Money-back guarantees.

Abstract:

:As fertility rates among women of advanced reproductive age have steadily increased, so has the utilization of fertility services. National health policies provide infertility treatment coverage in several developed countries; however, in the United States infertility treatment is largely privately funded, resulting in limited access to care. In response to the lack of insurance coverage, many practices offer fertility treatment on a risk-sharing or contingency fee basis. The ethical delivery of care under the auspices of these programs requires adherence to core principles including transparency, patient autonomy, and the delivery of appropriate medical care. Moreover, concerns regarding patient understanding and decision making have also been of foremost concern. Patients must be able to fully appreciate the financial and clinical implications of contingency fee programs. To further explore patient comprehension and satisfaction, we surveyed participants in our shared risk assisted reproductive technology program. The overwhelming majority of respondents felt adequately informed of and fairly charged for their treatment. Our results demonstrate that shared risk programs can receive strong endorsement from participants, which may lead to improved utilization of and perseverance with fertility treatment.

journal_name

Semin Reprod Med

authors

Levens ED,Richter KS,Levy MJ

doi

10.1055/s-0033-1336600

subject

Has Abstract

pub_date

2013-05-01 00:00:00

pages

198-203

issue

3

eissn

1526-8004

issn

1526-4564

journal_volume

31

pub_type

杂志文章
  • Mixed signals: development of the testis.

    abstract::Induction and patterning of the testis occurs over a brief window of time. Before male-specific morphogenesis, the gonad primordium is bipotential and capable of developing into either an ovary or testis. However, expression of the transcription factor SRY initiates male development and induces patterning, proliferati...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0028-1108005

    authors: Cool J,Capel B

    更新日期:2009-01-01 00:00:00

  • Nongonadal LH/hCG receptors in pig: functional importance and parallels to human.

    abstract::Luteinizing hormone (LH) and human chorionic gonadotropin (hCG) share a common receptor in gonadal cells; however, the presence of these receptors has also been detected in several nongonadal but reproduction-associated tissues of pig, human, and other species. There are no data about the ontogeny of the human LH/hCG ...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2001-13907

    authors: Ziecik AJ,Derecka K,Gawronska B,Stepien A,Bodek G

    更新日期:2001-01-01 00:00:00

  • The impact of type 1 and type 2 diabetes mellitus on the oocyte and the preimplantation embryo.

    abstract::Whereas the importance of close monitoring and tight glycemic control in diabetic pregnancies cannot be ignored, the growing body of knowledge surrounding the different effects of diabetes mellitus on the earliest stages of reproduction underscores the need for aggressive screening among reproductive-aged women at ris...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1042957

    authors: Jungheim ES,Moley KH

    更新日期:2008-03-01 00:00:00

  • Tissue-specific regulation of genes by estrogen receptors.

    abstract::Estrogens are frequently used in reproductive medicine. The Women's Health Initiative trial found that the risks of menopausal hormone therapy (MHT) exceed the benefits. The estrogens in MHT, however, were introduced prior to our understanding of the mechanism of action of estrogens. Estrogen signaling is highly compl...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1299593

    authors: Leitman DC,Paruthiyil S,Yuan C,Herber CB,Olshansky M,Tagliaferri M,Cohen I,Speed TP

    更新日期:2012-01-01 00:00:00

  • A new function for the LH/CG receptor: transcytosis of hormone across the endothelial barrier in target organs.

    abstract::Gonadotropins cross the vascular endothelial barrier to reach their target organs. Hormone concentrations in blood are very low and fluctuate rapidly to give sharp biological effects. Nonspecific transendothelial transport mechanisms are slow and markedly concentration dependent. There is thus a need for specific tran...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2001-13916

    authors: Ghinea N,Milgrom E

    更新日期:2001-01-01 00:00:00

  • Evaluation of a Center of Research Excellence in Polycystic Ovary Syndrome as a Large-Scale Collaborative Research Translation Initiative, Including Evaluating Translation of Guideline Impact.

    abstract::Research translation and evaluation are often underconsidered in research design and implementation thus limiting research benefit to the end user. In this article, we first describe a best practice approach to evaluation, for a center of research excellence in polycystic ovary syndrome. Within this, we outline a comp...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章

    doi:10.1055/s-0038-1667308

    authors: Garad R,Kozica-Olenski S,Teede HJ

    更新日期:2018-01-01 00:00:00

  • Aneuploidy screening for embryo selection.

    abstract::Chromosome abnormalities are extremely common in human oocytes and embryos and are associated with a variety of negative outcomes for both natural cycles and those using assisted conception techniques. Embryos containing the wrong number of chromosomes (aneuploidy) may fail to implant in the uterus, miscarry, or lead ...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1313908

    authors: Fragouli E,Wells D

    更新日期:2012-08-01 00:00:00

  • Indications of intrauterine insemination for male and non-male factor infertility.

    abstract::Intrauterine insemination (IUI) is a widely used fertility treatment for couples with male and/or non-male factor infertility and is a relatively simple and inexpensive procedure. When used for unexplained infertility, IUI combined with ovarian stimulation increases the pregnancy rates, but evidence does not support t...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1375183

    authors: Kim YJ,Park CW,Ku SY

    更新日期:2014-07-01 00:00:00

  • An Introduction to Genome-Wide Association Studies: GWAS for Dummies.

