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QBoost Question Banks

View source material, intended audience, additional resources, descriptions of the question banks, and sample questions below.

AZOOSPERMIA

Source material: Evaluation of the azoospermic male: a Practice Committee opinion Fertil Steril 2018;109:777–82
Intended audience: All (REI fellows, REI physicians, nurses, lab, urologists, mental health professionals)
Description: This question bank reviews the current methods of diagnosis and evaluation for men with azoospermia.

DIAGNOSTIC EVALUATION OF THE INFERTILE MALE

Source material: Diagnostic evaluation of sexual dysfunction in the male partner in the setting of infertility: a committee opinion Fertil Steril 2018;110:833–7
Intended audience: All
Description: This question bank explores the diagnostic evaluation of sexual dysfunction in the male partner in the setting of infertility: a committee opinion. It is the responsibility of the clinician to assess for the presence of erectile dysfunction, ejaculatory dysfunction, or diminished libido 
related to hypoandrogenism among men presenting with a primary complaint of infertility. Referral to a reproductive urologist or other appropriate specialist with requisite expertise in the evaluation and treatment of such conditions is often warranted.
Sample Question: https://www.surveymonkey.com/r/9GWHTJS

DISCLOSURE OF SEX AS PART OF PGT

Source material: Disclosure of sex when incidentallyrevealed as part of preimplantation genetic testing (PGT): an EthicsCommittee opinion Fertil Steril 2018;110:625–7
Intended audience: All
Description: This question bank is based on the Disclosure of sex when incidentally revealed as part of preimplantation genetics testing (PGT): an Ethics Committee opinion that reviews how clinics may develop a policy to disallow selecting which embryos to transfer based on sex and choose to use only embryo quality as selection criteria. Clinics may also develop a policy to use randomization to select those embryos for transfer if more embryos suitable for transfer are available than can be transferred.

ETHICAL EMBRYO RESEARCH

Source material: Ethics in embryo research: a positionstatement by the ASRM Ethics inEmbryo Research Task Force and the ASRM Ethics Committee Fertil Steril 2020;113:270–94
Intended audience: All
Description: Ethics in Embryo Research: A question bank based on a position statement by the ASRM Ethics in Embryo Research Task Force and the ASRM Ethics Committee. Abstract: Scientific research using human embryos advances human health and offspring well-being and provides vital insights into the mechanisms for reproduction and disease. Research involving human embryos is ethically acceptable if it is likely to provide significant new knowledge that may benefit human health, well-being of the offspring, or reproduction.
Sample Question:https://www.surveymonkey.com/r/QB61520

EXOGENOUS GONADOTROPINS FOR OVULATION INDUCTION

Source material: Use of exogenous gonadotropins forovulation induction in anovulatorywomen: a committee opinion Fertil Steril 2020;113:66–70
Intended audience: All
Description: This question bank reviews gonadotropin treatment for ovulation induction in anovulatory women and the rec­ommended pretreatment evaluation, indications, treatment regimens, and complications of gonadotropin treatment.
Sample Question: https://www.surveymonkey.com/r/QBDEC20

FEMALE INFERTILITY

Source material: Obesity and reproduction: a Practice Committee opinion Fertil Steril 2015;104:1116–26
Intended audience: All (also available in Spanish)
Description: This question bank provides a comprehensive report on the principles and strategies for the evaluation of couples with infertility associated with obesity.

FERTILITY DRUGS AND CANCER

Source material: Fertility Drugs and Cancer: a guideline Fertil Steril 2016;106:1617–26
Intended audience: All
Description: This question bank focuses on the methodological limitations in studying the association between the use of fertility drugs and cancer. Given the available literature, patients should be counseled that infertile women may be at an increased risk of invasive ovarian, endometrial, and breast cancer; however, use of fertility drugs does not appear to increase this risk.
Sample Question: https://www.surveymonkey.com/r/N9LSLWX

FERTILITY PRESERVATION

Source material: Fertility preservation and reproduction in patients facing gonadotoxic therapies: an Ethics Committee opinion Fertil Steril 2018;110:380–6
Intended audience: All
Description: Chemotherapy and radiation therapy often result in reduced fertility. Patients receiving gonadotoxic treatment should be informed of options for fertility preservation and future reproduction prior to such treatment. Reproduction in the context of cancer also raises a number of ethical issues related to the welfare of both patients and offspring.
Sample Question:https://www.surveymonkey.com/r/QBMay21

FERTILITY TREATMENT WHEN THE PROGNOSIS IS VERY POOR OR FUTILE

Source material: Fertility treatment when theprognosis is very poor or futile: an Ethics Committee opinion Fertil Steril 2019;111:659–63
Intended audience: All
Description: This question bank explores the Ethics Committee's recommendations on the development of evidence-based policies that are patient-centered for each in vitro fertilization (IVF) center. In most cases, the provision of futile therapies is not ethically justifiable. For those treatments with very poor success rates, clinicians must be vigilant in their presentation of risks, benefits, and alternatives.
Sample Question: https://www.surveymonkey.com/r/QB0721

INFERTILITY WORKUP

Source material: Infertility Workup for the Women’s Health Specialist Obstet Gynecol 2019;133:e377–84
Intended audience: All
Description: Infertility, defined as failure to achieve pregnancy within 12 months of unprotected intercourse or therapeutic donor insemination in women younger than 35 years or within 6 months in women older than 35 years, affects up to 15% of couples. This question bank explores the essential components of an initial workup, which include a review of the medical history, physical examination, and additional tests as indicated. This question bank is based on the Infertility workup for the woman’s health specialist: ACOG committee opinion.

