<br />
<br />
Contents<br />
+ EDITORIAL BOARD 4<br />
+ WELCOME 7<br />
+ FOREWORD 9<br />
+ CONGRESS REVIEW<br />
Review of the 35th European Society of Human Reproduction and 10<br />
Embryology (ESHRE) Congress 2019, held in Vienna, Austria, 23rd – 26th<br />
June 2019.<br />
+ CONGRESS FEATURE<br />
Sexual Dysfunction: The Psychological Burden 20<br />
Kirstie Turner<br />
+ CONGRESS INTERVIEW<br />
Dr Sarah Jarvis MBE 23<br />
+ INTERVIEWS<br />
The Untapped Potential of Ult<a title="EMJ Reproductive Health 5.1 page 1" href="http://viewer.zmags.com/publication/e8b2deea?page=1"> </a>
<a title="EMJ Reproductive Health 5.1 page 2" href="http://viewer.zmags.com/publication/e8b2deea?page=2"> Contents + EDITORIAL BOARD </a>
<a title="EMJ Reproductive Health 5.1 page 3" href="http://viewer.zmags.com/publication/e8b2deea?page=3"> “As always, this congress was packed full of grou</a>
<a title="EMJ Reproductive Health 5.1 page 4" href="http://viewer.zmags.com/publication/e8b2deea?page=4"> Editorial Board Editor-in-Chief Prof Elisabetta B</a>
<a title="EMJ Reproductive Health 5.1 page 5" href="http://viewer.zmags.com/publication/e8b2deea?page=5"> Aims and Scope The European Medical Journal (EMJ)</a>
<a title="EMJ Reproductive Health 5.1 page 6" href="http://viewer.zmags.com/publication/e8b2deea?page=6"> EMJ Repro Health. Chief Executive Officer Spencer</a>
<a title="EMJ Reproductive Health 5.1 page 7" href="http://viewer.zmags.com/publication/e8b2deea?page=7"> Welcome This year, the EMJ team travelled to Aust</a>
<a title="EMJ Reproductive Health 5.1 page 8" href="http://viewer.zmags.com/publication/e8b2deea?page=8"> Share your knowled</a>
<a title="EMJ Reproductive Health 5.1 page 9" href="http://viewer.zmags.com/publication/e8b2deea?page=9"> Foreword Dear colleagues, It is my pleasure to we</a>
<a title="EMJ Reproductive Health 5.1 page 10" href="http://viewer.zmags.com/publication/e8b2deea?page=10"> </a>
<a title="EMJ Reproductive Health 5.1 page 11" href="http://viewer.zmags.com/publication/e8b2deea?page=11"> Congress Review Review of the 35th European Soc</a>
<a title="EMJ Reproductive Health 5.1 page 12" href="http://viewer.zmags.com/publication/e8b2deea?page=12"> important study considering the increased</a>
<a title="EMJ Reproductive Health 5.1 page 13" href="http://viewer.zmags.com/publication/e8b2deea?page=13"> "In the context of this emerging evidenc</a>
<a title="EMJ Reproductive Health 5.1 page 14" href="http://viewer.zmags.com/publication/e8b2deea?page=14"> Study Confirms Added Obstetric Risk with </a>
<a title="EMJ Reproductive Health 5.1 page 15" href="http://viewer.zmags.com/publication/e8b2deea?page=15"> Frozen Sperm Retain samples: the st</a>
<a title="EMJ Reproductive Health 5.1 page 16" href="http://viewer.zmags.com/publication/e8b2deea?page=16"> IVF and ICSI Pregnancy Rates have Peaked </a>
<a title="EMJ Reproductive Health 5.1 page 17" href="http://viewer.zmags.com/publication/e8b2deea?page=17"> Paternal Smoking can Impact Male Offspri</a>
<a title="EMJ Reproductive Health 5.1 page 18" href="http://viewer.zmags.com/publication/e8b2deea?page=18"> New Understanding of Environmental Influences </a>
