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Infertile patients cannot afford to wait for treatment while their eggs get older.

Dr. Sherman Silber, Infertility Center of St. Louis, is offering video consultations for patients who need to plan now for their treatment while stay-at-home orders are in place. He is talking to and evaluating patients in their home to comply with social distancing measures.

Dr. Silber is discovering that patients actually prefer this method of telemedicine consultation over the conventional office visit. Patients have conveyed that “it is so much more convenient and less stressful” to have a telemedicine personal consultation than to take a day off from work to travel to the doctor’s office and sit with other nervous patients in the waiting room.

The COVID-19 pandemic is thus changing much of the way we will do things in the future, and for the better. “Our patients are surprisingly much happier with this approach. Of course, at some point we need to perform hands on treatment. But with this new manner of seeing patients, we can come to the right diagnosis and treatment plan for most patients more efficiently, quickly, and painlessly, with no loss of personal one-on-one communication.” This is a very welcome new era of telemedicine that has been forced on us by the current difficult times.

Woman Gives Birth After Having the First Ovary Transplant Operation

By James Randerson, science correspondent, guardian.co.uk

November 9, 2008

Dr. Silber of the Infertility Center of St. Louis in Missouri performed the ovary transplant operation.
Dr. Silber of the Infertility Center of St. Louis in Missouri performed the ovary transplant operation.

A 38-year-old woman is due to give birth next week after the first ever whole ovary transplant to result in a successful pregnancy.

The woman, who lives in London and whose ovaries stopped working when she was 15, became pregnant just over a year after receiving a donor ovary from her identical twin sister…

The technique offers the possibility of removing and freezing an ovary prior to cancer treatment such as radiotherapy and chemotherapy [thus preserving the woman’s future fertility when it is transplanted back to her later].

The transplant was carried out in the US early last year by Dr Sherman Silber at the Infertility Centre of St Louis in Missouri. The patient had experienced an early menopause at age 15 when her ovaries stopped producing hormones.

Her twin sister, who has two children, donated one of her ovaries which the surgical team removed using keyhole surgery. Because both women are genetically identical, eggs from the donor ovary are equivalent to those produced by the patient herself.

Transplanting the ovary into the patient involved microsurgery to reconnect blood vessels as small as half a millimeter in diameter. Three months after the surgery, the patient had her first period in 22 years, indicating that she was ovulating normally again.

“To our knowledge, this is the first successful human intact whole ovary transplant leading to healthy pregnancy,” said Silber. He will present his results tomorrow at the American Society of Reproductive Medicine’s annual meeting in San Francisco.

The surgical tour de force follows previous successes by Silber with ovary graft transplants in which a slice of ovary tissue is grafted onto an infertile patient’s own ovary. The first graft transplant to produce a successful pregnancy happened in 2004, also between two twin sisters.

Silber also presented two other studies at the conference in which his team tested techniques for freezing ovaries for future transplant…

[Article taken from News Vine – Originally published by Guardian.co.uk]

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