Journal Club: The role of aspirin and inflammation on reproduction: the EAGeR trial
Dr. Valentina Vergara from teh Universidad de los Andes discusses the article from Levine et. al., "The role of aspirin and inflammation on reproduction: the EAGeR trial" ...
Journal Club (Ukrainian): Post-traumatic Stress Disorder and Antepartum Complications
Publication: Shaw et. al "Post-traumatic Stress Disorder and Antepartum Complications: a Novel Risk Factor for Gestational Diabetes and Preeclampsia" ...
Journal Club: Novel approaches to the management of recurrent pregnancy loss: The OPTIMUM (OPtimization of Thyroid function, Thrombophilia, Immunity, and Uterine Milieu) treatment strategy
Kuroda K et al.. "Novel approaches to the management of recurrent pregnancy loss: The OPTIMUM (OPtimization of Thyroid function, Thrombophilia, Immunity, and Uterine Milieu) treatment strategy". This study aimed to determine if an “OPTIMUM” management strategy could improve pregnancy outcomes in women with a history of RPL. The strategy involved identifying and treating specific conditions such as chronic endometritis, elevated Th1/Th2 cell ratios, thyroid dysfunction, & thrombophilia when compared to a control group. ...
Journal Club de Febrero (Español): Stratification of fertility potential according to cervical mucus symptoms: achieving pregnancy in fertile and infertile couples
Marshell M, Corkill M, Whitty M, Thomas A, Turner J. Stratification of fertility potential according to cervical mucus symptoms: achieving pregnancy in fertile and infertile couples. Hum Fertil (Camb). 2021;24(5):353-359. doi:10.1080/14647273.2019.1671613 ...
Sperm DNA Integrity and Male Health
This activity provides an update on sperm DNA Integrity/Damage and testing, the relationship between male fertility and health and between sperm DNA damage and health of the offspring and discusses what we can do to improve male health and fertility. Presented by Preben Christensen, PhD, who has been researching sperm quality and reduced fertility since 1996, which in 2006 led to the founding of SPZ Lab - which offers an examination of sperm cell DNA integrity (SDI-testing). ...
Journal Club (Ukrainian): Novel approaches to the management of recurrent pregnancy loss: The OPTIMUM
This webinar reviews the article: "Novel approaches to the management of recurrent pregnancy loss: The OPTIMUM (Optimization of Thyroid function, Thrombophilia, Immunity, and Uterine Milieu) treatment strategy" by Kuroda K et. al. ...
Journal Club de Diciembre (Español): Reproductive Outcomes Following Surgical Management for Isthmoceles: A Systematic Review.
Artículo: Harjee R, Khinda J, Bedaiwy MA. Reproductive Outcomes Following Surgical Management for Isthmoceles: A Systematic Review. J Minim Invasive Gynecol. 2021;28(7):1291-1302.e2. doi:10.1016/j.jmig.2021.03.012 ...
Investigating Endometriosis and PCOS as Diametric Conditions
This webinar explores the concept that endometriosis and PCOS represent opposite outcomes of variation in HPG axis development, with endometriosis linked to low prenatal and postnatal testosterone, while PCOS is associated with high prenatal testosterone. Endometriosis and PCOS could be considered as reflecting maladaptive extremes of female fitness-related adaptations, which has direct implications for therapy and fertility restoration in women with endometriosis or PCOS ...
Low Dose Naltrexone & RRM
Naltrexone was first approved to treat opioid addiction. Low-dose naltrexone (LDN), about one-tenth of the dose used for opioid addiction, can provide anti-inflammatory and immune-modulating effects and appears to be safe with few side effects.
Dr. Phil Boyle who has used low-dose naltrexone (LDN) in his practice for over 20 years in treatment of endometriosis, PMS, polycystic ovarian disease, and miscarriage. This activity covers LDN’s mechanism of action, clinical indications of use, application to reproductive medicine, and some case examples. ...
Journal Club de Noviembre (Español): Antibiotic therapy versus no treatment for chronic endometritis: a case-control study.
November Journal Club (Spanish). Download this month's article: "Antibiotic therapy versus no treatment for chronic endometritis: a case-control study" from Cicinelli E. et al. Presented and discussed by Dr. Isabel Brotons, Universidad de Navarra ...
October Journal Club: Time-to-conception and clinical pregnancy rate with a myo-inositol, probiotics, and micronutrient supplement: secondary outcomes of the NiPPeR randomized trial.
Facilitated by Gisela Valer Chavez, OB/GYN. Naprotecnología y Fertilidad Natural Perú, we discuss the 2023 publication from Chan SY et. al: "Time-to-conception and clinical pregnancy rate with a myo-inositol, probiotics, and micronutrient supplement: secondary outcomes of the NiPPeR randomized trial." ...
Sexual function, female orgasm, and fecundity
Despite its relevance to conception, little research has focused on sexual function in the preconception period. Ms. Julia Bond provides an overview of research from the Pregnancy Study Online, a preconception cohort study that examines the descriptive epidemiology of sexual dysfunction among pregnancy planners. Additionally, she reviews ongoing research efforts to understand the relationship between sexual function and time to pregnancy ...
