IVF Consent Counseling
When a patient is scheduled to undergo IVF and the provider schedules the patient for a 30-minute consultation to sign consents and discuss risks associated with in vitro fertilization, ovarian stimulation, and oocyte retrieval, is this visit billable, or should it be included in the global charge for the IVF?
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Coding Q&A
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Code 58999 vs Code 58340
For therapeutic infusion, is it more appropriate to use unlisted code 58999 or
Ultrasound Guidance during Embryo Transfers
How do you bill and document for ultrasound guidance during embryo
How to Bill a Hysteroscopy Before Pathology Results are Available
If a provider performs a hysteroscopy and documents visual findings such as endometrial polyps or submucosal fibroids,
Billing Under a Partner
Are there any recommendations from ASRM for billing the 8 series lab codes associatedCoding Corner
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ASRM Practice Documents
These guidelines have been developed by the ASRM Practice Committee to assist physicians with clinical decisions regarding the care of their patients.
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ASRM MAC Tool 2021
The ASRM Müllerian Anomaly Classification 2021 (MAC2021) includes cervical and vaginal anomalies and standardize terminology within an interactive tool format.
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Coding Corner Q & A
The Coding Corner Q & A is a list of previously submitted and answered questions from ASRM members about coding. Answers are available to ASRM Members only.
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EMR Shared Phrases/Template Library
This resource includes phrases shared by ASRM physician members to provide a template for individuals to create their own EMR phrases.
ASRM Ethics Opinions
Ethics Committee Reports are drafted by the members of the ASRM Ethics Committee on the tough ethical dilemmas of reproductive medicine.
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COVID-19 Resources
A compendium of ASRM resources concerning the Novel Corona virus (SARS-COV-2) and COVID-19.
Patient Resources
ReproductiveFacts.org provides a wide range of information related to reproductive health and infertility through patient education fact sheets, infographics, videos, and other resources.
Topic Resources
View more on the topic of in vitro fertilization (IVF)
Policy Update from the ASRM Office of Public Affairs: SART Membership Now Mandatory in Tennessee
ASRM-backed Tennessee law makes SART membership mandatory for ART clinic certification, strengthening fertility care standards and oversight. View the Policy Update on Tennessee law
IVF in the Military: Expanding Access for Service Members
View ASRM’s June 2026 webinar on military IVF access, fertility coverage advocacy, and expanding care for U.S. service members. View the ASRM Webinar on IVF in the Military
Billing Under a Partner
Are there any recommendations from ASRM for billing the 8 series lab codes associated View the Answer
Fertility and Sterility On Air - Unplugged: April 2026
Explore the latest fertility research on IVF, mental health, embryo transfer, PFAS exposure, and reproductive medicine in Fertility & Sterility Unplugged. Listen to the Episode
ASRM Responds to Trump Administration’s Announcement Regarding Insurance for Fertility Care
ASRM responds to Trump IVF insurance proposal, urging broader fertility care access and public input on draft coverage rules. View the Press Release
Intracytoplasmic sperm injection for nonmale factor indications: a Committee opinion (2026)
ICSI use extends beyond male infertility, raising questions about benefits when semen parameters meet WHO reference values. View the Committee Opinion
ASRM Today: Reciprocal IVF
Explore reciprocal IVF, LGBTQ+ family building, fertility care, legal issues, and emotional support in this ASRM Today reproductive medicine podcast. Listen to the Episode
Witnessing and protocol deviations in the in vitro fertilization and andrology laboratory: a committee opinion (2026)
A number of key misidentification risk points occur during an in vitro fertilization cycle in the laboratory that require robust witnessing. View the Committee Opinion
Ethical considerations of in vitro gametogenesis: an Ethics Committee opinion ASRM (2026)
In vitro gametogenesis (IVG) represents a potentially transformative yet currently experimental frontier in reproductive science. View the Committee Opinion
For the First Time, More Than 100,000 Babies Born Through IVF in the U.S. in a Single Year
IVF births in the U.S. surpass 100,000 in 2024, highlighting rising demand, improved safety, and advances in fertility care and reproductive medicine.
View the Press Release
Group Spotlight: Association of Reproductive Managers
The Association of Reproductive Managers (ARM), a professional group of ASRM, supports the professionals who manage the business and operational side of reproductive medicine. Learn more about the Association of Reproductive Managers
Just the Facts: Gestational Carrier Care in the United States
Gestational carrier (GC) care is a long-established, medically indicated specialized modality of assisted reproductive technology (ART). View the Advocacy Resource
Fertility and Sterility On Air - TOC: March 2026
Explore the March 2026 Fertility and Sterility On Air episode covering exercise during FET cycles, metabolic health, IVF triggers, PGT insights, and ectopic pregnancy research. Listen to the Episode
ASRM President-Elect Dr. Amy Sparks Receives Michigan State University Outstanding Alumni Award
ASRM has proudly announced President-Elect Dr. Amy Sparks, Ph.D., as the winner of the 2026 Outstanding Alumni Award from the Michigan State University College of Agriculture and Natural Resources (CANR).