<a title="EMJ Reproductive Health 5.1 page 19" href="http://viewer.zmags.com/publication/e8b2deea?page=19"> "It’s clear from these results that the number of</a>
<a title="EMJ Reproductive Health 5.1 page 20" href="http://viewer.zmags.com/publication/e8b2deea?page=20"> Sexual Dysfunction: The Psychological Burd</a>
<a title="EMJ Reproductive Health 5.1 page 21" href="http://viewer.zmags.com/publication/e8b2deea?page=21"> If the case of sexual dysfunction is caused by ps</a>
<a title="EMJ Reproductive Health 5.1 page 22" href="http://viewer.zmags.com/publication/e8b2deea?page=22"> condition that affects 11–69% of men experiencing</a>
<a title="EMJ Reproductive Health 5.1 page 23" href="http://viewer.zmags.com/publication/e8b2deea?page=23"> Congress Interview Dr Sarah Jarvis MBE</a>
<a title="EMJ Reproductive Health 5.1 page 24" href="http://viewer.zmags.com/publication/e8b2deea?page=24"> "There is absolutely no question that we are havi</a>
<a title="EMJ Reproductive Health 5.1 page 25" href="http://viewer.zmags.com/publication/e8b2deea?page=25"> to freeze their eggs when they are of (and I</a>
<a title="EMJ Reproductive Health 5.1 page 26" href="http://viewer.zmags.com/publication/e8b2deea?page=26"> The Untapped Potential of Ultrasound in Reprod</a>
<a title="EMJ Reproductive Health 5.1 page 27" href="http://viewer.zmags.com/publication/e8b2deea?page=27"> INTRODUCTION The importance of ultrasound (US) te</a>
<a title="EMJ Reproductive Health 5.1 page 28" href="http://viewer.zmags.com/publication/e8b2deea?page=28"> At the Department of Reproductive Medicine, Hôpit</a>
<a title="EMJ Reproductive Health 5.1 page 29" href="http://viewer.zmags.com/publication/e8b2deea?page=29"> measurements, has had a substantial impact for bo</a>
<a title="EMJ Reproductive Health 5.1 page 30" href="http://viewer.zmags.com/publication/e8b2deea?page=30"> Figure 1: Example of a volume acquisition of the </a>
<a title="EMJ Reproductive Health 5.1 page 31" href="http://viewer.zmags.com/publication/e8b2deea?page=31"> medicine, it is not used to its full capacity, pa</a>
<a title="EMJ Reproductive Health 5.1 page 32" href="http://viewer.zmags.com/publication/e8b2deea?page=32"> We need to make sure that everybody is aware that</a>
<a title="EMJ Reproductive Health 5.1 page 33" href="http://viewer.zmags.com/publication/e8b2deea?page=33"> Mr Stephen Hussey General Manager Women’s Health</a>
<a title="EMJ Reproductive Health 5.1 page 34" href="http://viewer.zmags.com/publication/e8b2deea?page=34"> A Modern Approach to Progesterone Supplem</a>
<a title="EMJ Reproductive Health 5.1 page 35" href="http://viewer.zmags.com/publication/e8b2deea?page=35"> individualised luteal phase support (LPS); b</a>
<a title="EMJ Reproductive Health 5.1 page 36" href="http://viewer.zmags.com/publication/e8b2deea?page=36"> GREATER PREDICTABILITY We can predict quite</a>
<a title="EMJ Reproductive Health 5.1 page 37" href="http://viewer.zmags.com/publication/e8b2deea?page=37"> value of mid-luteal serum progesterone levels in </a>
<a title="EMJ Reproductive Health 5.1 page 38" href="http://viewer.zmags.com/publication/e8b2deea?page=38"> Interviews Reproductive health is an ever-changi</a>
<a title="EMJ Reproductive Health 5.1 page 39" href="http://viewer.zmags.com/publication/e8b2deea?page=39"> Q5 This is also an excellent opportunity to m</a>