Journal Club de Octubre (Español): The association between dietary patterns and risk of miscarriage: a systematic review and meta-analysis
M. Sofía Benítez, Medical Resident, Clínica Universidad de los Andes discusses Chung Y et al: The association between dietary patterns and risk of miscarriage: a systematic review and meta-analysis ...
October Grand Rounds: Role of Vitamin D in Women’s Reproductive Health
Presented by Anne Marie Z. Jukic, Ph.D., this presentation will examine the role of vitamin D and reproductive health, synthesizing her research and work on this topic including the effect on the menstrual cycle, time to pregnancy, ovarian reserve, and inflammation ...
Journal Club Septiembre (Español): Vitamin D and miscarriage: a systematic review and meta-analysis
Journal Club Septiembre (Español): Vitamin D and miscarriage: a systematic review and meta-analysis. Prepared and facilitated by José Antonio Arraztoa, MD. Clínica Universidad de los Andes ...
Journal Club Agosto (Español): Intrauterine instillation of autologous platelet-rich plasma in infertile females with thin endometrium undergoing intrauterine insemination
Dra Cristina Fernández Valer, Resident, Clinica Universidad de Navarra reviews, Pandey D. et al., Intrauterine instillation of autologous platelet-rich plasma in infertile females with thin endometrium undergoing intrauterine insemination: an open-label randomized controlled trial. ...
Journal Club Julio (Español): Predictors of response to ovulation induction using letrozole in women with PCOS
Dra. Catalina San Martin C, OBGYN Resident, Universidad de los Andes reviews: Guo, Z., et al. Predictors of response to ovulation induction using letrozole in women with polycystic ovary syndrome. BMC Endocr Disord ...
July Journal Club: Evaluation of a fertility awareness-based shared decision-making tool part 2: Patient experiences
Discuss with the author, the publication and background of the recent publication: Evaluation of a fertility awareness-based shared decision-making tool , Dr. Marguerite Duane, MD, MHA, MSPH, FAAFP. ...
Journal Club Junio (Español): Oil vs Water Contrast for HSG in Infertile Women
Dr. Juan Gonzalez, Resident, Clinica Universidad de Navarra reviews two articles evaluating Oil vs Water Contrast for HSG in Infertile Women ...
Journal Club Mayo (Español): Anogenital distance in adult women is a strong marker of endometriosis
Presented by Dr. Eitan Brunman, OBGYN resident, Universidad de los Andes. Download the article "Anogenital distance in adult women is a strong marker of endometriosis: results of a prospective study with laparoscopic and histological findings" and note taking sheet to accompany this webinar ...
April Journal Club: Recurrent pregnancy loss: what is the impact of consecutive versus non-consecutive losses?
Facilitated by Dr. Joseph Stanford, for this month's journal club we discuss a study by Egerup et. al., "Recurrent pregnancy loss: what is the impact of consecutive versus non-consecutive losses?" ...
The Surveillance of Treatment and Outcomes in Restorative Reproductive Medicine (STORRM)
The Surveillance of Treatment and Outcomes in Restorative Reproductive Medicine (STORRM) project is a registry being developed by the International Institute for Restorative Reproductive Medicine (IIRRM), directed by Joseph Stanford, MD. The goal is to establish an ongoing, self-sustaining, international registry for restorative reproductive medicine (RRM) treatments for subfertility and miscarriage, and the outcomes of treatment. The primary outcome is a healthy live birth. Data will be de-identified and presented publicly in summary form, and also be available for research analysis and publication. This will allow patients, clinicians, and other interested parties to have current updated data about current practice and outcomes. The STORRM registry is envisioned as a unique and essential resource for clinical decision-making, clinical practice advancement, associated research, and public health ...
Grand Rounds: Perinatal, obstetrical and neonatal care in Southern Ukraine during war
This presentation examines the impact on the healthcare system in Ukraine, following Russia's invasion in 2022. From Odessa, Dr. Artyomenko covers the how war can impact different areas of care, and the main factors currently influencing pregnancy, maternity care and labour in Ukraine. From how specialties of maternity hospital work under war conditions to how bomb shelters are used for routine medical care and work, this webinar gives a look at how patients are being cared for in wartime conditions. ...
Teacher Series: PCOS: A hidden disease – does she have it?
Fertility teachers and practitioners play a crucial role in the early identification and recognition of PCOS. They can also provide consistent and regular support in diet, lifestyle, and behavioural modifications as well as discuss OTC supplements that may be beneficial to the patient. Dr. Tracey Parnell reviews screening tools used for PCOS diagnosis, and suggests some research-based supplement suggestions for PCOS management . The basic pathophysiology and complexity of PCOS hormonal interaction is reviewed with more in depth webinars to follow ...
Grand Rounds: Vaginal Microbiome and 4P medicine background for early child health programming
Dr. Volodymyr Artyomenko, MD, PhD, DSc (Med) discusses the vaginal microbiome during a woman's life and its role in reproductive issues, along with applying 4P medicine applications in solutions for miscarriage, and review early child health programming preconception preparation. Dr. Artyomenko is a professor in the OB/GYN department at Odessa National Medical University and Odessa Maternity Hospital and is joining us online from Ukraine ...
