Kiani AK et al.2020Acta Bio-medica : Atenei Parmensis
BACKGROUND AND AIM: Infertility affects ~20% of the couples in the world. Assisted reproductive technologies (ARTs) are currently the most common treatment option for infertility. Nevertheless, ARTs m...
Background: Oral contraceptive use has been previously associated with an increased risk of suicidal behavior in some, but not all, samples. The use of large, representative, longitudinally-assessed s...
Kaneshiro B et al.2020Hawai'i Journal of Health & Social Welfare
Long acting reversible contraceptives (LARC), including intrauterine devices (IUDs) and contraceptive implants, can support an individual in meeting their reproductive goals by allowing them to preven...
Most Catholic physicians work with the comfortable assumption that we can practice our profession and our faith, fully assimilated into modern American culture and society. Increasingly, we have come ...
One aspect of the progressive secularization of biotechnology is the use of the by-products from abortion and the use of human embryos. These morally illicit cells and tissue create a significant mora...
OBJECTIVES: This review sought to evaluate the evidence for embryo formation during intrauterine device (IUD) use, to articulate how often embryo loss occurs in well-designed studies, and to comment o...
This article reviews the competition of two natural family planning methods in the mid-1970s when the Catholic Natural Family Planning program was underway in Korea. The Catholic Church, emphasizing t...
This landmark publication is in its second edition has been completely revised and updated to reflect recent developments in magisterial teaching and scientific research. More than thirty authors, who...
Mirkes R2020The National Catholic Bioethics Quarterly
This article considers one question: How does the Catholic Church guide infertile couples to exercise their right to build a family? Part One examines the principal tenets of Catholic social teaching ...
# Family formations in fertility treatment 2018
UK IVF and DI statistics for heterosexual, female same-sex and single patients
Published: 22 September 2020
[**Download the underlying data set in .xlsx...
Family Formation PatternsIVF and Donor Insemination StatisticsFamily Diversity in ART
Chirchiglia D et al.2020Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
In this study, we have made a historical review of epilepsy through the centuries, from pre-Christian era to the present time. The epileptic was examined by Hippocrates, the first to recognize epileps...
Immersed in the world dominated by pragmatism, contemporary man seems to be thinking and functioning only according to the criteria of effective acting. However, life experience, philosophical reflect...
Procreation and Natural LawTheological FoundationsReproductive Ethics
Perinatal palliative care refers to a coordinated care strategy that comprises options for obstetric and newborn care that include a focus on maximizing quality of life and comfort for newborns with a...
A special course on Marriage, the Family and Human Sexuality was established at Kenrick-Glennon Seminary in St. Louis so as to assist the seminarians in their better understanding of the Church's teac...
Seminary and Clergy FormationNFP Curriculum OutcomesHumanae Vitae Implementation
Since contraceptives have been used to remove fertility from the conjugal act, the social consequences predicted in the encyclical Humanae vitae, such as the rise in cohabitation, decline of marriage,...
Humanae Vitae ConsequencesDemographic and Family EffectsMarriage and Complementarity
The purpose of this review was to determine whether there is evidence that ovulation can occur in women using hormonal contraceptives and whether these drugs might inhibit implantation. We performed a...
Since the 1960s, hormonal contraceptives have become the most commonly used method of pregnancy prevention in the United States and the world. Oral contraceptives are used by a large percentage of wom...
A reductive reading of Humanae vitae seeks to limit its appeal to a ban on contraception. In truth, however, it offers a vision of human sexuality and conjugal love with broad and enduring relevance. ...
Reproductive Medicine Moral FrameworkHumanae Vitae Broad VisionAssisted Reproduction Moral Analysis
Catholic bioethicists have extensively addressed extrauterine tubal pregnancies, which represent the great majority of ectopic pregnancies. However, additional management options have been developed f...
Interstitial and Cesarean Scar TypesEctopic Pregnancy ManagementNon-Tubal Ectopic Intervention
Steen J2018Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
BACKGROUND: The fertility clinic is an environment in which significant adverse incidents are potentially catastrophic. The Human Fertilisation and Embryology Authority (HFEA) publishes an annual repo...
OBJECTIVE: Our objective was to analyze systematically the preface and foreword of each edition of Williams Obstetrics and Te Linde's Operative Gynecology to gain insight into historical changes in me...
Textbook AnalysisHistorical PerspectivesRegulation and Documentation
BACKGROUND: Down syndrome (trisomy 21) is a well-known cause of mental retardation. It can be diagnosed in early pregnancy. Scientists have made great strides in outlining the pathophysiologic mechani...