View the Press Release
A Social Media Campaign Fighting IVF Disinformation and Sharing Gratitude
ASRM's Office of Public Affairs is running an Instagram campaign highlighting positive IVF stories featuring patients and providers. View the Press Release
American Society for Reproductive Medicine Responds to TrumpRx Announcement, Says IVF Access Requires More Than Lower Drug Prices
ASRM has responded to the latest announcement about TrumpRx and its impact on IVF treatments. View the Press Release
Fertility and Sterility On Air - TOC: February 2026
FNS On Air reviews Fertility and Sterility Feb 2026 issue, covering AMH, PGTA, AI embryo selection, IVF outcomes, and key clinical controversies in today's insights. Listen to the Episode
ASRM PRIMED scholar Dr. Caiyun Liao Publishes Article on RRM in JAMA
A new Viewpoint warns about the growing politicization and promotion of “restorative reproductive medicine." View the Press Release
ASRM Reacts to First-Ever, Bipartisan, Standalone TRICARE Mandate Introduced in House
ASRM applauds the Bipartisan IVF for Military Families Act advancing TRICARE fertility coverage, backing military families’ access to IVF and related care. View the Press Release
ASRM Responds to Speaker Johnson’s Stripping of Fertility Coverage for America’s Military Personnel
ASRM condemns Speaker Johnson’s removal of TRICARE fertility coverage from NDAA, urging action to restore IVF benefits for U.S. military families. View the Press Release
Fertility and Sterility On Air - TOC: December 2025
Explore December's ASRM podcast with expert insights on ART outcomes, BMI impact, embryo donation, and the evolving role of REIs in reproductive care. Listen to the Episode
ASRM Center for Policy and Leadership Publishes New Research Analyzing the Trump Administration’s IVF Initiative
ASRM CPL’s new report analyzes the Trump administration’s IVF initiative—examining drug‑pricing, employer fertility benefits, access, equity, and policy implications. View the Press Release
Evaluating the Trump Administration’s Initiative on IVF
Analysis of Trump’s IVF initiative by ASRM with key policy insights, cost implications, and equity concerns in fertility care access. View the advocacy resource
Fertility and Sterility On Air: Live from the 2025 ASRM Scientific Congress & Expo (Part 3)
Explore IVF lab automation, MRI-guided egg retrieval, sperm epigenetics, RhoGAM in early pregnancy, and at-home semen testing in this ASRM 2025 recap. Listen to the Episode
Fertility and Sterility On Air: Live from the 2025 ASRM Scientific Congress & Expo (Part 2)
Explore cannabis exposure on male & female fertility, AMH therapy for IVF, and segmental aneuploid embryo outcomes in this F&S On Air podcast episode. Listen to the Episode
Fertility and Sterility On Air: Live from the 2025 ASRM Scientific Congress & Expo (Part 1)
Live from ASRM 2025: genetics in REI, embryo cost studies, ketorolac trial, AI embryo ranking, and F&S journal updates with top experts. Listen to the Episode
Key Abstracts Presented at the ASRM 2025 Scientific Congress & Expo
ASRM 2025 reveals support for IVF access, wildfire smoke's fertility risks, and how insurance mandates improve outcomes in reproductive health care. View the Press Release
Fertility and Sterility Publishes Editorial Exploring the Origins of “Restorative Reproductive Medicine” and Why Modern Fertility Care Must Remain Comprehensive
Restorative reproductive medicine overlooks IVF, male-factor care, and the need for full-spectrum fertility treatment using modern technologies. View the Press Release
Key Details & Emerging Questions from the White House's IVF Announcement
White House IVF initiative offers deep discounts on fertility drugs and new employer‑benefit pathways, though full coverage and equity gaps remain. View the advocacy resource
Fertility and Sterility Publishes New Research Underscoring Importance of IVF, Fertility Preservation Access for Cancer Patients During Breast Cancer Awareness Month
New ASRM‑supported research highlights key IVF and fertility preservation access needs for cancer patients — particularly during Breast Cancer Awareness Month. View the Press Release
American Society for Reproductive Medicine Reacts to White House Announcement on IVF Coverage
ASRM applauds the White House’s first steps toward IVF access but underscores that true equity demands mandatory insurance coverage. View the Press Release
How to Bill to Insurance When Treatment Cycle is Canceled
If a patient is self-paying for treatment and the patient’s IVF or FET cycle is canceled, what would be the appropriate code to use to send View the Answer
Billing Same Sex Male Donor Cycles
If both male partners provide sperm for the fertilization process, would we obtain authorization/bill for the fertilization process for View the Answer
