Shared decision making by both physicians and infertile couples, may be the way forward in tackling the complex issue of varicocele management. It is a longstanding debate as to what is the most appropriate approach in the management of varicocele in the infertile couple. Although many studies have addressed
Despite advances in methodology and validation issues of the ERA test opponents continue to raise questions on the accuracy and validity of the test
They are ubiquitous in the human body. Relatively stable, they have been shown to control gene expression and regulate a wide spectrum of processes, such as cellular differentiation, proliferation and apoptosis. MicroRNAs are gradually receiving increased research interest within the field of human reproduction as the need for non-invasive biomarkers rises in
Although not entirely clear how adenomyosis initiates, two proposed theories can explain the majority of cases encountered in everyday clinical practice. Invagination of the endometrial basalis into the myometrium, the most widely accepted theory, holds that a traumatised junctional zone, either as a result of aberrant hyperestrogenic environment and
Monitoring performance of the lab includes kPIs for many diverse parameters, as in structure, processes and outcome-related kPIs. And although both structure and process-related kPIs are essential in the effort to achieve, it is the outcome-related kPIs that reflect on overall effectiveness of care, and particularly where the interaction lies with clinical factors