Down SyndromeTherapeutic InterventionTrisomy 21 Management
Residents entering training in the specialty of Obstetrics and Gynecology (OB/GYN) often have misconceptions as to what medical interventions Roman Catholic healthcare institutions prohibit, and why c...
Medical EducationResidency TrainingInstitutional Frameworks
NaProTECHNOLOGY is a new field of medicine specializing in the promotion of human procreation. Its foundation is a teaching system called the Creighton Model Fertility Care System. It is based on the ...
Culture of LifeResponsible ParenthoodCreighton Model System
Murcia-Lora JM et al.2017
Open Access
Persona y Bioética
En la actualidad hay suficiente evidencia científica que relaciona directamente adquisición, exposición y prevalencia del virus del papiloma humano (VPH) con el cáncer del cuello de uterino. Por ello,...
HPV PreventionSexual Health EducationSexuality and Personhood
BACKGROUND: Recent studies have identified that levonorgestrel administered orally in emergency contraception (LNG-EC) is only efficacious when taken before ovulation. However, the drug does not consi...
This paper is a response to Dr. Kathleen Raviele's recent article on her critical analysis of the use of levonorgestrel given to women postsexual assault and her suggestion that the use of Meloxicam m...
Wdowiak A et al.2016
Open Access
Videosurgery and Other Miniinvasive Techniques
In vitro fertilization (IVF) is a method of treatment for infertility in selected indications. Recent years have brought dynamic development of technologies related to IVF. This article presents probl...
Of the 237 women, 92 (38.8%) had experienced both a normal and a toxaemic pregnancy, and 72 (78%) contrasted the sense of well-being associated with a normal pregnancy with the malaise and minor sympt...
Here I respond to Akers, Dhar, and Shah's (2016), Stubbs's (2016), Olshansky's (2016), and Kissling's (2016) commentaries on the article (Prior, 2016) in which I expressed concerns about the potential...
Adolescent UsePharmaceutical EthicsAdolescent Bone Density
Fitzgerald JE2016The national Catholic bioethics quarterly
In 2014, the American Academy of Pediatrics published its policy statement on contraception for adolescents, which provides, in effect, a mandate to temporarily sterilize all adolescents with long-act...
Obelenienė B et al.2016
Open Access
SOTER: Journal of Religious Science
The article raises the issue of today’s application of assisted (artificial) reproduction methods, which are incom-patible with human dignity. The authors articulate the principles of human dignity, w...
Human Dignity in Infertility TreatmentAssisted Reproduction CritiqueNaProTECHNOLOGY vs ART
Introduction
- A pregnant woman is diagnosed with uterine cancer. Is it permissible to operate to remove the cancer, even though doing so will result in the loss of the baby?
- A dying man is in extre...
Principle of Double EffectIntended vs Foreseen ConsequencesPregnancy Intervention Decisions
Gruszka MJ2015
Open Access
Seminare. Poszukiwania naukowe
In vitro fertilization (IVF) is a method known almost all over the world, by which modern man is trying to cope with the problem of infertility. The aim of this article is to show the eugenic roots of...
Alternative to IVFEugenics and IVFNaProTECHNOLOGY vs IVF
The purpose of this study was to determine the influence of contraception, abortion, and natural family planning (NFP) on divorce rates of US women of reproductive age. The variables of importance of ...
There has been much debate regarding levonorgestrel emergency contraception's (LNG-EC's) method of action since 1999 when the Food and Drug Administration first approved its use. Proponents of LNG-EC ...
The objective of this editorial is to show that a harmonious relationship between science and faith is possible, as exemplified by great saints of the Catholic Church. It begins with the definitions o...
Radkowska-Walkowicz M2014
Open Access
Czech sociological review
In Poland, invitro fertilisation technology (IVF) has been in use for over 25 years, garnering success and social approval. However, in 2007, a heated debate erupted on the moral, legal and economic a...
Public DiscourseCatholic Teaching ReproductionNaProTECHNOLOGY vs IVF
By encouraging doctors and scientists to improve the regulation of births through the observation of natural fertility rhythms, Humanae vitae promoted the development of natural family planning (NFP)....
Laurinec J2014The national Catholic bioethics quarterly
The development of hormonal contraception introduced a new era in medical practice, marked by the suppression of female fertility by interventions in the hormonal system. The interventions are very gr...