Correct Code to use for using Zymot to Prepare Sperm for Insemination
We recently started using ZyMot to prepare sperm for insemination. Is 89260 the correct CPT code to use? Do you View the Answer
ASRM PRIMED Cohort Members—Including Physicians, Providers, and Experts—Meet with Congressional Offices to Advocate for IVF Access & Educate About Realities of Restorative Reproductive Medicine
ASRM PRIMED cohort meets Congress to push for IVF access, clarify risks of restorative reproductive medicine, and defend science‑based fertility care. View the Press Release
ASRM Hosts Capitol Hill Briefing for Policymakers & Congressional Staff to Hear From Providers & Patients About Importance of IVF Access, Realities and Limitations of Restorative Reproductive Medicine
ASRM briefing united lawmakers, physicians & patients on IVF access, exposing RRM limits and urging policies to expand fertility care options. View the Press Release
SRS Warns Against Limiting Access to IVF Under the Guise of “Restorative” Care
SRS, an ASRM affiliate, advocates evidence-based reproductive surgery and full-spectrum fertility care for conditions like endometriosis, fibroids, and PCOS. View the Press Release
ASRM Letter to the International Institute for Restorative Reproductive Medicine (IIRRM)
ASRM responds to IIRRM, affirming patient-centered infertility care, IVF access, and evidence-based treatment while supporting respectful dialogue. View the ASRM letter to the IIRRM
Don’t be fooled: There is no substitute for IVF
IVF is essential for many families. Restorative Reproductive Medicine is no substitute, risking access to proven fertility care in the U.S. View the OpEd
Journal Club Global en Español: AMMR 2025
Experts discuss chaotic embryo classification, PGT-A rebiopsy outcomes, embryo quality, biopsy techniques, and transfer protocols for mosaic embryos. View the Video
Fertility and Sterility Publishes Editorial Piece on How Restorative Reproductive Medicine Violates Reproductive Autonomy and Informed Consent
Editorial in Fertility and Sterility warns that Restorative Reproductive Medicine spreads stigma, delays care, and undermines IVF and patient autonomy. View the Press Release
F&S Reports Publishes Editorial Piece on the Unscientific Nature of the Arguments for “Restorative Reproductive Medicine” and Why We Need to Understand Them
F&S Reports editorial critiques “Restorative Reproductive Medicine” as unscientific, faith-driven, and a threat to evidence-based IVF care and reproductive rights. View the Press Release
ASRM, Leading Medical Organizations Urge National Governors Association to Reject ‘Restorative Reproductive Medicine’ in Open Letter
Medical groups urge governors to reject Restorative Reproductive Medicine laws, defending evidence-based infertility care and IVF access. View the Press Release
Journal Club Global LIVE at MRSi 2025: Sibling Oocyte Studies in ART
Experts discuss sibling oocyte trials, PIEZO-ICSI, and microfluidics in ART, evaluating outcomes, design limits, lab impact, and clinical implications. View the Video
Just the Facts: “Restorative Reproductive Medicine” and “Ethical IVF” are Misleading Terms That Threaten Access
Terms like “restorative reproductive medicine” and “ethical IVF” mislead and restrict access to proven fertility care like IVF. Evidence must guide policy. View the advocacy resource
Just the Facts: The Safety of In Vitro Fertilization (IVF)
IVF is a safe, proven medical procedure with extensive research backing. Though risks exist, advancements and strict monitoring ensure most IVF babies are healthy. View the advocacy resource
Assisted Reproductive Technology (ART) Oversight: Lessons for the United States from Abroad
A comprehensive analysis of global Assisted Reproductive Technology (ART) regulations, comparing policies, accessibility, and ethical considerations in various countries. View the advocacy resource
Just the Facts: IVF Policy Priorities
ASRM advocates for expanded IVF access, urging policy solutions that prioritize patient care, inclusivity, and medical decision-making free from political interference. View the advocacy resource
Hormonal Induction of Endometrial Receptivity for Fresh or Frozen Embryo Transfer
Explore Dr. Paulson's insights on endometrial receptivity and hormonal preparation in IVF, egg donation, and surrogacy, highlighting estrogen and progesterone roles. View the ASRMed Talk Video
The use of preimplantation genetic testing for aneuploidy: a committee opinion (2024)
PGT-A use in the U.S. is rising, but its value as a routine IVF screening test is unclear, with mixed results from various studies. View the Committee Opinion
Journal Club Global from ANZSREI 2024: Debate Unexplained infertility; Straight to IVF?
