Dmitry Gounko

• University at Albany, State University of New York

Purpose: In 2021, New York State passed legislation that eliminated the requirement that same-sex female couples needed up to 12 months of intrauterine insemination with donor sperm to meet the medical definition of infertility and qualify for insurance coverage. This study compared the duration of time from consultation to utilization of in vitro...

Purpose To evaluate the association between spironolactone use and controlled ovarian hyperstimulation (COH) outcomes. Methods Retrospective study, including patients who underwent COH. Oocyte yield and maturation rates were compared by categories of spironolactone use at the start of their cycle. Results 402 patients were included. 83 patients c...

Introduction. Fertility-related concerns cause significant anxiety among patients with Hereditary Breast and Ovarian Cancer Syndrome (HBOC). The Society of Gynecologic Oncology and the American Society for Reproductive Medicine recommend patients diagnosed with HBOC receive early referral to a reproductive endocrinologist. However, evidence about f...

To determine whether the embryonic euploidy rate and live birth outcomes following single, euploid embryo transfer (SEET) differ among women of self-reported racial and ethnic backgrounds. This retrospective cohort study included all infertile patients of different self-reported racial backgrounds who underwent In vitro fertilization (IVF) with pre...

Objective To evaluate fertility treatment outcomes among transgender (TG) men with a history of gender-affirming hormone therapy with exogenous testosterone. Design Descriptive, retrospective cohort study. Patients Transgender men with a history of gender-affirming hormone therapy with exogenous testosterone underwent fertility treatments, includ...

Objectives: There is a need for evidence-based counseling for women with chronic liver disease (LD) who may experience impaired fertility. Currently, the literature on assisted reproductive technology (ART) treatment in women with LD has been limited to a single European case series. We evaluated ART treatment outcomes in LD patients and compared...

Objective: To assess whether coronavirus disease 2019 (COVID-19) mRNA vaccination is associated with controlled ovarian hyperstimulation or early pregnancy outcomes. Methods: This retrospective cohort study included patients who underwent controlled ovarian hyperstimulation or single euploid frozen-thawed embryo transfer at a single academic cen...

Objective: To determine if pregnancy rates (PRs) or pregnancy loss rates (PLRs) were altered in patients undergoing single, euploid frozen-thawed embryo transfer (FET) during the initial peak of the Coronavirus Disease 19 (COVID-19) pandemic. Materials and Methods: This was a retrospective cohort study performed in a single academic center. Patient...

PurposeTo understand the clinical factors associated with embryo survival after vitrification in a cohort of human blastocysts screened by preimplantation genetic testing for aneuploidy (PGT-A).Methods Patient demographic, embryo, and cycle characteristics associated with failed euploid blastocyst survival were compared in a cohort of women (n = 61...

Objective: To investigate the association between cleavage stage development, embryonic competence, and euploidy in patients undergoing in vitro fertilization (IVF) with subsequent next generation sequencing. Methods: The retrospective cohort study included patients at an academic fertility center who underwent IVF with at least one cleavage sta...

Purpose: To assess whether utilization of a mathematical ranking algorithm for assistance with embryo selection improves clinical outcomes compared with traditional embryo selection via morphologic grading in single vitrified warmed euploid embryo transfers (euploid SETs). Methods: A retrospective cohort study in a single, academic center from S...

Background Rates of cesarean section continue to increase worldwide. Previous work suggests an association between prior cesarean section and reduced fertility in natural and in vitro fertilization treatment cycles. To our knowledge, there is no published research exploring the relationship between a prior cesarean section and clinical outcomes aft...

Objective Rates of cesarean section (CS) continue to increase worldwide[1]. Although a CS is often a necessary intervention, it presents increased risk for short and long-term sequelae in mother and infant[2]. Previous work suggests an association between prior CS and reduced fertility in both natural and ART cycles [3-5]. To our knowledge, there i...

To assess clinical outcomes of females diagnosed with Inflammatory Bowel Disease (IBD) and infertility, which underwent in vitro fertilization (IVF) with preimplantation genetic testing for aneuploidy. (PGT-A). Retrospective cohort study comparing clinical outcomes of patients with Inflammatory bowel disease who underwent IVF with PGT-A with a subs...

Introduction: The effect of paternal characteristics on embryo development and the outcome of preimplantation genetic testing for aneuploidy have not been extensively explored. This study investigates the association of sperm parameters, insemination, and extraction techniques, with the rate of embryo aneuploidy. This study sought to evaluate the...

Study question:Do women with baseline hyperandrogenemia have differential ovarian response, oocyte maturation, and/or embryo quality as compared to normoandrogenemic women? Summary answer: Despite greater ovarian reserve, hyperandrogenemic patients had similar oocyte yield, blastulation, and aneuploidy compared to normoandrogenemic women. Hyperandr...

INTRODUCTION There are currently no markers that effectively correlate with cycle-specific oocyte yield, euploid embryo yield, and ultimately, in vitro fertilization (IVF) success. We hypothesize that patients with a greater response to gonadotropin stimulation, as demonstrated by the ratio of peak estradiol (E2) level to total dose of gonadotropin...

Study question: What clinical factors are associated with optimal cryopreserved oocyte survival, fertilization, embryo culture, and transfer outcomes? Summary answer: The outcome of autologous oocyte vitrification-warming cycles is optimized in younger patients who undergo transfer of blastocyst-stage embryos.

Study question: Is reproductive outcome compromised in patients with IBD who undergo IVF with transfer of single euploid blastocyst? Study design, size, duration: This was a retrospective cohort study of patients who underwent IVF with preimplantation genetic testing and subsequent euploid single embryo transfer (SET) of a vitrified-warmed blastocy...

Objective: To study whether maternal exposure to selective serotonin reuptake inhibitors (SSRIs) has any influence on rates of blastocyst aneuploidy and/or in vitro fertilization (IVF) cycle outcomes. Design: Retrospective cohort analysis. Setting: Private and academic IVF center. Patient(s): Patients who underwent IVF with preimplantation g...