Mild approaches in assisted reproduction Better for the future

René Frydman, M.D., Ph.D., Geeta Nargund, M.D.

Volume 102, Issue 6, Pages 1540–1541

Current approaches for in vitro fertilization (IVF) in the majority of assisted conception units throughout the world are aggressive, unphysiological, and expensive. Is this really necessary? There is a widespread belief among practitioners that for a woman the only consideration is a high success rate, and that the current practice of down-regulation, high-dose stimulation, and retrieval of a large number of oocytes yields a higher success rate per cycle and better outcomes. Incidentally, it also results in a higher income for the clinic, so surely, the argument goes, this is a win-win situation for both patient and practitioner.

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