ANZSREI 2024 debate: Should unexplained infertility go straight to IVF? Experts discuss pros, cons, and alternative treatments. No clear consensus reached. View the Video
Performing MD is not the Doctor of Record
Currently we are billing the performing provider as the service provider and the Doctor of Record as the billing provider. View the Answer
Who to bill for gestational carrier services if intended parents have insurance?
I wanted to inquire about guidelines for billing services to a surrogate’s insurance company if intended parents purchased the insurance coverage. View the AnswerIVF Babies By State
Explore ASRM's comprehensive data on IVF births across U.S. states, highlighting regional trends and the impact of assisted reproductive technologies nationwide. View how many IVF Babies have been born
Opposition Rebuttal
ASRM's "Opposition Rebuttal" fact sheet counters common arguments against assisted reproductive technologies, offering evidence-based support for ART practices. View the advocacy points
Billing for assisted hatching at biopsy and transfer
We would also like to know if you can bill assisted hatching with biopsy and then assisted hatching again during the transfer cycle. View the Answer
What support for IVF looks like
Bipartisan support for IVF, that is responsible for the birth of over 2% of all babies born in the USA each year, will ensure that families continue to grow. View the advocacy resource
It takes more than one
Why IVF patients often need multiple embryos to have a baby View the advocacy resource
Oversight of IVF in the US
In the US, medical care is regulated by a complex and comprehensive network of federal and state regulations and professional oversight. View the advocacy resource
Financial ‘‘risk-sharing’’ or refund programs in assisted reproduction: an Ethics Committee opinion (2023)
Financial ‘‘risk-sharing’’ fee structures in programs charge patients a higher initial fee but provide reduced fees for subsequent cycles. View the Committee Document
Prevention of moderate and severe ovarian hyperstimulation syndrome: a guideline (2023)
Ovarian hyperstimulation syndrome is a serious complication associated with assisted reproductive technology. View the guideline
Billing IVF lab work
We typically bill our IVF Lab work under the rendering provider who performs the VOR. Who should be the supervising provider for embryology billing? View the Answer
IVF Lab Automation
Automation in IVF labs is progressing, focusing on cryopreservation, dish prep, and data integration. Challenges remain in standardizing processes and material safety. View the ASRMed Talk Video
Journal Club Global: IVM in Clinical Practice: An Idea Whose Time Has Come?
In vitro maturation (IVM) has the potential to make IVF cheaper, safer, and more widely accessible to patients with infertility. View the Video
IVF cycle management and facility fees, an overview
How should IVF Cycle Management be coded? View the Answer
Limited ultrasound performed by RN
Would it be appropriate to bill a 99211 when an RN is doing a limited ultrasound and documenting findings during an IUI or IVF treatment cycle? View the Answer
CPT 89253 and 89254 for Assisted hatching
Can I bill CPT codes 89253 and 89254 together? If yes, do I need a modifier on any of the codes? View the Answer
Journal Club Global - What is the optimal number of oocytes to reach a live-birth following IVF?