<a title="EMJ Reproductive Health 5.1 page 40" href="http://viewer.zmags.com/publication/e8b2deea?page=40"> Dr Aonghus Nolan Dr Nolan began his career in as</a>
<a title="EMJ Reproductive Health 5.1 page 41" href="http://viewer.zmags.com/publication/e8b2deea?page=41"> My most memorable ’wow’ moment was not fr</a>
<a title="EMJ Reproductive Health 5.1 page 42" href="http://viewer.zmags.com/publication/e8b2deea?page=42"> genetic diagnosis, and pre-implantation geneti</a>
<a title="EMJ Reproductive Health 5.1 page 43" href="http://viewer.zmags.com/publication/e8b2deea?page=43"> Creative Commons Attribution-Non Commercial 4.0 </a>
<a title="EMJ Reproductive Health 5.1 page 44" href="http://viewer.zmags.com/publication/e8b2deea?page=44"> History of Contraception The History of Non-Bar</a>
<a title="EMJ Reproductive Health 5.1 page 45" href="http://viewer.zmags.com/publication/e8b2deea?page=45"> AN ESTIMATED 50–80 MILLION WOMEN ARE SING OCP WOR</a>
<a title="EMJ Reproductive Health 5.1 page 46" href="http://viewer.zmags.com/publication/e8b2deea?page=46"> Abstract Reviews ESHRE 2019 hosted an abundance</a>
<a title="EMJ Reproductive Health 5.1 page 47" href="http://viewer.zmags.com/publication/e8b2deea?page=47"> 14 after embryo transfer. Pearson correlatio</a>
<a title="EMJ Reproductive Health 5.1 page 48" href="http://viewer.zmags.com/publication/e8b2deea?page=48"> Selection of Vacuole Free Spermatozoa with the</a>
<a title="EMJ Reproductive Health 5.1 page 49" href="http://viewer.zmags.com/publication/e8b2deea?page=49"> The Effect of Advanced Paternal Age on Sperm Para</a>
<a title="EMJ Reproductive Health 5.1 page 50" href="http://viewer.zmags.com/publication/e8b2deea?page=50"> CONCLUSION Based on these results, the quality of</a>
<a title="EMJ Reproductive Health 5.1 page 51" href="http://viewer.zmags.com/publication/e8b2deea?page=51"> has a negative impact on fertility and sperm func</a>
<a title="EMJ Reproductive Health 5.1 page 52" href="http://viewer.zmags.com/publication/e8b2deea?page=52"> INTRODUCTION Infertility is experienced by </a>
<a title="EMJ Reproductive Health 5.1 page 53" href="http://viewer.zmags.com/publication/e8b2deea?page=53"> Table 1: General mixed model results for the asso</a>
<a title="EMJ Reproductive Health 5.1 page 54" href="http://viewer.zmags.com/publication/e8b2deea?page=54"> Low Serum βhCG Concentration on Outcome D</a>
<a title="EMJ Reproductive Health 5.1 page 55" href="http://viewer.zmags.com/publication/e8b2deea?page=55"> Table 1: Perinatal outcomes of singleton pregnanc</a>
<a title="EMJ Reproductive Health 5.1 page 56" href="http://viewer.zmags.com/publication/e8b2deea?page=56"> 8. Kayisli U.et al A. Human chorionic gonadotr</a>
<a title="EMJ Reproductive Health 5.1 page 57" href="http://viewer.zmags.com/publication/e8b2deea?page=57"> percentage of euploid embryos (p=0.001) and blast</a>
<a title="EMJ Reproductive Health 5.1 page 58" href="http://viewer.zmags.com/publication/e8b2deea?page=58"> be found in young women.5 Despite adequate knowle</a>
<a title="EMJ Reproductive Health 5.1 page 59" href="http://viewer.zmags.com/publication/e8b2deea?page=59"> BESST, a Non-Invasive Computational Tool for</a>