The Ethical and Religious Directives for Catholic Health Care Services allows the use of an emergency contraceptive for a woman who has been raped, as a defense against her attacker's sperm, provided ...
Dear Editor, I read with interest the recent issue of the Linacre dedicated to geriatrics and end-of-life care. This is such a timely topic! With the implementation of Obamacare – which is government-...
L’auto-osservazione e il follow-up grafico del ciclo mestruale in caso di presunta sterilita, aiutano a diagnosticare e trattare certe alterazioni ginecologiche, al fine di attuare il rapporto sessual...
Conception OptimizationNatural Procreative TechnologyNatural vs Invasive Treatment
There are few studies that have investigated the spiritual problems of couples practicing natural family planning (NFP). The purpose of this paper is to analyze the spiritual problems and intervention...
In the last 50 years, a surge of reproductive technology has revolutionized the practice of obstetrics and gynecology. First, effective hormonal contraceptives were made available to the public in the...
Infertility TreatmentAdhesion PreventionReproductive Medicine
Human uterus transplantation (UTx) is currently under investigation as a treatment for uterine infertility. Without a uterus transplant, the options available to women with uterine infertility are ado...
OBJECTIVE: To present a series of cases demonstrating successful reversal of mifepristone effects in women who chose to reverse the medical abortion process.
CASE REPORTS: Four of 6 women who took mi...
The current approach to infertility of assisted reproductive technology (ART) completely misses and then bypasses the evaluation and treatment of cervical factor infertility. In contrast, the Creighto...
Beginning January 1, 2009, the Roman Catholic Diocese of Covington mandated that all engaged couples take a full course of NFP instruction as part of preparation for marriage within the Church. Using ...
Utah has the highest total fertility of any state in the United States and also the highest proportion of population affiliated with the Church of Jesus Christ of Latter-day Saints (the LDS or Mormon ...
Religion and FertilitySociodemographic DeterminantsPronatalism
Dowbór-Dzwonka A et al.2012
Open Access
Zdrowie publiczne
Infertility is a significant and constantly increasing individual and social problem. It is estimated that at present it affects approx. 15 to 20 percent of couples. Inability to conceive a child elic...
ART vs NaProTECHNOLOGYAssisted ReproductionNatural Procreation Methods
Pregnancy is not a disease. But more fundamentally, neither is human fertility. They are normal physiologic processes of the sexually mature person. By classifying pregnancy and fertility as disease s...
Hemphill CK et al.2012The national Catholic bioethics quarterly
Consecrated women religious have been shown to be at increased risk for uterine and ovarian cancers. The authors critique a proposal by Kara Britt and Roger Short advocating the distribution of a comb...
Gynecologic Health MonitoringCancer Risk and Benefit AssessmentContraception Alternatives for Cancer Prevention
Collier R2011
Open Access
CMAJ : Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne
Amy Kuebelbeck was 25 weeks into her pregnancy when she received the terrible news. Her fetus had been diagnosed with an incurable heart defect. If she carried through with her pregnancy, her baby's l...
Grabowski JS et al.2010The national Catholic bioethics quarterly
The Congregation of the Doctrine of the Faith’s Dignitas personae doesnotofferadefinitiverejectionofthepracticeofhumanembryoadoptionas intrinsicallyevil,butneitherdoesitsimplyleav...
Embryo Adoption and Moral StatusDignitas Personae and Reproductive TechnologyFertility Industry Cooperation and Scandal
Executive Summary
Catholic Health is a ministry of the Church. Through the Ethical and Religious Directives for Catholic Health Care Services (ERDs), the Church reaffirms its commitment to the ministr...
Ethical and Religious DirectivesCatholic Teaching on ProcreationInstitutional Partnerships and Cooperation
This article questions the conclusions drawn by the author of "The Mirena® Levonorgestrel-releasing Intrauterine System and Its Application to the Treatment of Menorrhagia: A Moral Opinion" (Linacre Q...
Mirkes R2008The Journal of Medicine and Philosophy
This essay sets down three directives for conscientiously objecting clinicians-physicians, particularly obstetrician/gynecologists, trained in NaProTechnology by the Pope Paul VI Institute and Creight...
Reproductive MedicineConscience RightsHealthcare Provider Training
Yeung PP Jr et al.2008The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
This is the first known case of extended somatic support beyond viability for a pregnant woman with brain death resulting from metastatic malignant melanoma, resulting in a live birth.
