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Domar AD, Jasulaitis L, Matevossian K, Jasulaitis S, Grill EA, Uhler ML. The Impact of the FertiStrong Mobile Application on Anxiety and Depression in Men: A Randomised Control Pilot Study. J Hum Reprod Sci 2023; 16:195-203. [PMID: 38045496 PMCID: PMC10688279 DOI: 10.4103/jhrs.jhrs_75_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 09/14/2023] [Accepted: 09/16/2023] [Indexed: 12/05/2023] Open
Abstract
Background Male factor accounts for up to half of all cases of infertility. Previously, research has focused on the psychological effects of infertility on female partners, but recent studies show negative consequences on male patients as well. Despite evidence that men are affected by infertility, there is limited studies focusing on coping methods for them. Aims Determine if a cognitive-behavioral and relaxation mobile application, targeted at men experiencing infertility, could lead to decreases in psychological distress. Settings and Design Randomized controlled. Materials and Methods Thirty-nine men participated in a randomized pilot study of the FertiStrong application. Participants completed a demographic form, the Hospital Anxiety and Depression Scale (HADS) and Fertility Problem Inventory (FPI) at baseline and one month follow-up. The intervention group downloaded the FertiStrong application and used it when needed. Control participants received routine infertility care. Statistical Analysis Used Normally distributed data is presented as mean+/- SD; Differences in proportions were tested using Chi-square test and within group comparison were performed using paired t-test. Results One participant was excluded, resulting in 38 participants, 19 in each group. There were no baseline differences in demographic characteristics (P>0.31). For the HADS anxiety domain, the control group had a small increase between baseline and follow up, while the intervention group had a small decrease. For the HADS depression domain, there was a slight increase in the controls. For the FPI, the control group had a two-point increase, from moderately stressed to extremely high while the intervention group had a five-point decrease, from extremely high to moderately high, but was not significant. Each FPI domain-specific score in the intervention group decreased and one, Rejection of Childfree lifestyle, was significant (P=0.03). The increase in stress level was significantly greater in the control group (P<0.02). Conclusion Recruitment was challenging due to the short recruitment phase and the sample size was smaller than planned. However, there were several significant improvements noted in the intervention group and on all testing, the intervention group trended to less distress. More research is needed on convenient interventions for men experiencing infertility.
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Affiliation(s)
- Alice D. Domar
- Inception Fertility, Houston TX, Harvard Medical School, Boston MA
| | | | - Karine Matevossian
- Women and Infants Hospital, Warren Alpert Medical School of Brown University, Wakefield, Rhode Island
| | | | - Elizabeth A. Grill
- Center for Reproductive Medicine, Weill Cornell Medicine, New York, NY, USA
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Matevossian K, Sauerbrun-Cutler MT. The progestin-primed ovarian stimulation protocol: more economical, but at what cost? Fertil Steril 2022; 118:713-714. [PMID: 36182263 DOI: 10.1016/j.fertnstert.2022.08.847] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Revised: 08/16/2022] [Accepted: 08/17/2022] [Indexed: 01/13/2023]
Affiliation(s)
- Karine Matevossian
- Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, Providence, Rhode Island
| | - May-Tal Sauerbrun-Cutler
- Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, Providence, Rhode Island
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Gadson AK, Anthony KE, Matevossian K, Raker C, Sauerbrun-Cutler MT. INFLUENCE OF FERTILITY PRESERVATION INDICATION ON OOCYTE AND EMBRYO CRYOPRESERVATION: A COMPARISON OF MEDICALLY INDICATED VS ELECTIVE CYCLES. Fertil Steril 2022. [DOI: 10.1016/j.fertnstert.2022.08.678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Sehring J, Hussain A, Grimm L, Rosen E, Esguerra J, Matevossian K, Louden E, Beltsos A, Jeelani R. A call to action: unified clinical practice guidelines for oncofertility care. J Assist Reprod Genet 2021; 38:1745-1754. [PMID: 33709343 PMCID: PMC8324617 DOI: 10.1007/s10815-021-02142-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Accepted: 03/03/2021] [Indexed: 12/01/2022] Open
Abstract
By 2030, WHO estimates that 1.4 million reproductive-aged women will be diagnosed with cancer annually. Fortunately, cancer is no longer considered an incurable disease in many cases. From 2008-2014, 85% of women under the age of 45 years diagnosed with cancer survived. This increase in survival rate has shifted attention from focusing exclusively on preserving life to focusing on preserving quality of life after treatment. One aspect of this is preserving the ability to have a biological family. Oncofertility, the field that bridges oncology and reproductive endocrinology with the goal of preserving fertility, offers these patients hope. Though it is clear that ASCO and ASRM recognize the importance of fertility preservation as an aspect of comprehensive oncology care, there are not yet unified guidelines for oncologists and fertility specialists for treating oncofertility patients. First, we identify the need for reproductive counseling prior to cancer treatment, as many patients report that their fertility preservation concerns are not addressed adequately. We then delineate multi-modal fertility preservation options that are available and appropriate for different patients with corresponding outcomes using different treatments. We discuss the unique challenges and considerations, including ethical dilemmas, for delivering timely and comprehensive care specifically for oncofertility patients. Finally, we address the multidisciplinary team that includes oncologists, reproductive endocrinologists, surgeons as well as their staff, nurses, genetic counselors, mental health professionals, and more. Since oncofertility patient care requires the coordination of both physician teams, one set of unified guidelines will greatly improve quality of care.