<a title="EMJ Reproductive Health 5.1 page 60" href="http://viewer.zmags.com/publication/e8b2deea?page=60"> confounding factor in which there are cases of un</a>
<a title="EMJ Reproductive Health 5.1 page 61" href="http://viewer.zmags.com/publication/e8b2deea?page=61"> To Analyse the Incidence of Ectopic Pregnancy in </a>
<a title="EMJ Reproductive Health 5.1 page 62" href="http://viewer.zmags.com/publication/e8b2deea?page=62"> Assessing Risks for Patients has Become a W</a>
<a title="EMJ Reproductive Health 5.1 page 63" href="http://viewer.zmags.com/publication/e8b2deea?page=63"> such as tissue-specific quality criteria or donor </a>
<a title="EMJ Reproductive Health 5.1 page 64" href="http://viewer.zmags.com/publication/e8b2deea?page=64"> The Assisted Reproductive Technology (ART) wo</a>
<a title="EMJ Reproductive Health 5.1 page 65" href="http://viewer.zmags.com/publication/e8b2deea?page=65"> for patients by developing knowledge among clinic</a>
<a title="EMJ Reproductive Health 5.1 page 66" href="http://viewer.zmags.com/publication/e8b2deea?page=66"> Fertility Preservation in Women with Endometriosi</a>
<a title="EMJ Reproductive Health 5.1 page 67" href="http://viewer.zmags.com/publication/e8b2deea?page=67"> of reproductive age with endometriosis be managed</a>
<a title="EMJ Reproductive Health 5.1 page 68" href="http://viewer.zmags.com/publication/e8b2deea?page=68"> such as immature oocyte retrieval and in vitro ma</a>
<a title="EMJ Reproductive Health 5.1 page 69" href="http://viewer.zmags.com/publication/e8b2deea?page=69"> not undergo repetitive surgery to preserve t</a>
<a title="EMJ Reproductive Health 5.1 page 70" href="http://viewer.zmags.com/publication/e8b2deea?page=70"> with infertility, it is still unclear whether sur</a>
<a title="EMJ Reproductive Health 5.1 page 71" href="http://viewer.zmags.com/publication/e8b2deea?page=71"> analysis showing reduced rates of fertilisation i</a>
<a title="EMJ Reproductive Health 5.1 page 72" href="http://viewer.zmags.com/publication/e8b2deea?page=72"> References 1. Tanbo T, Fedorcsak P. Endometr</a>
<a title="EMJ Reproductive Health 5.1 page 73" href="http://viewer.zmags.com/publication/e8b2deea?page=73"> experience using oocyte vitrification to preserve </a>
<a title="EMJ Reproductive Health 5.1 page 74" href="http://viewer.zmags.com/publication/e8b2deea?page=74"> Anthropometry Between the External Urethral Ori</a>
<a title="EMJ Reproductive Health 5.1 page 75" href="http://viewer.zmags.com/publication/e8b2deea?page=75"> Despite the lack of epidemiological studies that </a>
<a title="EMJ Reproductive Health 5.1 page 76" href="http://viewer.zmags.com/publication/e8b2deea?page=76"> Figure 1: Illustrative image of the measurement o</a>
<a title="EMJ Reproductive Health 5.1 page 77" href="http://viewer.zmags.com/publication/e8b2deea?page=77"> Table 2: Measurements of the external urethral or</a>
<a title="EMJ Reproductive Health 5.1 page 78" href="http://viewer.zmags.com/publication/e8b2deea?page=78"> to the development of vaginismus. The desire to c</a>
<a title="EMJ Reproductive Health 5.1 page 79" href="http://viewer.zmags.com/publication/e8b2deea?page=79"> Description and Outcomes of Current Clinical </a>
