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ACR Appropriateness Criteria® Female Infertility
Authors
Esma A. Akin
Susan M. Ascher
+13 more
Olga R. Brook
Mark Dassel
Phyllis Glanc
Tara L. Henrichsen
Lee A. Learman
Katherine E. Maturen
Michael N. Patlas
Caroline Reinhold
Jessica B. Robbins
Elizabeth A. Sadowski
Carl Saphier
Jennifer W. Uyeda
Darci J. Wall
Publication date
1 May 2020
Publisher
Health Sciences Research Commons
Abstract
© 2020 American College of Radiology The most common known causes of female infertility are male factor (26%), ovulatory failure (21%), and tubal damage (14%), while in 28% a couple\u27s infertility remains unexplained. Female-specific causes of infertility include deterioration of oocyte quality with increasing maternal age; ovulatory disorders, most notably polycystic ovarian syndrome; history of salpingitis such as that caused by chlamydia infection; endometriosis; and uterine cavity abnormalities interfering with implantation causing inability to become pregnant or causing recurrent pregnancy loss. These potential causes of female infertility are discussed in this document and the appropriate imaging recommendations for each variant are provided. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment
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George Washington University: Health Sciences Research Commons (HSRC)
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Last time updated on 03/12/2020