October Journal Club: International Natural Procreative Technology Evaluation and Surveillance of Treatment for Subfertility (iNEST): enrollment and methods
This new research involving multiple IIRRM members, was published earlier this year. "iNEST" worked to establish and build more robust outcomes research for Restorative Reproductive Medicine, and was the first multi-clinic multinational study published for Restorative Reproductive Medicine (and specifically for NaProTechnology). ...
Impact of COVID on Fertility charts: A basis of research
What observations and effects could Covid-19 infection or Covid-19 vaccination have on women's cycles? What observed menstrual changes are seen in women's charts during this time, and how long do these persist? How could further data be collected for further research? View this Grand Rounds to explore early data observing the effects of covid 19, as well as the Covid 19 vaccination, on women's cycle charts ...
September Teacher Series: How to Create a Sustainable FABM Practice
Are you struggling to build a sustainable practice? Whether you’re operating as a volunteer or a business, learn how to intentionally steward your resources and relationships for soul-aligned service & impact! Learn tips to evaluate and create a model and pricing method that is sustainable for both your health and clients. This webinar includes time for hands-on activities and access to Anna's pricing method ...
May Grand Rounds: Restorative Surgery
Dr. Patrick Yeung reviews the differences between ART/IVF and Restorative Reproductive Medicine (RRM) and the importance to offer alternatives to IVF to patients. Current surgical approaches and factors to consider in timing a laparoscopy for suspected endometriosis.
Dr. José Antonio and Dr. Stanford facilitate Q & A following the presentation ...
17th Annual General Meeting of the RRM – Fireside Chat
This discussion-oriented evening will focus on the evaluation and management of women with PCOS, including presentations from Dr. Phil Boyle, Neo, Dr. Mary Martin, Billings Ovulation Method, Dr. Jose Antonio Arraztoa, Procef, Dr. Petra Frank-Herrmann, Sensiplan, Dr. Joseph Stanford, CrMS, and Laura Ducote, NP (Centre for Restorative Reproductive Surgery), using ...
April Grand Rounds: Implantation failure, infertility and endometrial biomarkers in the detection of endometriosis
Bruce A Lessey MD, PhD. discusses the biomarkers of endometrial receptivity and diagnostics for endometriosis, including the use of BCL6 testing. Review timing and synchrony of the embryo, progesterone, and endometrium that occur in a successful pregnancy. Discuss how to approach treatment and predict pregnancy outcomes with this information. ...
March Grand Rounds: Endoscopic management of the unexplained infertility, what does it add?
Professor Stephan Gordts presents a systematic minimal invasive exploration of so-called "unexplained infertility" (normal ultrasound/normal HSG) reveals the presence of pelvic pathology on 50-70 % of patients. In the absence of other fertility impairing factors, like male infertility, he looks at the different treatments of these pathologies to create the possibilities for normal conception. ...
March Journal Club: Lisinopril for Male Infertility: An Update and Mechanism of Action
Dr. Paul Carpentier provides an update and review on the use of Lisinopril for Male infertility, discussing the article, "Angiotensin-converting enzymes play a dominant role infertility". The biochemistry background of angiotensin-converting enzymes (ACEs) in Male Fertility is also reviewed, with discussion following ...
Grand Rounds: The Use and Significance of Semen Analysis for Restorative Reproductive Medicine
How should we apply and use semen analysis testing and results in RRM and when should a semen analysis be considered for couples trying to conceive? What parameters should be evaluated, how are they measured and what is the clinical significance of the results?
Are there laboratory tests that have been abandoned because of ART, that could have application towards RRM? What about at-home "male fertility" testing kits? View this presentation and discussion with Craig Turczynski, PhD ...
January Journal Club: Unexplained recurrent pregnancy loss and unexplained infertility
"Is B-cell CLL/lymphoma 6 (BCL6) endometrial expression, a surrogate biomarker of endometriosis, elevated in women with unexplained recurrent pregnancy loss (uRPL) and unexplained infertility (UI) compared to fertile subjects?". What could this study suggest for potential treatment and future investigations for recurrent miscarriage and unexplained pregnancy loss? Review the findings of this study in the IIRRM Journal club with Dr. Joe Stanford ...
December Journal Club: Early pregnancy ultrasound measurements and prediction of first-trimester pregnancy loss
In our last Journal club of 2021 Dr Stanford facilitates and reviews the article, Early pregnancy ultrasound measurements and prediction of first-trimester pregnancy loss: A logistic model. The authors suggest a statistical model for determining the likelihood of first-trimester pregnancy loss based on ultrasound markers in early pregnancy ...
Journal Club: Reproductive life in women with celiac disease
Review the findings with Dr Joseph Stanford, of a population-based cohort study examining the impact of celiac disease on women's reproductive health from Grode et. al.1 in October's Journal club. "How does celiac disease (CD) influence women’s reproductive life, both prior to and after the diagnosis?" - Download the article before viewing the webinar ...