Maternal Brain DeathSomatic Support in PregnancyCritical Care
Alukal JP et al.2008The Urologic Clinics of North America
In vitro fertilization used in combination with intracytoplasmic sperm injection allows otherwise sterile couples to become parents. Despite recent studies on the safety of these technologies, there i...
OBJECTIVE: To model the effectiveness that can be obtained if levonorgestrel-only emergency contraception (EC) acts only through disrupting ovulation, in relation to other effects that may occur befor...
Mechanism of ActionEffectiveness AnalysisPostfertilization Effects
No AccessOther Health Study28 Jun 2021Walking the TalkReimagining Primary Health Care After COVID-19Authors/Editors: World BankWorld Bankhttps://doi.org/10.1596/35842SectionsAboutPDF (22.7 MB) ToolsAd...
Participatory MethodsCommunity-Based ResearchParticipatory Research
Prior et al.2006Journal of reproductive and infant psychology
Ordinary women and official statements confuse and conflate perimenopause—the long, complex, life phase of higher and chaotic estrogen levels—with the low and stable estrogen levels of menopause. This...
Hormonal CharacterizationEstrogen in PerimenopauseWomen's Health Paradigms
Mallardi V2006Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-facciale
The principle of informed consent, aimed at the lawfulness of health assistance, tends to reflect the concept of autonomy and of decisional autodetermination of the person requiring and requesting med...
Niemitz EL et al.2004American journal of human genetics
A surprising set of recent observations suggests a link between assisted reproductive technology (ART) and epigenetic errors--that is, errors involving information other than DNA sequence that is heri...
Mirkes R2004The Medical and Surgical Practice of NaProTECHNOLOGY
The philosophical and ethical foundation of NaProTECHNOLOGY is examined through the lens of a "new humanism" that affirms the dignity of women, couples, and the unborn by working within — rather than ...
Hilgers TW et al.2004The Medical and Surgical Practice of NaProTECHNOLOGY
Patients who have undergone multiple failed IVF cycles and are counseled to abandon fertility treatment represent a significant NaProTECHNOLOGY cohort in whom undiagnosed correctable pathology — inclu...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Adaptations of CrMS instruction for physiologically distinct reproductive states — including breastfeeding, post-hormonal contraceptive use, long or irregular cycles, and premenopause — are described ...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Escalating rates of contraceptive use, abortion, divorce, child abuse, teenage pregnancy, and out-of-wedlock births over the preceding four decades are documented as interconnected indicators of syste...
Stanford JB2004The Medical and Surgical Practice of NaProTECHNOLOGY
Methodologically rigorous effectiveness data for the CrMS are presented, including method-effectiveness and use-effectiveness rates for pregnancy avoidance drawn from prospective cohort studies, demon...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Infertility is not merely a reproductive inconvenience but frequently signals systemic or hormonal pathology — including polycystic ovarian disease, endometriosis, thyroid dysfunction, and immune abno...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Chronic pelvic pain and dysmenorrhea in reproductive-age women most commonly reflect undertreated endometriosis, adenomyosis, ovarian dysfunction, or pelvic adhesive disease rather than psychosomatic ...
Hilgers TW et al.2004The Medical and Surgical Practice of NaProTECHNOLOGY
Compounding pharmacists prepare individualized hormone formulations — including HCG, progesterone, and thyroid preparations — that are central to NaProTECHNOLOGY treatment protocols, where standardize...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Postpartum depression in susceptible women is linked to abrupt postpartum progesterone withdrawal following the high-progesterone state of pregnancy, particularly in those with prior PMS, luteal phase...
Hilgers TW et al.2004The Medical and Surgical Practice of NaProTECHNOLOGY
Family physicians trained in NaProTECHNOLOGY serve as primary coordinators of medical management — prescribing targeted hormone support, monitoring biomarker trends, and triaging surgical referrals — ...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Management of pregnancies complicated by lethal fetal anomalies is addressed within an ethical framework that provides perinatal palliative care, parental support, and medical management without recou...
Hilgers TW et al.2004The Medical and Surgical Practice of NaProTECHNOLOGY
Family physicians are optimally positioned to introduce NaProTECHNOLOGY to patients presenting with infertility, irregular cycles, or recurrent pregnancy loss during routine primary care, enabling ear...
OBJECTIVE: To determine the outcome of infants with a gestational age (GA) <27 weeks, born in the mid-1990s.
DESIGN: Regional, prospective study; part of the Leiden Follow-Up Project on Prematurity.
...
