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Chapter 6 - When to Use ART beyond 40: How Often, How Many Attempts, When to Stop

from Section 5 - Optimal Deployment of ART beyond 40

Published online by Cambridge University Press:  15 September 2022

By
Steven D. Spandorfer  and
Pietro Bortoletto
Edited by
Dimitrios S. Nikolaou  and
David B. Seifer
Dimitrios S. Nikolaou
Affiliation:
Chelsea and Westminster Hospital, London
David B. Seifer
Affiliation:
Yale Reproductive Medicine, New Haven, CT
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Summary

ART in women over 40 years of age is a fundamentally complex undertaking fraught with many challenges. This chapter carefully reviews the data for effective ovarian reserve assessment and preconception counseling. For women undergoing IVF, we discuss the evidence base for the different stimulation regimens and the multitude of adjunctive treatments proposed for poor responders. Finally, we discuss expected treatment success and when to consider stopping further IVF attempts with autologous oocytes.

Keywords

Advanced maternal ageART40 and olderIVF
Type
Chapter
Information
Optimizing the Management of Fertility in Women over 40 , pp. 71 - 80
Publisher: Cambridge University Press
Print publication year: 2022

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