The FDA's original recommendation, a
7-day testing window , could have led to repeated, unnecessary testing, delayed
or canceled cycles, and significantly increased costs.

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About Shady Grove Fertility
Established in 1991, Shady Grove Fertility has grown to 15 physicians and
220 staff in 10 locations serving two states and the District of Columbia .

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The American Fertility Association Commends FDA Donor Eligibility Guideline Revision

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"
In 2004, the Society for Assisted Reproductive Technology (SART) -- a
professional organization that sets policies for infertility medical
practices -- created new guidelines in an effort to reduce the number of
fertilized human eggs doctors transfer during IVF treatment.org or call 888-917-3777 for more
information and support.

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Rapidly improving pregnancy rates mean "that an increasing proportion of
our patients no longer have to gamble on multiples at all in order to have
very good odds of pregnancy," Stillman said.

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area are
performed at Shady Grove Fertility. It is a medically -sound yet flexible requirement for
egg donor testing, which has proven effective in detecting disease , preventing
transmission, and maintaining patient safety, while accommodating reproductive
medical practices.

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We take it as our responsibility to their family to
educate them, make recommendations to them, and then give them the choice.
Under the new policy, eSET will be the primary recommendation made to
couples where the women is younger than 36 and for women who use egg donors
for their pregnancies. This revised rule
acknowledges the unique nature of human reproductive tissue donations , and
reassures patients that the FDA is working to serve their best interest.

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Infertility is absent or reduced fertility, resulting in an inability to conceive.

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"This is a major development in the progress towards safety that does not
compromise the effectiveness of infertility treatment, " said Robert Stillman,
M."
For most of the last 24 years since the first so-called "test-tube baby"
was born in the U.
Earlier this year, we recommended that the FDA look to the New York State
30-day testing window.com

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Nearly two years after reproductive specialists adopted new national
guidelines designed to avoid births of more than two babies at a time, the
15 physicians at Shady Grove Fertility have decided to formalize the
guidelines by making what is known as elective single-embryo transfer (eSET)
the primary recommended therapy for those patients with the best chances of
pregnancy and therefore most vulnerable to the risks associated with multiple
pregnancy.C.

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, Physicians at one of the largest
in vitro fertilization (IVF) medical practices in the United States have
cemented their efforts against multiple births by adopting what may be the
most stringent clinical policy nationwide.
One reason for the revised approach is that patients are becoming more
open to eSET, according to Stillman.

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through IVF, doctors have put two , three, or even more
embryos into the uterus in hopes of producing one healthy baby.

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Physicians Take Tougher Stand Against Multiple Births

S.
"When you've struggled for years to conceive, it 's easy to become enamored
with the notion of having twins or even triplets," Stillman said.
The practice performs more in vitro fertilization (IVF) cycles than any other
center in the D.

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metro area and maintains one of the metro area's highest
IVF success rates.

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The revised FDA rule permits the testing of an egg donor for infectious
diseases up to 30 days before her retrieval , a sufficient amount of time
before she begins ovarian stimulation. Visit http://www.

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D.

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One of Nation's Largest Infertility Practices Commits to a Policy of One
Embryo Per Patient as Standard for Patients at High Risk of Multiple
Pregnancies

ROCKVILLE , Md., medical director at Shady Grove.

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"The risk of multiple births from
multiple embryo transfers is simply too high and increasingly unnecessary when
you look at our recent medical advancements . "But the
average couple doesn't fully appreciate the complications that are magnified
by multiple births. Much of the growing pregnancy
rates in the last five years have come as the result of transferring
better-developed, five-day-old blastocyst embryos in preference to the more
common three-day-old embryos.
The American Society of Reproductive Medicine (ASRM) and the Society of
Assisted Reproductive Technology (SART) should be applauded for actively
engaging the FDA over many months to ensure that recipients of donated
reproductive tissue are protected in a scientifically-valid and ethically-
sound way.

Contact:
Frank Fusco
David Eng Communications
(212) 714-3537
frank@decpr.

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Seven of every 10 IVF procedures in the D.TheAFA.

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However, with multiple transfers come a heightened chance of multiple
births, which dramatically increase risks of prematurity, low birth weight,
disability, and death for the infants, and risks of preeclampsia, diabetes,
placental problems, caesarean section and other delivery complications for the
mother. In patients
under 35 having a good prognosis, SART recommends transferring no more than
two embryos. The trend has been accelerated by the
practice's Shady Grove Fertility and IntegraMed Shared Risk Program(TM), which
guarantees that each participating patient undergoing IVF treatments will
receive a full refund of fees for medical services if she does not take home a
baby after six attempts.

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The practice is a member of IntegraMed,
an exclusive network limited to the highest performing infertility practices
in the United States.
For embryo donation , proper labeling and consultation with a doctor will
be required to inform recipients whether or not screening and testing of the
donor were performed at the time of cryopreservation (freezing) of the
reproductive cells or tissue and its implications.

THE AMERICAN FERTILITY ASSOCIATION (AFA) is a national organization
dedicated to educating, supporting and advocating for men and women concerned
with reproductive health, fertility preservation, infertility and all forms of
family building.

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We offer patients as many
children as they want, but we prefer them one at a time.

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C. NEW YORK, Pamela Madsen, Executive Director and
Founder of The American Fertility Association (AFA), released the following
statement:
The American Fertility Association commends the FDA for actively listening
to the concerns of the patient and professional communities and modifying its
original donor eligibility guideline for infectious disease testing from
7-days to 30-days , for egg and embryo donations.

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