<a title="EMJ Reproductive Health 5.1 page 80" href="http://viewer.zmags.com/publication/e8b2deea?page=80"> INTRODUCTION The cryopreservation of human sp</a>
<a title="EMJ Reproductive Health 5.1 page 81" href="http://viewer.zmags.com/publication/e8b2deea?page=81"> weight capable of infiltrating the cell membrane, </a>
<a title="EMJ Reproductive Health 5.1 page 82" href="http://viewer.zmags.com/publication/e8b2deea?page=82"> Table 1B. Cryoprotectant Protocol Advanta</a>
<a title="EMJ Reproductive Health 5.1 page 83" href="http://viewer.zmags.com/publication/e8b2deea?page=83"> decrease is finished, samples will be submerged in</a>
<a title="EMJ Reproductive Health 5.1 page 84" href="http://viewer.zmags.com/publication/e8b2deea?page=84"> Table 2: Comparison of outcomes regarding sperm q</a>
<a title="EMJ Reproductive Health 5.1 page 85" href="http://viewer.zmags.com/publication/e8b2deea?page=85"> Table 2 continued. D: sperm donors; EOSIN: Eosin</a>
<a title="EMJ Reproductive Health 5.1 page 86" href="http://viewer.zmags.com/publication/e8b2deea?page=86"> Optimisation of Human Sperm Freezing Protocols Th</a>
<a title="EMJ Reproductive Health 5.1 page 87" href="http://viewer.zmags.com/publication/e8b2deea?page=87"> literature. As has been previously mentioned</a>
<a title="EMJ Reproductive Health 5.1 page 88" href="http://viewer.zmags.com/publication/e8b2deea?page=88"> Table 3: Sperm freezing before or after sperm pre</a>
<a title="EMJ Reproductive Health 5.1 page 89" href="http://viewer.zmags.com/publication/e8b2deea?page=89"> Of note, differences cannot be established </a>
<a title="EMJ Reproductive Health 5.1 page 90" href="http://viewer.zmags.com/publication/e8b2deea?page=90"> Table 4 continued. ART Sperm retrieval technique </a>
<a title="EMJ Reproductive Health 5.1 page 91" href="http://viewer.zmags.com/publication/e8b2deea?page=91"> References 1. Mocé E et al. Human sperm </a>
<a title="EMJ Reproductive Health 5.1 page 92" href="http://viewer.zmags.com/publication/e8b2deea?page=92"> 41. Richter MA et al. Artificial donor i</a>
<a title="EMJ Reproductive Health 5.1 page 93" href="http://viewer.zmags.com/publication/e8b2deea?page=93"> Creative Commons Attribution-Non Commercial 4.0 </a>
<a title="EMJ Reproductive Health 5.1 page 94" href="http://viewer.zmags.com/publication/e8b2deea?page=94"> Fibroids and Infertility Authors: </a>
<a title="EMJ Reproductive Health 5.1 page 95" href="http://viewer.zmags.com/publication/e8b2deea?page=95"> Submucosal fibroids (FIGO L0–L2) develop in the my</a>
<a title="EMJ Reproductive Health 5.1 page 96" href="http://viewer.zmags.com/publication/e8b2deea?page=96"> Influence of Fibroids on Fertility The probability</a>
<a title="EMJ Reproductive Health 5.1 page 97" href="http://viewer.zmags.com/publication/e8b2deea?page=97"> fibroids should be considered individually</a>
<a title="EMJ Reproductive Health 5.1 page 98" href="http://viewer.zmags.com/publication/e8b2deea?page=98"> was 28.0%, which is comparable to the rate in the</a>
<a title="EMJ Reproductive Health 5.1 page 99" href="http://viewer.zmags.com/publication/e8b2deea?page=99"> Rep. 2016;5:81-88. 18. Ciavattini A et al. Uter</a>
<a title="EMJ Reproductive Health 5.1 page 100" href="http://viewer.zmags.com/publication/e8b2deea?page=100"> Causes and Impact of Cryopreservation-Associated </a>
