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2019 | OriginalPaper | Chapter

Present and Future in Personalized Clinical and Laboratory Approaches to In Vitro Fertilization Procedures

Authors : Anđelka Radojčić Badovinac, Neda Smiljan Severinski, Sanja Dević Pavlić

Published in: Personalized Medicine in Healthcare Systems

Publisher: Springer International Publishing

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Abstract

Personalized approach to a patient engaged into an infertility treatment has been present since the early beginnings of the assisted reproductive technologies, and is constantly developing because of the progress of therapy, medication and laboratory methods. Personalization of the infertility treatment can be discussed on three different levels: approach to the patient, selection of gametes and assessment of embryos. Personalization of the approach to the patient includes adjustment of controlled ovarian stimulation strategy as well as usage of the biomarkers for the ovarian response to the hormone stimulation. Regarding gametes and embryo assessment, personalization includes application of novel OMICS and other high-throughput methods for selection of the oocytes and/or embryos with the highest developmental potential. Personalization of the treatment approaches and ovarian stimulation protocols along with improved laboratory techniques would lead to better treatment efficiency with improved safety for the patient, higher percentage of babies born per cycle and higher cumulative live birth rate for couple in shorter period of time.

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Footnotes
1
Gameiro et al. (2012).
 
2
Broer et al. (2011, 2013).
 
3
Ferraretti et al. (2011), La Marca et al. (2015), and Polyzos et al. (2014).
 
4
Drakopoulos et al. (2016).
 
5
Simoni and Casarini (2014).
 
6
Mohiyiddeen et al. (2012).
 
7
Benkhalifa et al. (2015), Bromer and Seli (2008), and Uyar et al. (2013).
 
8
Rienzi et al. (2012).
 
9
Revelli et al. (2009).
 
10
Dumesic et al. (2015).
 
11
Egea et al. (2014).
 
12
Chronowska (2014).
 
13
Gardner et al. (2001), and Gardner (2015).
 
14
Kaser and Racowsky (2014).
 
15
Ravichandran et al. (2017).
 
Literature
go back to reference Drakopoulos P, Blockeel C et al (2016) Conventional ovarian stimulation and single embryo transfer for IVF/ICSI. How many oocytes do we need to maximize cumulative live birth rates after utilization of all fresh and frozen embryos? Hum Reprod 31(2):370–376. https://doi.org/10.1093/humrep/dev316CrossRef Drakopoulos P, Blockeel C et al (2016) Conventional ovarian stimulation and single embryo transfer for IVF/ICSI. How many oocytes do we need to maximize cumulative live birth rates after utilization of all fresh and frozen embryos? Hum Reprod 31(2):370–376. https://​doi.​org/​10.​1093/​humrep/​dev316CrossRef
go back to reference Gardner DK, Lane M et al (2001) Noninvasive assessment of human embryo nutrient consumption as a measure of developmental potential. Fertil Steril 76(6):1175–1180CrossRef Gardner DK, Lane M et al (2001) Noninvasive assessment of human embryo nutrient consumption as a measure of developmental potential. Fertil Steril 76(6):1175–1180CrossRef
Metadata
Title
Present and Future in Personalized Clinical and Laboratory Approaches to In Vitro Fertilization Procedures
Authors
Anđelka Radojčić Badovinac
Neda Smiljan Severinski
Sanja Dević Pavlić
Copyright Year
2019
Publisher
Springer International Publishing
DOI
https://doi.org/10.1007/978-3-030-16465-2_8