Chapter 38: Trends and Deficiencies in Infertility

declining pregnancy rates over decades despite new technology, why IVF success hasn't improved since wedge resection, unexplained infertility without proper diagnosis, laparoscopy finding endometriosis when HSG normal, multiple embryos transferred per IVF cycle, frozen embryos stored in united states, selective reduction of multiple pregnancy, premature babies from fertility treatment, ovarian hyperstimulation syndrome risk, basal body temperature doesn't prove ovulation, mid-luteal progesterone test limitations, LH surge without actual ovulation occurring, endometrial biopsy missing ovulation defects, cervical mucus biomarker dismissed by reproductive endocrinologists, artificial insemination no better than timed intercourse, donor sperm ethical concerns biological father, ICSI birth defects chromosome abnormalities, preeclampsia after IVF donor eggs, low birth weight babies after ART, cerebral palsy risk after assisted reproduction, 400,000 frozen embryos ethical dilemma, 6.7 embryos wasted per live birth IVF, polycystic ovaries better outcomes with surgery than IVF, tubal surgery pregnancy rates similar to IVF, missing diagnosis in modern infertility evaluation, infertility workup without laparoscopy misses pathology, why success rates reported per cycle not per woman, high dropout rate after first IVF cycle, triplet rate increase from ovulation induction