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SHChen - Multiple Births Page 1 12/26/02 MULTIPLE BIRTHS : Risks and Rewards By Serena H. Chen, Director of Ovum Donation and Associate Director Institute of Reproductive Medicine and Science Saint Barnabas Hospital, Livingston, NJ INTRODUCTION Assisted reproductive technologies ART have given tens of thousands of couples throughout the world the opportunity to have children. Many infertile couples had little hope of conceiving prior to the availability of these advances in medical technology, which include controlled ovarian hyperstimulation COH using fertility drugs, either with or without intrauterine insemination; in vitro fertilization IVF and gamete intrafallopian transfer GIFT. However, there has been a price for success. Along with the use of ART has come a dramatic increase in the incidence of multiple gestations - - twins, and high order multiple gestations such as triplets, quadruplets and more. Currently, it is estimated that 50% of twin pregnancies and 90% of triplet and greater pregnancies are the result of ART. In many cases, couples are thrilled at the prospect of more than one child: an instant family, their hopes and dreams fulfilled, and then some. Indeed, twin pregnancies, with a little extra attention from your regular obstetrician and pediatrician, will usually do quite well. However, triplets and more must be considered very high-risk pregnancies. This article will discuss various techniques available to reduce the risks for multiple pregnancy. SCOPE OF THE PROBLEM According to the most recent statistics available from the federal Centers for Disease Control and Prevention CDC, 99, 639 cycles of IVF or one of its related procedures were carried out in 2000 in the United States. A little over 25, 228 of those cycles ended in a successful pregnancy 25.3%, resulting in the birth of 35, 025 babies. Of those pregnancies, 35% were multiple gestations 30.7% twins, 4.3% One year after setting the school-record for televised football games, A-State now already has two games set for television in 2011 with its Oct. 18 game against Florida International at ASU?Stadium being aired on ESPN2 as well. The main advantage of PDE-5 inhibitors is that they do not cause erections at inappropriate times because they act only in response to sexual stimulation. If there is no sexual stimulation drug remains in the background. All three are taken orally prior to planned sexual activity, acting to increase blood flow to the penis in response to sexual stimulation. However, there are important differences between these three, the differences that may affect the safety, specificity, duration, side effects, and ultimately, public recognition in this class of drugs.
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Quoting -Avi Pimp: I didnt ovulate this month on Clomid, but I cramped almost the entire cycle, and then towards the end right now and the last few days Ive been really bloated and really crampy. Hey everyone, so my temp went way back up today, so hoping it was an implantation dip yesterday, but I guess I wont find out until I get a BFP/BFN! Ive just ordered my Discover preg tests off Baby4you, I was going to wait untill next Saturday to test but not sure if I can wait that long! Discuss your early bleeding with your fertility specialist, as this is highly abnormal and should never be ignored!