Journal Club: Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons
Dr. Keenan discuss vaccine safety in pregnancy, looking article reporting preliminary data on the safety of messenger RNA (mRNA) Covid-19 vaccines in pregnancy taken from the v-safe surveillance system and pregnancy registry. Oppotunrity to comment and share articles in the RRM Forum. ...
North American Virtual Conference For RRM 2021
Topics covered in the 2021 North American Conference for RRM include : Prolactin and ovulation disorders, recurrent miscarriage and modifiable risk factors, dextroamphetamine treatment of unresolved pelvic pain, novel treatments for premature menopause or diminished oocyte reserve, covid 19 effect on pregnancy and lactation, miscarriage, data and clinical case discussion, New Research: Fertility Outcomes with the use of Metformin and Pioglitazone in patients with Polycystic Ovarian Syndrome (PCOS): A Retrospective Analysis and New Research: Fertility After Expanded Polytetrafluoroethylene Use in Endometriosis: A Pilot Study ...
August Grand Rounds: The role of diet and lifestyle on reproductive health
Prof Sunni Mumford will discuss emerging research investigating the role of vitamin D and other lifestyle and dietary factors on female reproductive health and couple fertility. Dr. Mumford is a reproductive and nutritional epidemiologist and Earl Stadtman Investigator in the Epidemiology Branch of the Eunice Kennedy Shriver National Institute of Child Health and Human Development. Her research focuses on modifiable dietary and lifestyle factors across the life course th ...
June Grand Rounds: Updates on FABMS effectiveness for Avoiding Pregnancy
Dr. Urrutia reviews the methodology and main findings of 2018 review on FABM effectiveness for avoiding pregnancy and disucsses the important limitations of the data including population-based differences in effectiveness, especially among breastfeeding and postpartum individuals. She also introduces and identifies clinical decision-making tools providers and patients regarding choosing an FABM to avoid pregnancy, reviews new technologies currently being applied to FABM use, and discusses the role of the FDA in clearing fertility awareness apps for contraception.
...
Practical Application and Integration of the “FEMM app” in Clinical Practice
Danielle Koestner, MD presents the practical application and use of the Fertility Education and Medical Management (FEMM) app in clinical practice, followed by a discussion. FEMM is an app and fertility management tool that is free to download, and teaches women how to monitor hormonal activity and identify ovulation, to manage both health and fertility. ...
Grand Rounds: A Comparison of Standard (ART) versus Restorative Reproductive Medicine (RRM)
Dr. Whittaker reviews the success rates and limitations of ART and the treatments offered by the NaProTechnology (a version of restorative reproductive medicine) as well as its limitations. Develop an understanding of both approaches and better understand the impact on a societal level of ART. ...
May Journal Club: Dopamine, vascular permeability, and inflammation as relates to endometrium, pelvic pain, and pregnancy loss
Dr. Carpentier shares his experience with and looks into the science behind the use of dexamphetamine treatment as a novel off-label treatment for a number of female chronic disorders that do not respond well to conventional therapy including recurrent pregnancy loss, inflammation, and ongoing pain. The primary article of focus for this journal club, "The neurotransmitter dopamine modulates vascular permeability in the endothelium", along with a list of references can be downloaded to accompany the webinar. ...
May Teacher Series: Exploring the relationship between gut microbiome and PCO
What is the association between the gut microbiome and PCOS? What about the impact of the microbiome on health and diseases? Dr. April Lind explores the potential relationship between the gut microbiome and PCO, as well as providing an overall understanding of what exactly is meant by the microbiome and the effect on health and disease. Learn new ways of optimizing treatment for PCO, and share your thoughts on potential options for better treatment and management of this disease in the forum ...
April Grand Rounds: Art and Science in the Clinical Application of Botanical Medicine for the Treatment of the Most Common Fertility Associated Hormonal Imbalances
This webinar explores the science, safety, and clinical application of botanical medicine (herbal medicine) options for reproductive health and in supporting hormonal balance. Treatment and support for common reproductive conditions such as PCOS, estrogen dominance, elevated androgens, thyroid support and ovarian reserve support. Dr. BreAnna Guan also covers botanical formulas for safety and clinical effectiveness as well as safety and herb/drug interaction in reproductive medicine ...
Research Update: Shared Decision-Making Tool and Reproductive Health Curricula Research
RRM Research Updates this April looks at shared decision making (SDM), the use of a tool in this process, and preliminary results of a study of an SDM tool designed to assist women to choose an appropriate FABM (Fertility awareness-based Method). Look at other research Dr. Marguerite Duane and her team at FACTS are working on, and learn where the priorities are in the area of fertility awareness education ...
March Grand Rounds: Restorative Reproductive Surgery
Dr. Kongoassa, Medical Director, and Restorative Reproductive Surgeon, at the Centre for Reproductive Health Medicine and Gynecology, and the Center for Restorative Reproductive Surgery, runs through the diagnosis of abnormal physiology and pathology as well as different surgical approaches to restoring and optimizing reproductive function. With extensive video, this 1-hour presentation outlines the identification, and surgical options for a number of conditions including endometriosis, adenomyosis, fallopian tube blockages/damage, fibroids, uterine polyps, low ovarian reserve, isthmocele, chronic endometritis, and ovarian cysts ...
