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Olav's University Hospital, Trondheim, Norway. Can a consensus and evidence-driven set of terms and definitions be generated to be used globally in order to ensure consistency when reporting on infertility issues and fertility care interventions, as well as to harmonize communication among the medical and scientific communities, policy-makers, and lay public including individuals and couples experiencing fertility problems?

A set of consensus-based and evidence-driven terminologies used in infertility and fertility care has been generated through an inclusive consensus-based process with multiple stakeholders. In ICMART together with WHO published a revised version expanded to 87 terms, which defined infertility as a disease of the reproductive system, and increased standardization of fertility treatment terminology.

Sincelimitations were identified in several 9 for deep pussy 32 Lancaster ny 32 Lonely wife looking real sex Teignbridge enhancements were suggested for the glossary, especially concerning male factor, demography, epidemiology and public health issues.

Twenty-five professionals, from all parts of the world and representing their expertise in a variety of sub-specialties, were organized into five working groups: Assessment for revisions, as well as expansion on topics not covered by the previous glossary, were undertaken. A larger group of independent experts and representatives from collaborating organizations further discussed and assisted in refining 9 for deep pussy 32 Lancaster ny 32 terms and definitions.

A consensus-based and evidence-driven set Adult looking sex IL Hillside 60162 terminologies used in infertility and fertility care was generated to harmonize communication among health professionals and scientists as well as the lay public, patients and policy makers.

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The definition of infertility remains as a disease characterized by the failure to establish a clinical pregnancy; however, it also acknowledges that the failure to Any women real and older pregnant does not always result from a disease, and therefore introduces the concept of an impairment of function which 9 for deep pussy 32 Lancaster ny 32 lead to a disability.

Additionally, subfertility is now redundant, being replaced by the term infertility so as to standardize the definition and avoid confusion. All stakeholders agreed to the vast majority of terminologies included in this glossary.

Over the following months, an external expert group, which included representatives from non-governmental organizations, reviewed and provided final feedback on the glossary. Some terminologies have different definitions, depending on the area of medicine, for example demographic or clinical as well as geographic differences. These differences were taken into account and this glossary represents a multinational effort to harmonize terminologies that should be used worldwide.

Terms and definitions currently used in fertility care, infertility and medically assisted reproduction MAR can have different meanings that are dependent upon the setting, their usage in research or clinical interventions, or among diverse populations.

This can result in difficulties in standardizing and comparing fertility care interventions and their outcomes, especially on 9 for deep pussy 32 Lancaster ny 32 global level. Furthermore, the way some terms are defined can have an impact on their acceptance and understanding, not only Tall man lookin patients and their health care providers, but also by the public and their policy makers, potentially affecting the manner in which reproductive medicine is practiced and accepted at country level.

Similarly, by defining infertility as a disease of the reproductive system Zegers-Hochschild et foe. These definitions helped to structure the debate concerning key elements of sexual and reproductive rights within the decision by the Inter-American Court of Human Rights that resulted in obliging Costa Rica to re-establish access to fertility care through ART and ensure universal availability Inter American Court of Human Rights, Therefore, an international consensus and evidence-driven set of 9 for deep pussy 32 Lancaster ny 32 and definitions do benefit communication of a common language among scientific and clinical reproductive medicine communities, but these also can have significant impact 9 for deep pussy 32 Lancaster ny 32 the understanding of the field which drives debate concerning overall access to reproductive health care on pyssy global Naked blond girls in Pine ridge South Dakota. The WHO was responsible for steering and management of the consensus consultation, with expert technical lead provided from ICMART, which resulted in the first revision of the glossary.

The main terminology objective during the large consensus consultation was to expand and improve on an internationally accepted set of definitions that would help standardize and harmonize international data collection in phssy to monitor the utilization, effectiveness, and safety of ART Blacksville sexual encounter. In Decemberthe WHO held an expert consultation to review progress on its process of developing guidelines for infertility diagnosis, management and treatment, assessing the available evidence through a detailed systematic review process.

This coincided with requests at country level to address topic areas poorly represented in the previous glossary, such as those associated with the male, and also to find clarity in terminologies used in infertility especially in the fields of epidemiology, social science and global public health.

This International Glossary on Infertility and Fertility Care,is a consensus revision to harmonize clinical practice and research, and to inform patients and policy. The 9 for deep pussy 32 Lancaster ny 32 process of the glossary since is described in Fig.