    abstract::Although the genetic origin of many human diseases and phenotypes has been long and widely recognized, identification of the causative gene alleles has been limited, slow, and cumbersome. This has changed substantially with the introduction of genome-wide association studies (GWASs) a decade ago, fueled by studies and...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章

    doi:10.1055/s-0036-1585406

    authors: Uitterlinden AG

    更新日期:2016-07-01 00:00:00

  • Advice on the management of ambiguous genitalia to a young endocrinologist from experienced clinicians.

    abstract::The birth of a child with ambiguous genitalia is a challenging and distressing event for the family and physician and one with life-long consequences. Most disorders of sexual differentiation (DSD) associated with ambiguous genitalia are the result either of inappropriate virilization of girls or incomplete virilizati...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1324717

    authors: Wilson JD,Rivarola MA,Mendonca BB,Warne GL,Josso N,Drop SL,Grumbach MM

    更新日期:2012-10-01 00:00:00

  • Leptin and reproductive function in males.

    abstract::Leptin is a circulating protein produced by adipocytes that has been implicated in control of body weight through appetite regulation and control of reproduction, most likely through an effect on the central nervous system. From studies in mice, it is clear that the genetic background of the animal on which the mutati...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2002-32506

    authors: Lado-Abeal J,Norman RL

    更新日期:2002-05-01 00:00:00

  • Neuropeptide Control of Puberty: Beyond Kisspeptins.

    abstract::Puberty is a fundamental developmental event in the lifespan of any individual, when sexual and somatic maturation is completed, and reproductive capacity is achieved. While the tempo of puberty is under strong genetic determination, it is also modulated by a wide array of internal and environmental cues, including, p...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-3400967

    authors: Barroso A,Roa J,Tena-Sempere M

    更新日期:2019-07-01 00:00:00

  • X-Y translocations and sex differentiation.

    abstract::Translocations involving the X and Y chromosomes are often associated with anomalies of gonadal development. Transfer of Yp sequences, including the testis-determining SRY gene, to the terminal portion of the short arm of the X chromosome is associated with 46,XX maleness and in rare cases 46,XX true hermaphroditism. ...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2001-15393

    authors: McElreavey K,Cortes LS

    更新日期:2001-06-01 00:00:00

  • Pelvic pain, adnexal masses, and ultrasound.

    abstract::Pelvic pain, acute or chronic, accounts for more than 10% of referrals to gynecologists. Pain accounts for more than 40% of gynecologic diagnostic laparoscopies. Predicting operative findings is critical in planning surgical interventions, as well as preoperative and postoperative medical therapy. Ultrasound is useful...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1076144

    authors: Shwayder JM

    更新日期:2008-05-01 00:00:00

  • The placenta dilemma.

    abstract::Despite the critical role the placenta plays in governing the outcome of pregnancy, a great deal remains to be learned about this transient organ. Several factors have contributed to our relative lack of knowledge. For example, most of the placenta's development, which precedes that of the embryo or fetus, occurs duri...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2000-12569

    authors: Fisher SJ

    更新日期:2000-01-01 00:00:00

  • The impact of bariatric surgery on obesity-related infertility and in vitro fertilization outcomes.

    abstract::Obesity-related infertility is one of the most common problems of reproductive-age obese women who desire childbearing. The various types of bariatric surgeries have proved effective in controlling excessive weight gain, improving fertility, and preventing certain maternal and fetal complications in these women. This ...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1328880

    authors: Tan O,Carr BR

    更新日期:2012-12-01 00:00:00

  • Genetic disorders related to male factor infertility and their adverse consequences.

    abstract::Assisted reproductive techniques have revolutionized the treatment of male reproductive failure, allowing biological fatherhood to be achieved by many men that nature would have never permitted. As we are able to help more and more couples with our therapies, the genetic basis of the man's spermatogenic, anatomical, o...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1307418

    authors: Harnisch B,Oates R

    更新日期:2012-04-01 00:00:00

  • Molecular mechanisms of treatment resistance in endometriosis: the role of progesterone-hox gene interactions.

    abstract::HOX genes, encoding homeodomain transcription factors, are dynamically expressed in endometrium, where they are necessary for endometrial growth, differentiation, and implantation. In human endometrium, the expression of HOXA10 and HOXA11 is driven by sex steroids, with peak expression occurring at time of implantatio...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0029-1242996

    authors: Cakmak H,Taylor HS

    更新日期:2010-01-01 00:00:00

  • Contraceptive implants.

    abstract::Implantable contraception has been extensively used worldwide. Implants are one of the most effective and reversible methods of contraception available. These devices may be particularly appropriate for certain populations of women, including women who cannot use estrogen-containing contraception. Implants are safe fo...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章

    doi:10.1055/s-0030-1248135

    authors: McDonald-Mosley R,Burke AE

    更新日期:2010-03-01 00:00:00

  • Role of surgery in endometriosis-associated subfertility.