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Affiliation(s)
- Jacqueline Sehring
- Vios Fertility Institute, 1455 N Milwaukee Ave, Chicago, IL, 60622, USA.
| | - Anisa Hussain
- Vios Fertility Institute, 1455 N Milwaukee Ave, Chicago, IL, 60622, USA
| | - Lauren Grimm
- Vios Fertility Institute, 1455 N Milwaukee Ave, Chicago, IL, 60622, USA
| | - Elisabeth Rosen
- Vios Fertility Institute, 1455 N Milwaukee Ave, Chicago, IL, 60622, USA
| | - Jody Esguerra
- Vios Fertility Institute, 1455 N Milwaukee Ave, Chicago, IL, 60622, USA
| | | | - Erica Louden
- Vios Fertility Institute, 1455 N Milwaukee Ave, Chicago, IL, 60622, USA
| | - Angeline Beltsos
- Vios Fertility Institute, 1455 N Milwaukee Ave, Chicago, IL, 60622, USA
| | - Roohi Jeelani
- Vios Fertility Institute, 1455 N Milwaukee Ave, Chicago, IL, 60622, USA
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Kim HH, Matevossian K. Are two better than one? Two sequential transfers of a single embryo may be better than a double-embryo transfer. Fertil Steril 2021; 114:267-268. [PMID: 32741464 DOI: 10.1016/j.fertnstert.2020.04.064] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 04/29/2020] [Indexed: 11/15/2022]
Affiliation(s)
- Helen H Kim
- Northwestern University Feinberg School of Medicine, Department of Obstetrics and Gynecology, Division Reproductive Endocrinology and Infertility, Chicago, Illinois
| | - Karine Matevossian
- Advocate Aurora Lutheran General Hospital, Department of Obstetrics and Gynecology, Park Ridge, Illinois
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Babayev E, Matevossian K, Hensley C, Zhang JX, Bulun SE. Baseline Endometrial Thickness or Endometrial Thickness Change in Response to Estrogen Is Not Predictive of Frozen Embryo Transfer Success in Medicated Cycles. Reprod Sci 2020; 27:2242-2246. [PMID: 32533458 DOI: 10.1007/s43032-020-00233-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2020] [Revised: 05/06/2020] [Accepted: 06/04/2020] [Indexed: 10/24/2022]
Abstract
There is some consensus that endometrial thickness (EMT) needs to be at least 7 mm on day of embryo transfer. However, the predictive role of baseline EMT and EMT change in response to estrogen is largely unknown. The objective of this study was to evaluate the role of endometrial thickness in frozen embryo transfer (FET) cycles. We analyzed the association of baseline endometrial thickness (EMTb-Day 3 of cycle) and endometrial thickness change (EMTΔ-from baseline to start of progesterone supplementation) with FET success in 121 cycles. We also investigated whether baseline estradiol levels and body mass index (BMI) are associated with EMTb. No difference was observed in EMTb and EMTΔ in cycles resulting in clinical pregnancy compared to unsuccessful transfers (5.1 ± 2.2 mm vs 5.0 ± 1.9 mm; p = 0.92, and 4.7 ± 2.4 mm vs. 4.4 ± 2.4 mm; p = 0.56). When 7 mm cut-off was used, endometrial thickness on the day of start of progesterone supplementation (EMTp) was also not different between groups (9.8 ± 2.9 mm vs. 9.4 ± 2.5 mm; p = 0.50). Multivariable logistic regression models did not demonstrate any predictive value of EMTb, EMTp, or EMTΔ in predicting success of FET cycles (p = 0.92, p = 0.80, and p = 0.84, respectively). There was no significant correlation between EMTb and baseline estradiol levels (r = -0.001; p = 0.985). BMI showed statistically significant weak positive linear relationship with EMTb (r = +0.29; p = 0.002). Our study did not demonstrate any significant relationship between baseline endometrial thickness or endometrial thickness change and clinical pregnancy rates in frozen embryo transfer cycles. Significant positive linear relationship of BMI with baseline endometrial thickness, despite no correlation between baseline estradiol and EMTb, points to the role of possible other mechanism affecting EMT besides estradiol in obese patients.