Journal Club: The role of aspirin and inflammation on reproduction: the EAGeR trial
Dr. Valentina Vergara from teh Universidad de los Andes discusses the article from Levine et. al., "The role of aspirin and inflammation on reproduction: the EAGeR trial" ...
Journal Club (Ukrainian): Post-traumatic Stress Disorder and Antepartum Complications
Publication: Shaw et. al "Post-traumatic Stress Disorder and Antepartum Complications: a Novel Risk Factor for Gestational Diabetes and Preeclampsia" ...
Journal Club: Novel approaches to the management of recurrent pregnancy loss: The OPTIMUM (OPtimization of Thyroid function, Thrombophilia, Immunity, and Uterine Milieu) treatment strategy
Kuroda K et al.. "Novel approaches to the management of recurrent pregnancy loss: The OPTIMUM (OPtimization of Thyroid function, Thrombophilia, Immunity, and Uterine Milieu) treatment strategy". This study aimed to determine if an “OPTIMUM” management strategy could improve pregnancy outcomes in women with a history of RPL. The strategy involved identifying and treating specific conditions such as chronic endometritis, elevated Th1/Th2 cell ratios, thyroid dysfunction, & thrombophilia when compared to a control group. ...
Journal Club de Febrero (Español): Stratification of fertility potential according to cervical mucus symptoms: achieving pregnancy in fertile and infertile couples
Marshell M, Corkill M, Whitty M, Thomas A, Turner J. Stratification of fertility potential according to cervical mucus symptoms: achieving pregnancy in fertile and infertile couples. Hum Fertil (Camb). 2021;24(5):353-359. doi:10.1080/14647273.2019.1671613 ...
Sperm DNA Integrity and Male Health
This activity provides an update on sperm DNA Integrity/Damage and testing, the relationship between male fertility and health and between sperm DNA damage and health of the offspring and discusses what we can do to improve male health and fertility. Presented by Preben Christensen, PhD, who has been researching sperm quality and reduced fertility since 1996, which in 2006 led to the founding of SPZ Lab - which offers an examination of sperm cell DNA integrity (SDI-testing). ...
Journal Club (Ukrainian): Novel approaches to the management of recurrent pregnancy loss: The OPTIMUM
This webinar reviews the article: "Novel approaches to the management of recurrent pregnancy loss: The OPTIMUM (Optimization of Thyroid function, Thrombophilia, Immunity, and Uterine Milieu) treatment strategy" by Kuroda K et. al. ...
Journal Club de Diciembre (Español): Reproductive Outcomes Following Surgical Management for Isthmoceles: A Systematic Review.
Artículo: Harjee R, Khinda J, Bedaiwy MA. Reproductive Outcomes Following Surgical Management for Isthmoceles: A Systematic Review. J Minim Invasive Gynecol. 2021;28(7):1291-1302.e2. doi:10.1016/j.jmig.2021.03.012 ...
Investigating Endometriosis and PCOS as Diametric Conditions
This webinar explores the concept that endometriosis and PCOS represent opposite outcomes of variation in HPG axis development, with endometriosis linked to low prenatal and postnatal testosterone, while PCOS is associated with high prenatal testosterone. Endometriosis and PCOS could be considered as reflecting maladaptive extremes of female fitness-related adaptations, which has direct implications for therapy and fertility restoration in women with endometriosis or PCOS ...
Low Dose Naltrexone & RRM
Naltrexone was first approved to treat opioid addiction. Low-dose naltrexone (LDN), about one-tenth of the dose used for opioid addiction, can provide anti-inflammatory and immune-modulating effects and appears to be safe with few side effects.
Dr. Phil Boyle who has used low-dose naltrexone (LDN) in his practice for over 20 years in treatment of endometriosis, PMS, polycystic ovarian disease, and miscarriage. This activity covers LDN’s mechanism of action, clinical indications of use, application to reproductive medicine, and some case examples. ...
Journal Club de Noviembre (Español): Antibiotic therapy versus no treatment for chronic endometritis: a case-control study.
November Journal Club (Spanish). Download this month's article: "Antibiotic therapy versus no treatment for chronic endometritis: a case-control study" from Cicinelli E. et al. Presented and discussed by Dr. Isabel Brotons, Universidad de Navarra ...
October Journal Club: Time-to-conception and clinical pregnancy rate with a myo-inositol, probiotics, and micronutrient supplement: secondary outcomes of the NiPPeR randomized trial.
Facilitated by Gisela Valer Chavez, OB/GYN. Naprotecnología y Fertilidad Natural Perú, we discuss the 2023 publication from Chan SY et. al: "Time-to-conception and clinical pregnancy rate with a myo-inositol, probiotics, and micronutrient supplement: secondary outcomes of the NiPPeR randomized trial." ...
Sexual function, female orgasm, and fecundity
Despite its relevance to conception, little research has focused on sexual function in the preconception period. Ms. Julia Bond provides an overview of research from the Pregnancy Study Online, a preconception cohort study that examines the descriptive epidemiology of sexual dysfunction among pregnancy planners. Additionally, she reviews ongoing research efforts to understand the relationship between sexual function and time to pregnancy ...
