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Success rates for implatation with IVF hover around 80% in cases of

egg donor.

 

Full term pregnancies (i.e. absence of miscarriage) are dependent on

age. Older = >incidence of miscarriage.

 

David K.

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I was quoting baby rates, implantation without baby is kind of moot

 

 

 

 

 

 

 

 

-

David Karchmer

Chinese Medicine

Sunday, September 16, 2007 2:44 PM

IVF Success Rates

 

 

Success rates for implatation with IVF hover around 80% in cases of

egg donor.

 

Full term pregnancies (i.e. absence of miscarriage) are dependent on

age. Older = >incidence of miscarriage.

 

David K.

 

 

 

 

 

 

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repeated cycles also increase the numbers

 

 

 

 

 

 

 

 

-

David Karchmer

Chinese Medicine

Sunday, September 16, 2007 2:44 PM

IVF Success Rates

 

 

Success rates for implatation with IVF hover around 80% in cases of

egg donor.

 

Full term pregnancies (i.e. absence of miscarriage) are dependent on

age. Older = >incidence of miscarriage.

 

David K.

 

 

 

 

 

 

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David,

 

The 80% you mentioned, I just want to clarify something in my head, when you

mean implantation do yuu mean the actual implantation and the egg burrowing

into the uterus or just the fertilization of egg and transfer? That 80% sees

a bit high to me. I would have felt it was much much lower. Considering what

the patient would have gone through to get to that stage and all other

factors.

 

Thanks David,

 

Gordon.

 

On 9/17/07, Alon Marcus <alonmarcus wrote:

>

> repeated cycles also increase the numbers

>

>

>

>

>

>

>

>

> -

> David Karchmer

> To:

Chinese Medicine <Chinese Medicine%40yaho\

ogroups.com>

> Sunday, September 16, 2007 2:44 PM

> IVF Success Rates

>

> Success rates for implatation with IVF hover around 80% in cases of

> egg donor.

>

> Full term pregnancies (i.e. absence of miscarriage) are dependent on

> age. Older = >incidence of miscarriage.

>

> David K.

>

>

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Gordon,

 

There are essentially 4 factors (as you are probably aware) that

contribute to the diagnosis of Infertility:

 

Tubal Factor

Ovarian Factor

Uterine Factor

Male Factor

 

In the case of egg-donation, the problem lies with the woman's eggs

(ovarian factor). The 80% success rate that I cited in case of egg

donation assumes that the uterine factor is in good shape.

 

When I say " implantation " rate, I mean that the woman becomes

pregnant, which is to say that 12-14 days after the donor embryo

transfer, she tests positive for pregnancy by way of serum hCG

assay.

 

David K.

 

 

 

- In Chinese Medicine , " Gordon Mullins "

<gordon.mullins wrote:

>

> David,

>

> The 80% you mentioned, I just want to clarify something in my

head, when you

> mean implantation do yuu mean the actual implantation and the egg

burrowing

> into the uterus or just the fertilization of egg and transfer?

That 80% sees

> a bit high to me. I would have felt it was much much lower.

Considering what

> the patient would have gone through to get to that stage and all

other

> factors.

>

> Thanks David,

>

> Gordon.

>

> On 9/17/07, Alon Marcus <alonmarcus wrote:

> >

> > repeated cycles also increase the numbers

> >

> >

> >

> >

> >

> >

> >

> >

> > -

> > David Karchmer

> > To:

Chinese Medicine <Traditional_Chinese_Medi

cine%40>

> > Sunday, September 16, 2007 2:44 PM

> > IVF Success Rates

> >

> > Success rates for implatation with IVF hover around 80% in cases

of

> > egg donor.

> >

> > Full term pregnancies (i.e. absence of miscarriage) are

dependent on

> > age. Older = >incidence of miscarriage.

> >

> > David K.

> >

> >

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Also, Egg Donation is generally only utilized in cases of Pre-Mature

Ovarian Failure (POF), Hx of Ovarian Cancer or some other disease

that has rendered the Ovaries Non-Functional (or for which they have

been removed), or some other kind of severe ovarian issue wherein

the ovaries are unable to respond to stimulation/super-ovulation.

 

David K.

 

Chinese Medicine , " David

Karchmer " <acuprof wrote:

>

> Gordon,

>

> There are essentially 4 factors (as you are probably aware) that

> contribute to the diagnosis of Infertility:

>

> Tubal Factor

> Ovarian Factor

> Uterine Factor

> Male Factor

>

> In the case of egg-donation, the problem lies with the woman's

eggs

> (ovarian factor). The 80% success rate that I cited in case of egg

> donation assumes that the uterine factor is in good shape.

