
Umesh AcharyaNational Health Service | NHS · Obs & Gynae
Umesh Acharya
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Publications (19)
Conscious sedation is a commonly used approach to provide pain relief during transvaginal oocyte retrieval. It has been shown to be effective with high levels of acceptability and patient satisfaction. Fundamental Standards and Development Standards in safe sedation practice have been set out by the Royal College of Anaesthetists and they recommend...
Women suffering from anovulatory infertility are frequently diagnosed with polycystic ovary syndrome (PCOS), which is a varied condition of ovarian dysfunction characterised by hyperandrogenaemia and abnormal ovarian morphology. PCOS has been associated with insulin resistance, leading to the insulin-sensitising agent, metformin, being investigated...
To determine whether foot reflexology, a complementary therapy, has an effect greater than sham reflexology on induction of ovulation.
Sham-controlled randomized trial with patients and statistician blinded.
Infertility clinic in Plymouth, United Kingdom.
Forty-eight women attending the clinic with anovulation.
Women were randomized to receive eigh...
To establish whether visceral fat mass is the most significant variable correlating with insulin resistance and other metabolic parameters in women with polycystic ovary syndrome (PCOS).
Prospective cross-sectional trial.
Reproductive medicine clinic.
Forty women with anovulatory PCOS.
Measurements were taken at recruitment, and analysis was perfor...
To establish whether metformin has a significant action in reducing visceral fat and improving other metabolic parameters in women with polycystic ovary syndrome (PCOS).
Randomised, double-blind, placebo-controlled trial.
Reproductive medicine clinic.
Forty women with anovulatory PCOS.
Participants were randomised into receiving metformin 500 mg th...
A national audit was performed to ascertain details of the management of clinically obese women at infertility clinics in the UK. This was with particular reference to body mass index (BMI) limits for specific treatments and general advice given to patients regarding obesity. A postal questionnaire was sent to all licensed assisted conception units...
A postal questionnaire was sent to all assisted conception units (ACUs) in the UK that undertake IVF. The return rate was 62 of 74 (84%). The majority of units (84%) used intravenous (i.v.) sedation for transvaginal egg collection, whereas 16% used general anaesthesia. There was a great deal of variation in personnel present during the procedure, t...
The provision of infertility services has always provoked controversy. On the one hand, patients' groups and clinicians involved with infertile couples have long campaigned against the 'postcode lottery'. On the other hand, commissioners have been reluctant to commit resources to what they see as a low priority in health care. The issue has been br...
To determine the incidence of active vaginal infection in women undergoing IVF, relate it to the cause of infertility, and investigate a relation with the outcome of fresh ET.
Cross-sectional study.
Tertiary care infertility referral center.
Two hundred eighty-six women who underwent 344 oocyte recovery procedures for IVF cycles between March 1997...
We report the first case of an ectopic twin pregnancy in the broad ligament following in-vitro fertilization and embryo transfer in a patient with a previous ipsilateral (left) salpingo-oophorectomy. The previous surgery was for endometriosis. We discuss the possible contribution of the embryo transfer technique, limitations of preventive measures...
We report the first case of an ectopic twin pregnancy in the broad ligament following in-vitro fertilization and embryo transfer
in a patient with a previous ipsilateral (left) salpingo-oophorectomy. The previous surgery was for endometriosis. We discuss
the possible contribution of the embryo transfer technique, limitations of preventive measures...
The anti-oestrogens, clomiphene citrate, tamoxifen and cyclofenil are commonly used in the treatment of female infertility. Their role in the management of anovulation is well established but there is continuing controversy about their relevance to other areas of management. We have studied the effects of each of these drugs on cervical mucus and s...
Objective:
To assess the usefulness of the ultrashort regimen of gonadotropin-releasing hormone agonist (GnRH-a) in ovulation induction in an in vitro fertilization (IVF) program.
Design:
A prospective randomized trial comparing short and ultrashort regimens of GnRH-a.
Setting:
Aberdeen Assisted Reproduction Unit.
Patients:
Forty-eight patie...
To assess the usefulness of a short regimen in ovulation induction in an in vitro fertilization (IVF) program.
A prospective randomized trial was set up to compare long and short regimens of gonadotropin-releasing hormone agonist administration for ovulation induction in IVF.
Aberdeen Assisted Reproduction Unit.
Eighty-seven patients undergoing IVF...