Journal Club de Octubre (Español): The association between dietary patterns and risk of miscarriage: a systematic review and meta-analysis
M. Sofía Benítez, Medical Resident, Clínica Universidad de los Andes discusses Chung Y et al: The association between dietary patterns and risk of miscarriage: a systematic review and meta-analysis ...
October Grand Rounds: Role of Vitamin D in Women’s Reproductive Health
Presented by Anne Marie Z. Jukic, Ph.D., this presentation will examine the role of vitamin D and reproductive health, synthesizing her research and work on this topic including the effect on the menstrual cycle, time to pregnancy, ovarian reserve, and inflammation ...
Journal Club Septiembre (Español): Vitamin D and miscarriage: a systematic review and meta-analysis
Journal Club Septiembre (Español): Vitamin D and miscarriage: a systematic review and meta-analysis. Prepared and facilitated by José Antonio Arraztoa, MD. Clínica Universidad de los Andes ...
Journal Club Agosto (Español): Intrauterine instillation of autologous platelet-rich plasma in infertile females with thin endometrium undergoing intrauterine insemination
Dra Cristina Fernández Valer, Resident, Clinica Universidad de Navarra reviews, Pandey D. et al., Intrauterine instillation of autologous platelet-rich plasma in infertile females with thin endometrium undergoing intrauterine insemination: an open-label randomized controlled trial. ...
Journal Club Julio (Español): Predictors of response to ovulation induction using letrozole in women with PCOS
Dra. Catalina San Martin C, OBGYN Resident, Universidad de los Andes reviews: Guo, Z., et al. Predictors of response to ovulation induction using letrozole in women with polycystic ovary syndrome. BMC Endocr Disord ...
July Journal Club: Evaluation of a fertility awareness-based shared decision-making tool part 2: Patient experiences
Discuss with the author, the publication and background of the recent publication: Evaluation of a fertility awareness-based shared decision-making tool , Dr. Marguerite Duane, MD, MHA, MSPH, FAAFP. ...
Journal Club Junio (Español): Oil vs Water Contrast for HSG in Infertile Women
Dr. Juan Gonzalez, Resident, Clinica Universidad de Navarra reviews two articles evaluating Oil vs Water Contrast for HSG in Infertile Women ...
Journal Club Mayo (Español): Anogenital distance in adult women is a strong marker of endometriosis
Presented by Dr. Eitan Brunman, OBGYN resident, Universidad de los Andes. Download the article "Anogenital distance in adult women is a strong marker of endometriosis: results of a prospective study with laparoscopic and histological findings" and note taking sheet to accompany this webinar ...
April Journal Club: Recurrent pregnancy loss: what is the impact of consecutive versus non-consecutive losses?
Facilitated by Dr. Joseph Stanford, for this month's journal club we discuss a study by Egerup et. al., "Recurrent pregnancy loss: what is the impact of consecutive versus non-consecutive losses?" ...
The Surveillance of Treatment and Outcomes in Restorative Reproductive Medicine (STORRM)
The Surveillance of Treatment and Outcomes in Restorative Reproductive Medicine (STORRM) project is a registry being developed by the International Institute for Restorative Reproductive Medicine (IIRRM), directed by Joseph Stanford, MD. The goal is to establish an ongoing, self-sustaining, international registry for restorative reproductive medicine (RRM) treatments for subfertility and miscarriage, and the outcomes of treatment. The primary outcome is a healthy live birth. Data will be de-identified and presented publicly in summary form, and also be available for research analysis and publication. This will allow patients, clinicians, and other interested parties to have current updated data about current practice and outcomes. The STORRM registry is envisioned as a unique and essential resource for clinical decision-making, clinical practice advancement, associated research, and public health ...
Grand Rounds: Perinatal, obstetrical and neonatal care in Southern Ukraine during war
This presentation examines the impact on the healthcare system in Ukraine, following Russia's invasion in 2022. From Odessa, Dr. Artyomenko covers the how war can impact different areas of care, and the main factors currently influencing pregnancy, maternity care and labour in Ukraine. From how specialties of maternity hospital work under war conditions to how bomb shelters are used for routine medical care and work, this webinar gives a look at how patients are being cared for in wartime conditions. ...
Teacher Series: PCOS: A hidden disease – does she have it?
Fertility teachers and practitioners play a crucial role in the early identification and recognition of PCOS. They can also provide consistent and regular support in diet, lifestyle, and behavioural modifications as well as discuss OTC supplements that may be beneficial to the patient. Dr. Tracey Parnell reviews screening tools used for PCOS diagnosis, and suggests some research-based supplement suggestions for PCOS management . The basic pathophysiology and complexity of PCOS hormonal interaction is reviewed with more in depth webinars to follow ...
Grand Rounds: Vaginal Microbiome and 4P medicine background for early child health programming
Dr. Volodymyr Artyomenko, MD, PhD, DSc (Med) discusses the vaginal microbiome during a woman's life and its role in reproductive issues, along with applying 4P medicine applications in solutions for miscarriage, and review early child health programming preconception preparation. Dr. Artyomenko is a professor in the OB/GYN department at Odessa National Medical University and Odessa Maternity Hospital and is joining us online from Ukraine ...