Neurodevelopmental OutcomesMortality and MorbidityResuscitation Thresholds
Over the years of my involvement in obstetrics and gynecology, and reproductive medicine and surgery I have had the opportunity to see, first hand, how the religious liberties of individual physicians...
Free Exercise in Reproductive MedicineDiagnostic Versus Bypass ApproachPhysicians and Medical Students
OBJECTIVE: To determine the number of embryos stored at assisted reproductive technology (ART) clinics in the United States and their current disposition.
DESIGN: A targeted survey instrument sent by...
Cryopreserved Embryo DispositionIVF Embryo StorageART Practice Surveys
This cross-sectional cohort study of 5566 women and 2187 men 50 years of age and older in the population-based Canadian Multicentre Osteoporosis Study was conducted to determine whether reported past ...
Stanford JB et al.2002American Journal of Obstetrics and Gynecology
There are many potential mechanisms of action for the intrauterine device (IUD), which vary by type of IUD (inert, copper, or hormonal). This paper reviews the evidence for each potential mechanism of...
Mechanisms of ActionPostfertilization EffectsAbortifacient Mechanisms
This review examines the role of patient predictors of outcome in cognitive therapy of depression. Studies that meet eligibility criteria are reviewed for demonstrated linkage between various predicto...
Kahlenborn C et al.2002The Annals of Pharmacotherapy
OBJECTIVE: To assess the possibility of a postfertilization effect in regard to the most common types of hormonal emergency contraception (EC) used in the US and to explore the ethical impact of this ...
Mechanism of ActionEmergency ContraceptionPostfertilization Effects
OBJECTIVE: To compare the karyotype of babies conceived through ICSI with that of naturally conceived babies.
DESIGN: Prospective controlled study.
SETTING: The Egyptian IVF-ET Center, Cairo, Egypt....
BACKGROUND: There have been reports suggesting that children born after in-vitro fertilisation by intracytoplasmic sperm injection (ICSI) are at increased risk of neurodevelopmental delay. We have und...
Kobayashi K et al.2001Annals of the New York Academy of Sciences
The Federal Food, Drug, and Cosmetic Act and related regulations (21 U.S.C. 301 et seq.) give FDA staff the legal authority and responsibility to review the safety and effectiveness of drugs and biolo...
Contemporary practice in assisted reproductive technologies (ART) compensates for the attrition that occurs at each phase of the cycle. Every follicle does not yield an egg, nor does every egg fertili...
Embryo DispositionStatus of EmbryosEmbryo Transfer Practices
In an otherwise excellent editorial that appeared in this journal concerning the problems created by failure of the Health Insurance Industry to provide coverage for infertility, the author, a noted a...
Underlying Disease IdentificationInfertility as SymptomRoot Cause Diagnosis of Infertility
Hazekamp J et al.2000Human Reproduction (Oxford, England)
To maximize pregnancy rates, physicians who perform IVF, often transfer multiple embryos, which increases the multiple birth risk. Multiple birth infants are at significant risk for a number of advers...
Multiple Birth PreventionEmbryo Transfer StrategiesMultiple Pregnancy Reduction
The primary mechanism of oral contraceptives is to inhibit ovulation, but this mechanism is not always operative. When breakthrough ovulation occurs, then secondary mechanisms operate to prevent clini...
Mechanism of ActionContraceptive CounselingPostfertilization Effects
Driscoll GL et al.1999Journal of Assisted Reproduction and Genetics
Doctors love conventions. They have them in exotic places and they frequently use them to defend what would otherwise be inexplicable calculations. Thus 38 weeks of true gestation is, of course, 40 we...
Is Menstruation Obsolete? argues that regular monthly bleeding is not the “natural” state of women, and that it actually places them at risk of several medical conditions of varying severity. The auth...
Leese HJ et al.1999Human Reproduction (Oxford, England)
A variety of embryo-based technologies used in farm animal reproduction, including embryo culture, nuclear transfer, embryo-somatic cell co-culture and asynchronous embryo transfer can lead to the pro...
Safety Concerns and RisksPrecautionary PrinciplesEmbryo Development
Papiernik E et al.1999Journal of Perinatal Medicine
This article reviews the arguments for the use of multifetal pregnancy reduction (MFPR) for the prevention of preterm deliveries in triplet and higher order multiple pregnancies and evaluates its effe...
There is a growing threat to the practice of oocyte donation in the United States and all of us should take careful notice. This threat is posed by the escalating fees paid to young women for providin...