>

> When I say " implantation " rate, I mean that the woman becomes

> pregnant, which is to say that 12-14 days after the donor embryo

> transfer, she tests positive for pregnancy by way of serum hCG

> assay.

>

> David K.

>

>

>

> - In Chinese Medicine , " Gordon

Mullins "

> <gordon.mullins@> wrote:

> >

> > David,

> >

> > The 80% you mentioned, I just want to clarify something in my

> head, when you

> > mean implantation do yuu mean the actual implantation and the

egg

> burrowing

> > into the uterus or just the fertilization of egg and transfer?

> That 80% sees

> > a bit high to me. I would have felt it was much much lower.

> Considering what

> > the patient would have gone through to get to that stage and all

> other

> > factors.

> >

> > Thanks David,

> >

> > Gordon.

> >

> > On 9/17/07, Alon Marcus <alonmarcus@> wrote:

> > >

> > > repeated cycles also increase the numbers

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > > -

> > > David Karchmer

> > > To:

>

Chinese Medicine <Traditional_Chinese_Medi

> cine%40>

> > > Sunday, September 16, 2007 2:44 PM

> > > IVF Success Rates

> > >

> > > Success rates for implatation with IVF hover around 80% in

cases

> of

> > > egg donor.

> > >

> > > Full term pregnancies (i.e. absence of miscarriage) are

> dependent on

> > > age. Older = >incidence of miscarriage.

> > >

> > > David K.

> > >

> > >

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what about when you add acu. do you have a general stat on what % acu will

increased success of IVF and birth? i remember that acu increases success

significantly, but don't recall the numbers.

 

k

 

 

On 9/16/07, Alon Marcus <alonmarcus wrote:

>

> I was quoting baby rates, implantation without baby is kind of moot

>

>

>

>

>

>

>

>

> -

> David Karchmer

> To:

Chinese Medicine <Chinese Medicine%40yaho\

ogroups.com>

> Sunday, September 16, 2007 2:44 PM

> IVF Success Rates

>

> Success rates for implatation with IVF hover around 80% in cases of

> egg donor.

>

> Full term pregnancies (i.e. absence of miscarriage) are dependent on

> age. Older = >incidence of miscarriage.

>

> David K.

>

>

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Kath,

 

There are some limited studies into this area (The Paulus et al.

study being among the best known.)

 

Diane Cridennda and Dr. Paul Magarelli have also done some fairly

estensive research iun Colorado. They are trying to publish the

findings of this research. However, because of the many intrinsic

variables that occur with acupuncture research, the process has

slowed down under peer review.

 

The interesting thing about the Magarelli/Cridennda project is that

it was able to account for not only the changes in conception and

take home baby rates between the acupuncture and control groups, but

through serum blood work that was routinely performed on

participants, it was also able to identify a spectrum of possible

causative factors. These include diminished cortisol levels in the

acupuncture group, for example.

 

More research is definately needed in this area.

 

In order to clearly define acupuncture and OM's role in ART

procedures, we need large scale studies with significant sample

sizes. This requires solid organization and professional interaction

between acupucturists and REI clinics.

 

Let the beating of the dead horse begin when I ask, " Who could

possibly facilitate the infrastructure needed to conduct these kinds

of research projects? "

 

Hint: Starts with an A and ends in a BORM.

 

David Karchmer

 

-- In Chinese Medicine , " Kath Bartlett,

MS, LAc " wrote:

>

> what about when you add acu. do you have a general stat on what %

acu will

> increased success of IVF and birth? i remember that acu increases

success

> significantly, but don't recall the numbers.

>

> k

>

>

> On 9/16/07, Alon Marcus <alonmarcus wrote:

> >

> > I was quoting baby rates, implantation without baby is kind of

moot

> >

> >

> >

> >

> >

> >

> >

> >

>

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David,

 

" Who could possibly facilitate the infrastructure needed to conduct these kinds

of research projects? "

 

The ABORM is far from even one study let alone conducting

many. How many LAc, TCM org or even schools have received funding or even

conducted studies? Why not put more efforts into moving these forward?

 

This idea makes no sense.

 

The current trend is to fund acu research in the medical univ not acupuncture

schools although some schools have been able to collaborate with medical univ.

 

For many reasons stated before, this project is a loner and gets us no greater

recognition, status or acceptance. Mike W. Bowser, L Ac

_______________

More photos; more messages; more whatever – Get MORE with Windows Live™

Hotmail®. NOW with 5GB storage.

http://imagine-windowslive.com/hotmail/?locale=en-us & ocid=TXT_TAGHM_migration_HM\

_mini_5G_0907

 

 

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Mike,

 

It does make sense because TCM schools are provincial. They are not

likely to organize or oversee large scale research projects that

require adequate sample sizes.

