Advance emergency contraception doesn’t reduce pregnancy rates

Washington, Mar 17 (ANI): Women who take emergency contraception in advance of need do not reduce their chances of getting pregnant, despite increased and faster use of such medications after unprotected sexual intercourse, concludes a new study.

Women who take emergency contraception up to five days after unprotected sex are less likely to become pregnant.

However, there are chances that women may not be able to access emergency contraception within this time frame.

In some countries, for instance, emergency contraceptives are not available over the counter and it can be difficult to arrange an appointment with a doctor on public holidays or weekends.

One solution could be that the women should keep a set of emergency contraceptive pills for immediate use, should it be needed.

The review included 11 trials and involved a total of 7,695 women from the US, China, India and Sweden.

The researchers studied the effect of advance provision of emergency contraception on rates of pregnancy and sexually transmitted infections (STIs), as well as on sexual behaviour and contraceptive use.

They found that women with advance access to emergency contraception had similar rates of pregnancy as women who did not receive the medication in advance.

Women given emergency contraception in advance were no more likely to have unprotected sex, to contract STIs, or to change their use of other contraceptive methods.

But, women with advance provision did take the medication an average of 13 hours sooner after sex, and were more likely to use emergency contraception at all.

“Our review suggests that strategies for advance provision of emergency contraception which have been tested to date do not appear to reduce unintended pregnancy at the population level. At the same time, advance provision does not appear to increase the risk of unprotected sex or sexually transmitted infections, and does not change use of other contraceptive methods,” said lead researcher Chelsea Polis of the Johns Hopkins Bloomberg School of Public Health.

“Some women may not use emergency contraception when needed, even if they have it in advance. Like condoms, emergency contraception will not work if it is not used. Women should still be given information about and easy access to emergency contraception, because it is a safe and effective way to prevent unintended pregnancies for individual women who will use it when needed,” added Polis.

The findings have been published in The Cochrane Library. (ANI)

Novel genetic test improves pregnancy rates in older women

Washington, June 30 (ANI): Scientists from University of Oxford, UK claim to have developed a new less invasive genetic test that has found to greatly improve pregnancy rates in older women with failed attempts.

The new test, developed by Dr. Elpida Fragouli, examining chromosomes in human eggs a few hours after fertilisation can identify those that are capable of forming a healthy baby.

She said that her team’s work had already enabled seven ongoing pregnancies in a group of older women with a history of multiple failed IVF attempts.

“Out of 35 patients who had embryo transfers after the test, we achieved a pregnancy rate of 20pct, which is exceptional considering the extremely poor prognosis of the women involved.” she said.

“This represents a doubling of the usual pregnancy rate for women who fall into this category, which is otherwise, at best, under 10pct and, at worst, zero.

“To date, we have two live births from this group, and all the other women who became pregnant have maintained their pregnancies. The study is continuing, and we believe that we will achieve more pregnancies with the help of this technology in the future,” she added.

During the study, the scientists used the Comparative Genomic Hybridisation (CGH) technique to count the chromosomes in each egg.

It examines the fertilised eggs by looking at polar bodies, tiny cells that are a by-product of egg development. The chromosomes of polar bodies provide an indication of whether the corresponding egg is normal or abnormal; if the polar bodies have the wrong number of chromosomes, so does the egg.

The scientists studied 400 fertilised eggs generated by women with a very poor reproductive history and with an average age of 42 who were undergoing IVF because of being unable to conceive or to maintain a pregnancy.

They found that more than half of all the eggs produced by these women had chromosomal abnormalities, and therefore the resulting embryos were also chromosomally abnormal.

Some of the women had a tendency to produce eggs that were extremely abnormal and carried multiple chromosome errors.

This, according the scientists, could explain the poor reproductive history of these women.

“But where we could find fertilised eggs free of chromosomal abnormalities, the resulting embryos were also normal and their transfer to the mother led to pregnancies,” said Dr. Fragouli.

“Results suggest that the use of this technique will improve IVF success rates for poor prognosis patients. It is also likely to achieve a reduction in congenital abnormalities such as Down’s syndrome, as well as a reduction in the frequency of spontaneous miscarriage,” she added.

The findings were presented at 25th annual conference of the European Society of Human Reproduction and Embryology. (ANI)

Weight-loss surgery cuts diabetes risk, improves fertility

Washington, Apr 12 (ANI): For people considering weight loss surgery, the operation can offer significant health benefits ranging from reversal of Type 2 diabetes to improving fertility and increasing an individual’s lifespan, says an expert.

Dr Nick Nicholson, weight loss surgeon on the medical staff at Baylor Regional Medical Centre at Plano revealed how the surgery can actually improve certain health conditions.

“Because obesity is the primary risk factor for Type 2 diabetes, weight-loss surgery can have a profound impact on the condition,” said Dr. Nicholson.

A study showed that 82 percent reversed their diabetes in less than two years, and 62 percent remained of patients who had weight-loss surgery diabetes free two years following surgery.

The surgery can also improve fertility. Although most obese women are not infertile, ovulatory functions and pregnancy rates frequently improve significantly after weight loss in obese women.

Another study showed that hypertension was eliminated in 61.7 percent of weight-loss surgery patients and significantly improved in 78.5 percent of patients.

Weight-loss surgery can also ease the pain caused by the stress of extra weight on joints;

A 2004 study showed the number of painful joints and other painful areas reported by the obese adults in the study was cut in half six to 12 months after weight-loss surgery.

“Partnered with improved quality of life, the medical benefits of weight-loss surgery can’t be taken lightly; the surgery can truly lead to greater physical and emotional health and wellness,” said Dr. Nicholson. (ANI)

Novel method of assessing women’s eggs may boost IVF success

Washington, Mar 24 (ANI): In a major advance towards successful in-vitro fertilization (IVF), scientists have developed a new method to assess the quality of women’s eggs and determine which are more likely to result in pregnancies.

Barry Behr, PhD, HCLD, associate professor of obstetrics and gynecology at the Stanford University School of Medicine and director of Stanford’s IVF laboratory, described a way to “profile” the eggs to know their chances of success.

Metabolomic testing reveals trace molecules remaining after an array of cellular processes.

Previous studies have shown that metabolomic profiling can be used to identify unique biomarkers left behind by embryos in culture, which foretell the embryos with the highest reproductive potential in IVF.

“Think of it as a sort of smog test for the embryo. It tells you how clean the engine is burning, and whether there are any problems,” said Behr.

For the study, the researchers, first extracted eggs from 43 women, then incubated them in culture for three hours and finally examined their metabolomic results before fertilization.

Then, the researchers documented what happened to each egg-whether it was fertilized, the quality of the resulting embryo on days three and five, and whether it led to a successful pregnancy.

The researchers established a correlation between the number of particular trace elements left behind by the eggs and both embryo viability and pregnancy rates.

“This shows we can predict embryo development and viability from the egg,” said Behr.

Behr further said that the test could someday be used to predict the success of IVF and help determine which eggs should be selected for fertilization or to be frozen.

Using only the best-quality eggs would lead to the creation of fewer embryos and eliminate the need to keep large quantities of embryos in storage.

This could also help doctors avoid the practice of implanting numerous embryos into a woman, which sometimes leads to the birth of twins, triplets and higher-order multiples.

The study appeared in a recent issue of Reproductive Biomedicine Online. (ANI)