October Journal Club: International Natural Procreative Technology Evaluation and Surveillance of Treatment for Subfertility (iNEST): enrollment and methods
This new research involving multiple IIRRM members, was published earlier this year. "iNEST" worked to establish and build more robust outcomes research for Restorative Reproductive Medicine, and was the first multi-clinic multinational study published for Restorative Reproductive Medicine (and specifically for NaProTechnology). ...
Impact of COVID on Fertility charts: A basis of research
What observations and effects could Covid-19 infection or Covid-19 vaccination have on women's cycles? What observed menstrual changes are seen in women's charts during this time, and how long do these persist? How could further data be collected for further research? View this Grand Rounds to explore early data observing the effects of covid 19, as well as the Covid 19 vaccination, on women's cycle charts ...
September Teacher Series: How to Create a Sustainable FABM Practice
Are you struggling to build a sustainable practice? Whether you’re operating as a volunteer or a business, learn how to intentionally steward your resources and relationships for soul-aligned service & impact! Learn tips to evaluate and create a model and pricing method that is sustainable for both your health and clients. This webinar includes time for hands-on activities and access to Anna's pricing method ...
May Grand Rounds: Restorative Surgery
Dr. Patrick Yeung reviews the differences between ART/IVF and Restorative Reproductive Medicine (RRM) and the importance to offer alternatives to IVF to patients. Current surgical approaches and factors to consider in timing a laparoscopy for suspected endometriosis.
Dr. José Antonio and Dr. Stanford facilitate Q & A following the presentation ...
17th Annual General Meeting of the RRM – Fireside Chat
This discussion-oriented evening will focus on the evaluation and management of women with PCOS, including presentations from Dr. Phil Boyle, Neo, Dr. Mary Martin, Billings Ovulation Method, Dr. Jose Antonio Arraztoa, Procef, Dr. Petra Frank-Herrmann, Sensiplan, Dr. Joseph Stanford, CrMS, and Laura Ducote, NP (Centre for Restorative Reproductive Surgery), using ...
April Grand Rounds: Implantation failure, infertility and endometrial biomarkers in the detection of endometriosis
Bruce A Lessey MD, PhD. discusses the biomarkers of endometrial receptivity and diagnostics for endometriosis, including the use of BCL6 testing. Review timing and synchrony of the embryo, progesterone, and endometrium that occur in a successful pregnancy. Discuss how to approach treatment and predict pregnancy outcomes with this information. ...
March Grand Rounds: Endoscopic management of the unexplained infertility, what does it add?
Professor Stephan Gordts presents a systematic minimal invasive exploration of so-called "unexplained infertility" (normal ultrasound/normal HSG) reveals the presence of pelvic pathology on 50-70 % of patients. In the absence of other fertility impairing factors, like male infertility, he looks at the different treatments of these pathologies to create the possibilities for normal conception. ...
March Journal Club: Lisinopril for Male Infertility: An Update and Mechanism of Action
Dr. Paul Carpentier provides an update and review on the use of Lisinopril for Male infertility, discussing the article, "Angiotensin-converting enzymes play a dominant role infertility". The biochemistry background of angiotensin-converting enzymes (ACEs) in Male Fertility is also reviewed, with discussion following ...
Grand Rounds: The Use and Significance of Semen Analysis for Restorative Reproductive Medicine
How should we apply and use semen analysis testing and results in RRM and when should a semen analysis be considered for couples trying to conceive? What parameters should be evaluated, how are they measured and what is the clinical significance of the results?
Are there laboratory tests that have been abandoned because of ART, that could have application towards RRM? What about at-home "male fertility" testing kits? View this presentation and discussion with Craig Turczynski, PhD ...
January Journal Club: Unexplained recurrent pregnancy loss and unexplained infertility
"Is B-cell CLL/lymphoma 6 (BCL6) endometrial expression, a surrogate biomarker of endometriosis, elevated in women with unexplained recurrent pregnancy loss (uRPL) and unexplained infertility (UI) compared to fertile subjects?". What could this study suggest for potential treatment and future investigations for recurrent miscarriage and unexplained pregnancy loss? Review the findings of this study in the IIRRM Journal club with Dr. Joe Stanford ...
December Journal Club: Early pregnancy ultrasound measurements and prediction of first-trimester pregnancy loss
In our last Journal club of 2021 Dr Stanford facilitates and reviews the article, Early pregnancy ultrasound measurements and prediction of first-trimester pregnancy loss: A logistic model. The authors suggest a statistical model for determining the likelihood of first-trimester pregnancy loss based on ultrasound markers in early pregnancy ...
Journal Club: Reproductive life in women with celiac disease
Review the findings with Dr Joseph Stanford, of a population-based cohort study examining the impact of celiac disease on women's reproductive health from Grode et. al.1 in October's Journal club. "How does celiac disease (CD) influence women’s reproductive life, both prior to and after the diagnosis?" - Download the article before viewing the webinar ...