 

However, a national organization focused on research could

potentially fill that role.

 

All of these numbers that people quote are great for patient

marketing.

 

" 92% of my patients get pregnant with acupuncture. "

 

" 58% of my patients get pregnant with herbs! "

 

Unfortunately, these types of anecdotal and informal statistics do

not represent any kind of actual scientific data, and are therefore

unlikely to help create any kind of meaningful place for acupuncture

and OM as a standard adjunct to ART procedures.

 

What is needed in order to accomplish this is actual clinical

research. This means large scale projects with substantial sample

sizes - and, in all likelyhood this means multi city (if not multi

state) sized projects.

 

Who is going to do that? AAAOM? NCCAOM? PCOM? OCOM? AOMA?

 

I doubt it.

 

David Karchmer

 

 

Chinese Medicine , mike Bowser

<naturaldoc1 wrote:

>

> David,

>

> " Who could possibly facilitate the infrastructure needed to

conduct these kinds of research projects? "

>

> The ABORM is far from even one study let alone conducting

> many. How many LAc, TCM org or even schools have received funding

or even

> conducted studies? Why not put more efforts into moving these

forward?

>

> This idea makes no sense.

>

> The current trend is to fund acu research in the medical univ not

acupuncture

> schools although some schools have been able to collaborate with

medical univ.

>

> For many reasons stated before, this project is a loner and gets

us no greater

> recognition, status or acceptance. Mike W. Bowser, L Ac

> _______________

> More photos; more messages; more whatever – Get MORE with Windows

Live™ Hotmail®. NOW with 5GB storage.

> http://imagine-windowslive.com/hotmail/?locale=en-

us & ocid=TXT_TAGHM_migration_HM_mini_5G_0907

>

>

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David,

I disagree with your assessment. Many schools in the past such as PCOM, OCOM

and NESA to name a few have all received federal research money to conduct

studies on acupuncture. While reproduction is an interesting topic, it is not

the

first one that comes to mind for getting us noticed or accepted. You will most

likely see

studies on fertility from a western collaborative organization or medical univ.

 

While you may doubt the schools and acu org, I can definitely say the group

you are so found of will not be undertaking such a study any time soon, either.

It takes much more then a nice idea to make it happen and this org has not

conducted this within a meaningful way (illegitimate) and most likely will not

be

a contender for any funding.

 

There are many acu org that now want to offer a specialty certification, which

is nice for ceu but does little to truly strengthen us. I will take my chance

with

a DAOM and put focus into better education.

 

Mike W. Bowser, L Ac

 

 

: acuprof:

Tue, 18 Sep 2007 23:51:03 +0000Re: IVF Success Rates

 

 

 

 

Mike,It does make sense because TCM schools are provincial. They are not likely

to organize or oversee large scale research projects that require adequate

sample sizes. However, a national organization focused on research could

potentially fill that role.All of these numbers that people quote are great for

patient marketing. " 92% of my patients get pregnant with acupuncture. " " 58% of my

patients get pregnant with herbs! " Unfortunately, these types of anecdotal and

informal statistics do not represent any kind of actual scientific data, and are

therefore unlikely to help create any kind of meaningful place for acupuncture

and OM as a standard adjunct to ART procedures.What is needed in order to

accomplish this is actual clinical research. This means large scale projects

with substantial sample sizes - and, in all likelyhood this means multi city (if

not multi state) sized projects.Who is going to do that? AAAOM? NCCAOM? PCOM?

OCOM? AOMA?I doubt it. David Karchmer--- In

Chinese Medicine , mike Bowser <naturaldoc1

wrote:>> David,> > " Who could possibly facilitate the infrastructure needed to

conduct these kinds of research projects? " > > The ABORM is far from even one

study let alone conducting> many. How many LAc, TCM org or even schools have

received funding or even > conducted studies? Why not put more efforts into

moving these forward? > > This idea makes no sense. > > The current trend is to

fund acu research in the medical univ not acupuncture > schools although some

schools have been able to collaborate with medical univ. > > For many reasons

stated before, this project is a loner and gets us no greater> recognition,

status or acceptance. Mike W. Bowser, L Ac>

________> More photos; more

messages; more whatever – Get MORE with Windows Live™ Hotmail®. NOW with 5GB

storage.>

http://imagine-windowslive.com/hotmail/?locale=en-us & ocid=TXT_TAGHM_migration_HM\

_mini_5G_0907> >

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