[Deontological aspects of ovarian stimulation]. 1999

D Grochowski, and M Szamatowicz
Instytutu Połoznictwa i Chorób Kobiecych Akademii Medycznej w Białymstoku.

The physician and the infertile couple should be partners in the development of a treatment plan that optimally meets the couple's needs. The information about the benefits, side effects and costs of treatment is to be presented to the couple. Stimulation of the ovary has become the central component of rapidly developing assisted reproduction. The fundamental rule in ovulation induction is individual approach to each patient and close monitoring of the stimulation, because the dangers of ovarian hyperstimulation syndrome, multiple pregnancy and putative longer term risks. There is general agreement that multiple pregnancies, including twins, are still too common and must be avoided as they are the major causes of maternal and fetal morbidity. Since the advent of ICSI tens of oocytes are not necessary to achieve fertilization, and milder forms of ovarian stimulation should suffice in most IVF/ICSI cycles. Our target in infertility treatment should be the birth of healthy, singleton babies, with no health risks to their mothers.

UI MeSH Term Description Entries
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D004989 Ethics The philosophy or code pertaining to what is ideal in human character and conduct. Also, the field of study dealing with the principles of morality. Egoism,Ethical Issues,Metaethics,Moral Policy,Natural Law,Situational Ethics,Ethical Issue,Ethics, Situational,Issue, Ethical,Issues, Ethical,Law, Natural,Laws, Natural,Moral Policies,Natural Laws,Policies, Moral,Policy, Moral
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016471 Ovarian Hyperstimulation Syndrome A complication of OVULATION INDUCTION in infertility treatment. It is graded by the severity of symptoms which include OVARY enlargement, multiple OVARIAN FOLLICLES; OVARIAN CYSTS; ASCITES; and generalized EDEMA. The full-blown syndrome may lead to RENAL FAILURE, respiratory distress, and even DEATH. Increased capillary permeability is caused by the vasoactive substances, such as VASCULAR ENDOTHELIAL GROWTH FACTORS, secreted by the overly-stimulated OVARIES. Ovarian Hyperstimulation Syndrome, Familial Gestational Spontaneous,Hyperstimulation Syndrome, Ovarian,Hyperstimulation Syndromes, Ovarian,Ovarian Hyperstimulation Syndromes

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