Leveling the playing field for grandfather’s sperm

To the Editor:

A recent publication by Frattarelli et al., found that sperm from males age 50 or over resulted in a lower percentage of live deliveries, even when using a donor oocyte model to negate the adverse effect of maternal oocyte age (1). These data reached a different conclusion compared to an earlier publication by another group using the donor oocyte model

Low AMH and GnRH-antagonist strategies

To the Editor:

We read with interest the case report by Tocci reporting a live birth in a woman with a negligible anti-Mullerian hormone (AMH) as defined by an AMH of <3.5 pmol/L (1).  We have previously reported a prospective cohort of 61 women with a median AMH of 3.0 (IQR 2.0 -3.8) pmol/L, where use of antagonist cycles without preprogramming achieved a clinical pregnancy rate of 14.7% per cycle started and a trend towards higher pregnancy rates as compared to agonist cycles [adjusted OR 2.89 (95% CI 0.88 -9.50); p=0.08](2). 

Laparoscopically Assisted Myomectomy

To the Editor:

We read with interest the article entitled “Surgical management of uterine fibroids in Hesse, Germany, between 1998 and 2004″ by Hesse et al (1). In doing so, we wonder how the authors identified the specific surgical route used for myomectomy and hysterectomy.

A call to provide multiple options for women in developing countries

To the Editor:

I was encouraged to read the article by Vayena et al, which justly addressed the needs of women experiencing infertility in developing countries (1). What is not clear is whether the authors are truly concerned with fairly evaluating “innovative approaches in treatment” (1) or whether they are simply one-sided advocates for assisted reproductive technology (ART).

Woman’s age and morphologic pattern should be taken into consideration while talking about “thin” endometrium

To the Editor:

We have read with great interest the excellent study by Miwa et al. (1) and would like to comment on the potential relationship between endometrial thickness, a woman’s age and endometrial morphologic pattern.

Acupuncture and IVF trial

I have some real concerns about the implications and conclusions drawn from the study of Domar et al. (1).

This study explores the effects of one protocol on IVF treatment. The study was indeed attempting to make sure that this was as close to the same protocol as used in the 2002 study.