Gamete DonationCommodification of ReproductionOocyte Donation
The mechanism of action of contraceptive drugs and devices forms an essential part of informed consent for patients considering various methods of family planning. Currently the literature is confusin...
Bron MS et al.1998The American Journal of Managed Care
The birth of the McCaughey septuplets in Iowa in November 1997 brought issues of fertility assistance and their potential outcomes to worldwide attention. This Pergonal-stimulated multiple pregnancy e...
Insurance and Managed CareInfertility CoverageReproductive Technology Access
OBJECTIVE: To report the occurrence of an unusual case of successful pregnancy achieved by oocyte donation in a woman > 60 years of age.
DESIGN: Case report.
SETTING: University-based assisted repro...
Objective: To review our experience with semen retrieval in men who are incompetent or dead and to formulate general medical, legal, and ethical guidelines for practitioners.
Design: Case series and l...
OBJECTIVE: To compare single women, lesbian couples, and heterosexual couples receiving therapeutic donor insemination (TDI).
DESIGN: Chart review followed by anonymous mail questionnaires to donor i...
The following is an address presented to a summit meeting on natural family planning sponsored by the Pontifical Councilfor the Family in December, 1992
I am honored and privileged to have this opport...
Development and HistoryBillings Ovulation MethodNatural Family Planning
"Uterine Isolation" has been discussed, in one form or another, since the early 1940's by such notable American theologians as Fr. John C. Ford, SJ, Fr. Gerald Kelly, SJ; Fr. Francis J. Connell, C.SS....
A recent survey conducted by the American Academy of Natural Family Planning (AANFP) found that over 55% of Catholic hospitals surveyed either provide or would like to provide some form of Natural Fam...
OBJECTIVE: To limit the high number of multiple pregnancies in an IVF program.
SETTING: In Vitro Fertilization Laboratory, Fertility Department, Public Hospital.
INTERVENTIONS: The number of embryos...
Embryo Transfer PolicyMultiple Pregnancy PreventionEmbryo Management
Ducharme maintains that the Vatican's moral argument against all instances of in vitro fertilization (IVF), as set forth in its Instruction on Respect for Human Life in its Origin and on the Dignity o...
Catholic Teaching on IVFAssisted Reproductive TechnologyReligious Perspectives on Reproduction
A study of the knowledge, perceptions, and behavioral intentions of physicians regarding periodic abstinence (PA) methods was undertaken in Mauritius, Peru, the Philippines, and Sri Lanka. Most respon...
Physician Knowledge and AttitudesHealthcare Provider PerspectivesFamily Planning Counseling
The technique for reduction of the number of embryos was applied in a patient who conceived following IVF and transfer of six embryos. On the 10th week of gestation, the number of embryos was reduced ...
There has been an increase in interest in natural family planning (NFP) in recent years. The Roman Catholic Church and other groups sympathetic to NFP philosophy have pressured the US Agency for Inter...
International FundingSympto-Thermal MethodReligious Perspectives
Strong C et al.1984The Journal of Reproductive Medicine
Requests by single women for artificial insemination by donor (AID) raise important ethical issues concerning the obligations of physicians and the well-being of the children who would be conceived. S...
Cates W Jr1982American Journal of Obstetrics and Gynecology
Thomas W. Hilgers, M.D., testifying to the Australian Royal Commission on Human Relationships in 1975, alleged that liberal abortions laws in the U.S. caused more deaths among women of childbearing ag...
Maternal Mortality StatisticsAbortion Safety DebateMortality Data Interpretation
Serra A1981Bulletin of the Natural Family Planning Council of Victoria
Genetic errors of many kinds are connected with the reproductive processes and are favored by a nunber of largely uncontrollable, endogenous, and/or exogenous factors. For a long time human beings hav...
Genetic Risk AssessmentNatural Family Planning Moral DebateFertility Regulation Safety
Sixty in-depth interviews with mothers living in a urban slum of Morocco probed resistances to practicing modern methods of fertility control and began to shed light on some of the reasons family plan...
This paper gives in narrative style those phases of the corpus luteum story in which the author was an active participant. The first part deals with the exciting days at the University of Rochester wh...
Sandberg EC et al.1971American Journal of Obstetrics and Gynecology
Some of the psychological influences on contraceptive misuse and rejection are presented, ranging from denial (of the possibility of pregnancy), guilt, sexual identity conflicts, to fear, opportunism ...
Psychological FactorsPsychological and Social DimensionsBarriers to Compliance