INFORMING OFFSPRING OF THEIR CONCEPTION BY DONOR GAMETE OR EMBRYO DONATION

Source material: Informing offspring of theirconception by gamete or embryodonation: an EthicsCommittee opinion Fertility and Sterility 2018; 109(4): 601-605.
Intended audience: All 
Description: The question bank explores the discussion of the ethical implications of informing offspring about their conception using gamete or embryo donation. It replaces the 2013 ASRM Ethics Committee document of the same name.

INTERESTS, OBLIGATIONS, AND RIGHTS IN GAMETE AND EMBRYO DONATION

Source material: Interests, obligations, and rights ingamete and embryo donation: an Ethics Committee opinion Fertil Steril 2019;111:664–70
Intended audience: All
Description: This question bank reviews the interests, obligations, and rights of all parties involved in gamete and embryo donation: both males and females who choose to provide gametes or embryos for use by others, recipients of donated gametes and embryos, individuals born as a result of gamete or embryo donation, and the programs that provide donated gametes and embryos to patients.
Sample Question: https://www.surveymonkey.com/r/QBapr21

MINIMAL STIMULATION

Source material: Comparison of pregnancy rates for poor responders using IVF with mild ovarian stimulation versus conventional IVF: a Practice Committee guideline Fertil Steril 2018;109:993–9
Intended audience: All
Description: This is a short 7-question bank that evaluates pregnancy and live-birth rates in patients expected to be poor responders using mild ovarian stimulation and natural-cycle protocols vs conventional IVF.
Sample Question: https://www.surveymonkey.com/r/NCFF27W

OHSS

Source material: Prevention and treatment of moderate and severe ovarian hyperstimulation syndrome: a guideline Fertil Steril 2016;106:1634–47
Intended audience: All
Description: Ovarian hyperstimulation syndrome (OHSS) is an uncommon but serious complication associated with assisted reproductive technology (ART). This question bank explores the systematic review that aims to identify who is at high risk, how to prevent OHSS, and the treatment for existing OHSS.
Sample Question: https://www.surveymonkey.com/r/XBYXCTG

OPTIMIZING NATURAL FERTILITY AND VACCINES FOR FEMALE INFERTILITY
Source material:
Intended audience: All
Description: This question bank combines two committee opinions to explore optimizing natural fertility and recommendations for vaccines for female infertility patients.
Sample Question: https://www.surveymonkey.com/r/QBApr2020
PCOS INTERNATIONAL RECOMMENDATIONS

Source material: Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome FertilSteril 2018;110:364–79
Intended audience: All
Description: This question bank explores the comprehensive evidence-based guideline that builds on prior high-quality guidelines and culminates from a rigorous, Appraisal of Guidelines for Research and Evaluation-II (AGREEII)-compliant, evidence-based guideline development process. It provides a single source of international evidence-based recommendations to guide clinical practice with the opportunity for adaptation in relevant health systems.
Sample Question: https://www.surveymonkey.com/r/NKYCQ2Y

PLANNED OOCYTE CRYOPRESERVATION

Source material: Planned oocyte cryopreservation for women seeking to preserve future reproductive potential: an Ethics Committee opinion.
Webinar: Planned Oocyte Cryopreservation: Medical, Ethical and Social Considerations Fertil Steril 2018;110:1022–8
Intended audience: All 
Description: This question bank addresses an emerging but ethically permissible procedure that may help women avoid future infertility. Because planned OC is new and evolving, it is essential that women who are considering using it be informed about the uncertainties regarding its efficacy and long-term effects.
Sample Question: https://www.surveymonkey.com/r/NY6HP6P

ROLE OF METFORMIN IN PCOS

Source material: Role of metformin for ovulation induction in infertile patients with polycystic ovary syndrome (PCOS): a Practice Committee guideline Fertil Steril 2017;108:426–41
Intended audience: All
Description: Does metformin alone compared with placebo increase the ovulation rate in women with PCOS? Are oral ovulation induction agents alone much more effective in increasing ovulation, pregnancy, and live-birth rates in women with PCOS? Enroll in this question bank to take a deeper dive.

TRANSFERRING EMBRYOS WITH GENETIC ANOMALIES

Source material: Transferring embryos with genetic anomalies detected in preimplantation testing: an Ethics Committee Opinion Fertil Steril 2017;107:1130–5
Intended audience: All
Description: Patient requests for transfer of embryos with genetic anomalies linked to serious health-affecting disorders detected in preimplantation testing are rare but do exist. This Opinion sets out the possible rationales for a provider's decision to assist or decline to assist in such transfers. The Committee concludes in most clinical cases it is ethically permissible to assist or decline to assist in transferring such embryos. In circumstances in which a child is highly likely to be born with a life-threatening condition that causes severe and early debility with no possibility of reasonable function, provider transfer of such embryos is ethically problematic and highly discouraged.

UTERINE SEPTUM

Source material: Uterine Septum: a guideline Fertil Steril 2016;106:530–40
Intended audience: All
Description: The Uterine Septum guideline reviews the literature regarding septate uterus and determines optimal indications and methods of treatment for it.
Sample Question: https://www.surveymonkey.com/r/XFQW7ZT

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