<a title="EMJ Reproductive Health 5.1 page 101" href="http://viewer.zmags.com/publication/e8b2deea?page=101"> novel fertility treatments, such as fer</a>
<a title="EMJ Reproductive Health 5.1 page 102" href="http://viewer.zmags.com/publication/e8b2deea?page=102"> telomere-shortening phenomenon is observed, as we</a>
<a title="EMJ Reproductive Health 5.1 page 103" href="http://viewer.zmags.com/publication/e8b2deea?page=103"> shows, the cited parameters are the main targets </a>
<a title="EMJ Reproductive Health 5.1 page 104" href="http://viewer.zmags.com/publication/e8b2deea?page=104"> In parallel, other components found in seminal pl</a>
<a title="EMJ Reproductive Health 5.1 page 105" href="http://viewer.zmags.com/publication/e8b2deea?page=105"> Sperm Survival: Viability and Motility Sperm surv</a>
<a title="EMJ Reproductive Health 5.1 page 106" href="http://viewer.zmags.com/publication/e8b2deea?page=106"> sperm survival. However, there exist some ex</a>
<a title="EMJ Reproductive Health 5.1 page 107" href="http://viewer.zmags.com/publication/e8b2deea?page=107"> Sperm parameter Author Main outcome Sperm DNA in</a>
<a title="EMJ Reproductive Health 5.1 page 108" href="http://viewer.zmags.com/publication/e8b2deea?page=108"> recommended to be assessed in certain clinical ci</a>
<a title="EMJ Reproductive Health 5.1 page 109" href="http://viewer.zmags.com/publication/e8b2deea?page=109"> Reprod. 2012;27(3):652-8. 38. Ribas-Maynou J, Be</a>
<a title="EMJ Reproductive Health 5.1 page 110" href="http://viewer.zmags.com/publication/e8b2deea?page=110"> Optimising the Outcome of Embryo Transfer Autho</a>
<a title="EMJ Reproductive Health 5.1 page 111" href="http://viewer.zmags.com/publication/e8b2deea?page=111"> EMBRYO TRANSFER CLEAVAGE VERSUS BLASTOCYST Over </a>
<a title="EMJ Reproductive Health 5.1 page 112" href="http://viewer.zmags.com/publication/e8b2deea?page=112"> > Allows enough time for preimplantation gene</a>
<a title="EMJ Reproductive Health 5.1 page 113" href="http://viewer.zmags.com/publication/e8b2deea?page=113"> Upon considering the advantages of blastocyst ver</a>
<a title="EMJ Reproductive Health 5.1 page 114" href="http://viewer.zmags.com/publication/e8b2deea?page=114"> avoided with a better outcome.39-41 There was onl</a>
<a title="EMJ Reproductive Health 5.1 page 115" href="http://viewer.zmags.com/publication/e8b2deea?page=115"> Low temperature per se result in: • Phase tra</a>
<a title="EMJ Reproductive Health 5.1 page 116" href="http://viewer.zmags.com/publication/e8b2deea?page=116"> Cervix was exposed with a bivalve specul</a>
<a title="EMJ Reproductive Health 5.1 page 117" href="http://viewer.zmags.com/publication/e8b2deea?page=117"> with embryos, using a co-axial or echo tip cathet</a>
<a title="EMJ Reproductive Health 5.1 page 118" href="http://viewer.zmags.com/publication/e8b2deea?page=118"> For an optimal ET technique, the use of soft ma</a>
<a title="EMJ Reproductive Health 5.1 page 119" href="http://viewer.zmags.com/publication/e8b2deea?page=119"> 37. Haouzi D et al. Gene expression profi</a>
<a title="EMJ Reproductive Health 5.1 page 120" href="http://viewer.zmags.com/publication/e8b2deea?page=120"> 120 REPRODUCTIVE HEALTH • August 2019 </a>