Journal Club: Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons
Dr. Keenan discuss vaccine safety in pregnancy, looking article reporting preliminary data on the safety of messenger RNA (mRNA) Covid-19 vaccines in pregnancy taken from the v-safe surveillance system and pregnancy registry. Oppotunrity to comment and share articles in the RRM Forum. ...
North American Virtual Conference For RRM 2021
Topics covered in the 2021 North American Conference for RRM include : Prolactin and ovulation disorders, recurrent miscarriage and modifiable risk factors, dextroamphetamine treatment of unresolved pelvic pain, novel treatments for premature menopause or diminished oocyte reserve, covid 19 effect on pregnancy and lactation, miscarriage, data and clinical case discussion, New Research: Fertility Outcomes with the use of Metformin and Pioglitazone in patients with Polycystic Ovarian Syndrome (PCOS): A Retrospective Analysis and New Research: Fertility After Expanded Polytetrafluoroethylene Use in Endometriosis: A Pilot Study ...
August Grand Rounds: The role of diet and lifestyle on reproductive health
Prof Sunni Mumford will discuss emerging research investigating the role of vitamin D and other lifestyle and dietary factors on female reproductive health and couple fertility. Dr. Mumford is a reproductive and nutritional epidemiologist and Earl Stadtman Investigator in the Epidemiology Branch of the Eunice Kennedy Shriver National Institute of Child Health and Human Development. Her research focuses on modifiable dietary and lifestyle factors across the life course th ...
June Grand Rounds: Updates on FABMS effectiveness for Avoiding Pregnancy
Dr. Urrutia reviews the methodology and main findings of 2018 review on FABM effectiveness for avoiding pregnancy and disucsses the important limitations of the data including population-based differences in effectiveness, especially among breastfeeding and postpartum individuals. She also introduces and identifies clinical decision-making tools providers and patients regarding choosing an FABM to avoid pregnancy, reviews new technologies currently being applied to FABM use, and discusses the role of the FDA in clearing fertility awareness apps for contraception.
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Practical Application and Integration of the “FEMM app” in Clinical Practice
Danielle Koestner, MD presents the practical application and use of the Fertility Education and Medical Management (FEMM) app in clinical practice, followed by a discussion. FEMM is an app and fertility management tool that is free to download, and teaches women how to monitor hormonal activity and identify ovulation, to manage both health and fertility. ...
Grand Rounds: A Comparison of Standard (ART) versus Restorative Reproductive Medicine (RRM)
Dr. Whittaker reviews the success rates and limitations of ART and the treatments offered by the NaProTechnology (a version of restorative reproductive medicine) as well as its limitations. Develop an understanding of both approaches and better understand the impact on a societal level of ART. ...
May Journal Club: Dopamine, vascular permeability, and inflammation as relates to endometrium, pelvic pain, and pregnancy loss
Dr. Carpentier shares his experience with and looks into the science behind the use of dexamphetamine treatment as a novel off-label treatment for a number of female chronic disorders that do not respond well to conventional therapy including recurrent pregnancy loss, inflammation, and ongoing pain. The primary article of focus for this journal club, "The neurotransmitter dopamine modulates vascular permeability in the endothelium", along with a list of references can be downloaded to accompany the webinar. ...
May Teacher Series: Exploring the relationship between gut microbiome and PCO
What is the association between the gut microbiome and PCOS? What about the impact of the microbiome on health and diseases? Dr. April Lind explores the potential relationship between the gut microbiome and PCO, as well as providing an overall understanding of what exactly is meant by the microbiome and the effect on health and disease. Learn new ways of optimizing treatment for PCO, and share your thoughts on potential options for better treatment and management of this disease in the forum ...
April Grand Rounds: Art and Science in the Clinical Application of Botanical Medicine for the Treatment of the Most Common Fertility Associated Hormonal Imbalances
This webinar explores the science, safety, and clinical application of botanical medicine (herbal medicine) options for reproductive health and in supporting hormonal balance. Treatment and support for common reproductive conditions such as PCOS, estrogen dominance, elevated androgens, thyroid support and ovarian reserve support. Dr. BreAnna Guan also covers botanical formulas for safety and clinical effectiveness as well as safety and herb/drug interaction in reproductive medicine ...
Research Update: Shared Decision-Making Tool and Reproductive Health Curricula Research
RRM Research Updates this April looks at shared decision making (SDM), the use of a tool in this process, and preliminary results of a study of an SDM tool designed to assist women to choose an appropriate FABM (Fertility awareness-based Method). Look at other research Dr. Marguerite Duane and her team at FACTS are working on, and learn where the priorities are in the area of fertility awareness education ...
March Grand Rounds: Restorative Reproductive Surgery
Dr. Kongoassa, Medical Director, and Restorative Reproductive Surgeon, at the Centre for Reproductive Health Medicine and Gynecology, and the Center for Restorative Reproductive Surgery, runs through the diagnosis of abnormal physiology and pathology as well as different surgical approaches to restoring and optimizing reproductive function. With extensive video, this 1-hour presentation outlines the identification, and surgical options for a number of conditions including endometriosis, adenomyosis, fallopian tube blockages/damage, fibroids, uterine polyps, low ovarian reserve, isthmocele, chronic endometritis, and ovarian cysts ...