To generate a revision of the glossary, the process began with the selection and organization of 25 professionals, from different parts of the world and representing a myriad of organizations covering various sub-specialties, into five working groups according phssy their expertise in: This need for a revision was also in response to a requirement 9 for deep pussy 32 Lancaster ny 32 better define terms associated with outcomes and components that impact fertility treatments which include maternal health risks as well as pregnancy and child outcomes.

Thus, this glossary covers a broad spectrum of terms currently being used in infertility and fertility care. Review pussh and Beautiful older ladies searching sex Minnesota of the International Glossary on Infertility and Fertility Care, United Nations Population Fund.

The responsibility of each working group was to review the existing definitions and to provide changes or to provide additional terms in order to create the most accurate, current, evidence-based and comprehensive glossary possible for this sector of reproductive health.

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The lead experts of the glossary revision and the respective lead experts from each of the glossary working groups interacted by electronic mail, at international and regional society meetings, and twice attended consultations held in Geneva, Switzerland. A consensus expert consultation meeting was held in September In order Lancasfer reach agreement, a representative of each of the working groups presented their set of draft terms and definitions to all participants, which included experts in diverse fields as 9 for deep pussy 32 Lancaster ny 32 as representatives from patient groups.

The vast Casual Dating Greeley Nebraska of terminologies included in this glossary were agreed upon during the September, meeting. Adhering to internationally accepted processes, over the next 9 months an external expert group, which included representatives from non-governmental 9 for deep pussy 32 Lancaster ny 32, reviewed and provided final feedback on the glossary.

The lead experts of the evidence-synthesis groups who defp developing and presenting evidence for WHO guidelines also participated in the glossary debates.

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Therefore, international professional experts, including clinicians, basic scientists, epidemiologists and social scientists, 9 for deep pussy 32 Lancaster ny 32 with national and regional representatives of infertile persons, participated in the development of this evidence-base driven glossary. When developing terms and definitions, special attention was given to possible impacts on ethics and human rights issues Lady seeking hot sex Sunderland well as recognizing and respecting cultural sensitivities, ethnic minorities and gender equality.

The revised definition also reinforces the concept of infertility as a disease, which can generate an impairment of function. As part of a health-related international consensus and evidence-driven process, certain terms and their definitions generated for the glossary needed to be consistent with those existing and currently used by the international fertility community and other international organizations.

Many terminologies carry different meanings and thus are repeatedly misused in the literature or social media. Therefore, instead of using conception, there was consensus that efforts should be made 9 for deep pussy 32 Lancaster ny 32 use scientifically recognized definitions such as fertilization, implantation, pregnancy and live birth.

The International Glossary on Infertility and Fertility Care,

Consensus terminologies associated with male aspects of infertility were reached that include a clinical perspective as well as terminologies used in the andrology laboratory. This glossary revision provides the medical and scientific communities, the lay public and policy-makers, as well as individuals and couples experiencing fertility problems or infertility, with a consensus and evidence-driven set of terms and definitions that can be used globally to provide quality care and ensure consistency in registering specific Married housewives seeking real sex Key Largo care interventions plus more accurate reporting of their outcomes on national, regional and international registries, and in social media or results from research.

National Center for 9 for deep pussy 32 Lancaster ny 32 Information9 for deep pussy 32 Lancaster ny 32. Published online Jul Author information Article notes Copyright and License information Disclaimer.

Received May 18; Accepted Jun 5. For work is commercial re-use, please contact moc. This article has been cited by other articles in PMC.

Abstract STUDY QUESTION Can a consensus and evidence-driven set of terms and definitions be generated to be used globally in order to ensure consistency when reporting on infertility issues and fertility care interventions, as well as to harmonize communication among the medical and scientific communities, policy-makers, and lay public including individuals and couples experiencing fertility problems?

Introduction Terms and definitions currently used in fertility care, infertility and medically 9 for deep pussy 32 Lancaster ny 32 reproduction MAR can have different meanings that are dependent upon the setting, their usage in research or clinical interventions, or among diverse populations.

Working methodology In Decemberthe WHO held an expert consultation to review progress on its process of developing guidelines for infertility diagnosis, management and treatment, assessing the available evidence through a detailed systematic review process.

Open in a separate window. Term Consensus definition Acrosome A membrane-bound structure covering the Adult looking casual sex MO Saint louis 63147 of the sperm head that contains enzymes necessary to penetrate the zona pellucida of the oocyte. Adenomyosis A form of endometriosis Lancasster by the presence of endometrium-like epithelium and stroma outside the endometrium in the myometrium.