    abstract::Analysis of published series reveals that no more than a fourth of subfertile patients undergoing surgery for peritoneal endometriotic implants, rectovaginal endometriotic lesions, or recurrent endometriomas achieved conception spontaneously. First-line surgery for ovarian endometriotic cysts appears associated with a...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1333478

    authors: Berlanda N,Vercellini P,Somigliana E,Frattaruolo MP,Buggio L,Gattei U

    更新日期:2013-03-01 00:00:00

  • Big enough for an aromatase inhibitor? How adiposity affects male fertility.

    abstract::Obesity is a pandemic and is associated with multiple medical problems including subfertility. Male obesity has been associated with altered semen parameters and reproductive hormonal levels, including a reduced testosterone:estradiol (T:E₂) ratio. Treatment methods employed for obesity-related male subfertility inclu...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1345272

    authors: Stephens SM,Polotsky AJ

    更新日期:2013-07-01 00:00:00

  • The association of in vitro fertilization and perinatal morbidity.

    abstract::In recent years, there has been increasing concern regarding the safety of in vitro fertilization (IVF) because of the potential health impact on these infants. Multiple pregnancy contributes the vast majority of morbidity associated with IVF and, initially, many thought that adverse outcomes after IVF were solely att...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0028-1087108

    authors: Kalra SK,Molinaro TA

    更新日期:2008-09-01 00:00:00

  • Pharmacologic treatment of polycystic ovary syndrome.

    abstract::Women with polycystic ovary syndrome (PCOS) most often seek treatment for reduction of hair growth and/or acne, restoration of menstrual cyclicity, and infertility. In addition, these patients are increasingly seeking advise and treatment for the metabolic abnormalities related to PCOS (e.g., insulin resistance and ty...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-43305

    authors: Ehrmann DA,Rychlik D

    更新日期:2003-08-01 00:00:00

  • Fertility preservation: definition, history, and prospect.

    abstract::Exposure to gonadotoxic agents for treating cancer and other diseases or postponement of maternity jeopardize the prospects of genetic parenthood and are major factors driving the development of fertility preservation technologies. Although its mainstays, cryopreservation and vitrification, have been adopted from infe...

    journal_title:Seminars in reproductive medicine

    pub_type: 历史文章,杂志文章,评审

    doi:10.1055/s-0029-1241051

    authors: Gosden RG

    更新日期:2009-11-01 00:00:00

  • Human embryo cryopreservation-methods, timing, and other considerations for optimizing an embryo cryopreservation program.

    abstract::The contribution of embryo cryopreservation to the birth rate per in vitro fertilization cycle has escalated from a rare subsidy to a vital tool that is called upon to augment the cycle outcome. Embryology laboratories must identify the embryo stage, quality criteria and methodology that will optimize their ability to...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1546826

    authors: Sparks AE

    更新日期:2015-03-01 00:00:00

  • Reproductive performance after ectopic pregnancy.

    abstract::Reproductive performance may be an important variable in treatment selection for unruptured ectopic pregnancy. The impact of treatment choice on reproductive performance is not known. We searched the literature and then tabulated published case reports on laparoscopic salpingostomy, multiple-dose methotrexate, single-...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-970052

    authors: Buster JE,Krotz S

    更新日期:2007-03-01 00:00:00

  • The Role of a Mitochondrial Progesterone Receptor (PR-M) in Progesterone Action.

    abstract::Historically, progesterone functions to regulate gene expression via two nuclear progesterone receptors (PR-B and PR-A). Yet, actions of progesterone independent of gene regulation have been observed for decades. These are based on progesterone induced cellular events that occur too rapidly to involve gene transcripti...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1552583

    authors: Price TM,Dai Q

    更新日期:2015-05-01 00:00:00

  • Obstetric Outcomes in Military Servicewomen: Emerging Knowledge, Considerations, and Gaps.

    abstract::The number of women in the U.S. military is dramatically increasing. Similarly, the roles of active-duty women are greatly expanding, thus exposing them to new occupational risks. Determining the impact of pregnancy outcomes for women while in the military is difficult due to changing exposures over time, difficulty i...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章

    doi:10.1055/s-0040-1712929

    authors: Mezwa K,Adelsheim L,Markenson G

    更新日期:2019-09-01 00:00:00

  • The applicability of hormonal effects on atherosclerosis in animals to heart disease in postmenopausal women.

    abstract::The discrepancy between estrogen's beneficial cardiovascular effects found in animal studies and observational studies in women compared with the recently published randomized clinical trials have stimulated a great deal of controversy. Possibilities for the discrepancy include the age of the women, number of years po...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2005-869482

    authors: Wagner JD,Clarkson TB

    更新日期:2005-05-01 00:00:00

  • Genetics of endometriosis: a review of the positional cloning approaches.

    abstract::There is increasing evidence that endometriosis is inherited as a complex genetic trait in which multiple genes conferring disease susceptibility interact with each other and the environment to produce the phenotype. Research groups worldwide are trying to identify such susceptibility genes through a "positional cloni...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-41317

    authors: Kennedy S

    更新日期:2003-05-01 00:00:00