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Affiliation(s)
- Elnur Babayev
- Northwestern University Feinberg School of Medicine, 676 N St. Clair, Suite 2310, Chicago, IL, 60611, USA.
| | | | - Caroline Hensley
- University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - John X Zhang
- Northwestern University Feinberg School of Medicine, 676 N St. Clair, Suite 2310, Chicago, IL, 60611, USA
| | - Serdar E Bulun
- Northwestern University Feinberg School of Medicine, 676 N St. Clair, Suite 2310, Chicago, IL, 60611, USA
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Kim HH, Matevossian K. It's all about timing: Is the window of implantation different for day 5 and 6 blastocysts? Fertil Steril 2020; 114:69-70. [PMID: 32532484 DOI: 10.1016/j.fertnstert.2020.04.031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Accepted: 04/10/2020] [Indexed: 10/24/2022]
Affiliation(s)
- Helen H Kim
- Department of Obstetrics and Gynecology, Division Reproductive Endocrinology and Infertility, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Karine Matevossian
- Department of Obstetrics and Gynecology, Advocate Aurora Lutheran General Hospital, Park Ridge, Illinois
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Matevossian K, Grimm L, Rosen E, Rasnic LE, Sehring J, Esguerra JM, Hussain A, Beltsos A, Jeelani R. The role of vitamin D as a piece of the uterine factor infertility puzzle. Fertil Steril 2019. [DOI: 10.1016/j.fertnstert.2019.07.222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Hussain A, Sehring J, Rosen E, Grimm L, Esguerra JM, Matevossian K, Amin RK, Jeelani R, Beltsos A. A new era in medicine: social media and patient care. Fertil Steril 2019. [DOI: 10.1016/j.fertnstert.2019.07.662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Ottomeyer M, Graham CD, Legg AD, Cooper ES, Law CD, Molani M, Matevossian K, Marlin J, Williams C, Newman R, Wasserman JA, Segars LW, Taylor TAH. Prevalence of Nasal Colonization by Methicillin-Resistant Staphylococcus aureus in Persons Using a Homeless Shelter in Kansas City. Front Public Health 2016; 4:234. [PMID: 27826546 PMCID: PMC5078475 DOI: 10.3389/fpubh.2016.00234] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2016] [Accepted: 10/06/2016] [Indexed: 12/03/2022] Open
Abstract
Nasal colonization of methicillin-resistant Staphylococcus aureus (MRSA) plays an important role in the epidemiology and pathogenesis of disease. Situations of close-quarter contact in groups are generally regarded as a risk factor for community-acquired MRSA strains due to transmission via fomites and person-to-person contact. With these criteria for risk, homeless individuals using shelter facilities, including showers and toilets, should be considered high risk for colonization and infection. The aim of this study was to determine the prevalence of nasal colonization of MRSA in a homeless population compared to established rates of colonization within the public and a control group of subjects from a neighboring medical school campus, and to analyze phylogenetic diversity among the MRSA strains. Nasal samples were taken from the study population of 332 adult participants and analyzed. In addition, participants were surveyed about various lifestyle factors in order to elucidate potential patterns of behavior associated with MRSA colonization. Homeless and control groups both had higher prevalence of MRSA (9.8 and 10.6%, respectively), when compared to the general population reported by previous studies (1.8%). However, the control group had a similar MRSA rate compared to health-care workers (4.6%), while the homeless population had an increased prevalence. Risk factors identified in this study included male gender, age over 50 years, and use of antibiotics within the past 3 months. Phylogenetic relationships between nine of the positive samples from the homeless population were analyzed, showing eight of the nine samples had a high degree of relatedness between the spaA genes of the MRSA strains. This indicates that the same MRSA strain might be transmitted from person-to-person among homeless population. These findings increase our understanding of key differences in MRSA characteristics within homeless populations, as well as risks for MRSA associated with being homeless, such as age and gender, which may then be a useful tool in guiding more effective prevention, treatment, and health care for homeless individuals.
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Affiliation(s)
- Megan Ottomeyer
- Kansas City University of Medicine and Biosciences , Kansas City, MO , USA
| | - Charles D Graham
- Department of Internal Medicine, University of Nevada School of Medicine , Reno, NV , USA
| | - Avery D Legg
- Department of Obstetrics and Gynecology, University of Missouri-Kansas City , Kansas City, MO , USA
| | - Elizabeth S Cooper
- Kansas City University of Medicine and Biosciences , Kansas City, MO , USA
| | - Chad D Law
- Kansas City University of Medicine and Biosciences , Kansas City, MO , USA
| | - Mariam Molani
- Kansas City University of Medicine and Biosciences , Kansas City, MO , USA
| | - Karine Matevossian
- Kansas City University of Medicine and Biosciences , Kansas City, MO , USA
| | - Jerry Marlin
- Kansas City University of Medicine and Biosciences , Kansas City, MO , USA
| | | | - Ramon Newman
- Kansas City University of Medicine and Biosciences , Kansas City, MO , USA
| | - Jason A Wasserman
- Department of Biomedical Sciences, Oakland University William Beaumont School of Medicine , Rochester, MI , USA
| | - Larry W Segars
- Kansas City University of Medicine and Biosciences , Kansas City, MO , USA
| | - Tracey A H Taylor
- Department of Biomedical Sciences, Oakland University William Beaumont School of Medicine , Rochester, MI , USA
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