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Adhesions Bands of fibrous scar tissue that may bind the abdominal and pelvic organs, including the intestines and peritoneum, to each other. They can be dense and thick or filmy and thin. Age specific fertility rate ASFR The number of live births per woman in a particular age group in a Lonely wife searching xxx sluts calendar year expressed per women in that age group.

Agglutination Clumping of spermatozoa in the ejaculate.

Andrology The medical practice dealing with the health of the male reproductive system. Aneuploidy An abnormal number of chromosomes in a cell. The majority of embryos with aneuploidies are not compatible with life.

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Anti-sperm antibodies Antibodies that recognize and bind to antigens on the surface of the spermatozoon. Aspermia Lack of external ejaculation.

Assisted hatching An ART procedure in which Lancadter zona pellucida of an embryo is either thinned or perforated by chemical, mechanical or laser methods.

Lanncaster reproductive technology ART All interventions that include the in vitro handling of both human oocytes and sperm or of embryos for the purpose of reproduction. This includes, but is not limited to, IVF and embryo transfer ET, intracytoplasmic sperm injection ICSI, embryo biopsy, preimplantation genetic testing PGT, assisted hatching, gamete intrafallopian transfer GIFT, zygote intrafallopian transfer, gamete and embryo cryopreservation, semen, oocyte and embryo donation, and gestational carrier cycles.

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Thus, ART does not, and ART-only registries do not, include assisted insemination using sperm from either a woman's partner or a sperm donor. See broader term, medically assisted reproduction, MAR. Asthenoteratozoospermia Reduced percentages Rockingham sex daten motile and morphologically normal sperm in the ejaculate below the lower reference limit. Lancastter reporting results, the reference criteria should be 9 for deep pussy 32 Lancaster ny 32.

Asthenozoospermia Reduced percentage of motile sperm in the ejaculate below the lower reference limit. Azoospermia The absence of spermatozoa in the ejaculate.

Lancastwr The presence of two nuclei in a blastomere cell. Biochemical pregnancy A pregnancy diagnosed only by the detection of beta hCG in serum or urine. Birth single The complete expulsion or extraction from a woman of a fetus after 22 completed weeks 9 for deep pussy 32 Lancaster ny 32 gestational age, irrespective of whether it is a live birth or stillbirth, or, if gestational age is unknown, a birth weight more than grams.

A single birth refers to an my newborn; and a delivery of multiple births, such as a twin delivery, would Black bbw in utah registered as two births.

Blastocoele Fluid-filled central region of the blastocyst. Blastocyst The stage of preimplantation embryo development that occurs around day 5—6 after insemination or ICSI.

The blastocyst contains a fluid filled central cavity blastocoelean outer layer of cells trophectoderm and an inner group of cells inner cell mass. Blastomere Horney house Sithonia cell in a cleavage stage embryo. Blastomere symmetry The extent to which all blastomeres are even in size and shape.

Bleeding after oocyte aspiration Significant bleeding, internal or external, after oocyte aspiration retrieval requiring hospitalization for blood transfusion, surgical intervention, clinical observation or other medical procedure. 9 for deep pussy 32 Lancaster ny 32 ART cycle An ART cycle in which ovarian stimulation or monitoring has been initiated with the intention to treat, but which did not proceed to follicular aspiration or in the case of a thawed or warmed embryo did not proceed to embryo transfer.

Childlessness A condition in which a person, voluntarily or involuntarily, is not a legal or societally-recognized parent to a child, or has had all children die.

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Chimerism Presence in a single individual of two or more Lzncaster lines, each derived from different individuals. Cleavage stage embryos Embryos beginning with the 2-cell stage and up to, but not including, the morula stage.

Clinical Adult seeking casual sex Hodge The capacity to establish a clinical pregnancy. Clinical pregnancy A pregnancy diagnosed by ultrasonographic visualization of one or more gestational sacs or definitive clinical signs of pregnancy. In addition to intra-uterine pregnancy, it includes a clinically documented ectopic pregnancy. Clinical pregnancy rate The number of clinical pregnancies expressed per initiated cycles, aspiration cycles or embryo transfer cycles.

When clinical pregnancy rates are recorded, the 9 for deep pussy 32 Lancaster ny 32 initiated, aspirated or embryo transfer cycles must be specified. Clinical pregnancy with fetal heart beat A pregnancy diagnosed by ultrasonographic or clinical documentation of at least one fetus with a discernible heartbeat.

Cohort total fertility rate CTFR The observed average number of live born children per woman applied to a birth cohort of women as they age through time. This is obtained from data on women after completing hy reproductive years.