The optimal number of oocytes necessary to expect a live birth following in vitro fertilization remains unclear. View the Video
Patient Education
What is the correct way to bill for the patient education sessions performed by registered nurses to individual patients prior to their IVF cycle? View the Answer
Pregnancy Ultrasound
Our practice does routine ultrasounds (sac check- 76817) at the end of an IVF cycle and bill with a diagnosis code O09.081, pregnancy resulting from ART. View the Answer
IV Fluids During Egg Retrieval
Is it appropriate to bill the insurance company for CPT 96360, Under Hydration Infusion when being used in conjunction with IVF retrieval? View the Answer
IUI or IVF
Should other ovarian dysfunction (diagnosis code E28.8) or unspecified ovarian dysfunction (diagnosis code E28.9) can be used for an IUI or an IVF cycle View the Answer
IVF Case Rates
What ICD-10 codes apply to case rates? View the Answer
IVF Consent Counseling
When a patient is scheduled to undergo IVF and the provider schedules the patient for a 30-minute consultation is this visit billable? View the Answer
Ovulation Induction Monitoring for IUI
We would like to clarify the correct ICD 10 diagnosis code for monitoring of an IUI cycle. View the Answer
In Vitro Maturation
Have CPT codes been established for maturation in vitro? View the Answer
IVF Billing Forms
I am seeking information on IVF insurance billing guidelines. View the Answer
IVF Billing Globally
Am I correct in assuming that it is duplicate billing for both the ambulatory center and embryology laboratory to bill globally? View the Answer
IVF Billing of Professional Charges
Are we allowed to bill professional charges under the physician for the embryologist who performs the IVF laboratory services? View the Answer
Lab Case Rates
What ICD-10 codes apply to case rates? View the Answer
Oocyte Denudation
Is there is a separate code for denudation of oocytes? View the Answer
Endometrial Biopsy/Scratch
What CPT code should be used for a “scratch test”? View the Answer
Endometriosis and Infertility
For treatment like IVF would we bill with N97.x first or an endometriosis diagnosis? View the Answer
Follicle Monitoring For Diminished Ovarian Reserve
If a patient has decreased ovarian reserve (ICD-10 E28.8) and patient is undergoing follicle tracking to undergo either an IUI cycle or IVF cycle... View the Answer
Global Billing Vs Billing Under Provider
For an IVF cycle (that is not being billed global to an insurance plan) is it appropriate to bill the charges under one “global” provider? View the Answer
Diagnosis of Infertility for IVF Procedure
How important is it to have accurate documentation of the type of infertility diagnosis for IVF procedures? View the Answer
Egg Culture and Fertilization
We are billing for the technical component of 89250 and would like to also bill a professional component of the 89250. View the Answer
Egg Culture and Fertilization: Same Gender
A same-sex male couple requested half their donor eggs be fertilized with sperm from male #1 and the other half fertilized from male #2. View the Answer
Donor Embryos
Could you give guidance for the correct ICD-10 code(s) to use when a patient is doing an Anonymous Donor Embryo Transfer cycle? View the Answer
Journal Club Global: Natural versus Programmed FET Cycles
A significant portion of IVF cycles now utilize frozen embryo transfer.
View the Video
Role of assisted hatching in in vitro fertilization: a guideline (2022)
There is moderate evidence that assisted hatching does not significantly improve live birth rates in fresh assisted reproductive technology cycles View the Committee Opinion
Journal Club Global - Best Practices of High Performing ART Clinics
This Fertility and Sterility Journal Club Global discusses February’s seminal article, “Common practices among consistently high-performing in vitro fertilization programs in the United States: a 10 year update.” View the Video
Guidance on the limits to the number of embryos to transfer: a committee opinion (2021)
ASRM's guidelines for the limits on the number of embryos to be transferred during IVF cycles have been further refined ... View the Committee Opinion
Journal Club Global Live from India - Adjuvants in IVF and IVF Add-Ons for the Endometrium
Many adjuvants have been utilized by IVF centers to improve their success rates. View the Video
Evidence-based outcomes after oocyte cryopreservation for donor oocyte in vitro fertilization and planned oocyte cryopreservation: a guideline (2021)
Guideline reviews success rates and outcomes of oocyte cryopreservation for donor IVF and elective egg freezing by ASRM. View the Committee Opinion
Development of an emergency plan for in vitro fertilization programs: a committee opinion (2021)
All IVF programs and clinics should have a plan to protect fresh and cryopreserved human specimens (embryos, oocytes, sperm). View the Committee Opinion
In vitro maturation: a committee opinion (2021)
The results of in vitro maturation (IVM) investigations suggest the potential for wider clinical application. View the Committee Opinion
Fertility treatment when the prognosis is very poor or futile: an Ethics Committee opinion (2019)
The Ethics Committee recommends that in vitro fertilization (IVF) centers develop patient-centered policies regarding requests for futile treatment. View the Committee Opinion
Blastocyst culture and transfer in clinically assisted reproduction: a committee opinion (2018)
The purposes of this document is to review the literature regarding the clinical application of blastocyst transfer. View the Committee Opinion
The role of immunotherapy in in vitro fertilization: a guideline (2018)
ASRM guideline evaluates current evidence on immunotherapy use in IVF, finding limited support for routine adjuvant immunomodulating treatments. View the Committee Opinion
Comparison of pregnancy rates for poor responders using IVF with mild ovarian stimulation versus conventional IVF: a guideline (2018)
Mild-stimulation protocols with in vitro fertilization (IVF) generally aim to use less medication than conventional IVF. View the Guideline
Performing the embryo transfer: a guideline (2017)
Systematic review of embryo transfer steps highlighting evidence-based interventions that improve or do not improve pregnancy rates. View the Committee Guideline
Best practices of ASRM and ESHRE: a journey through reproductive medicine (2012)
ASRM and ESHRE are the two largest societies in the world whose members comprise the major experts and professionals working in reproductive medicine. View the Committee Joint Guideline
In Vitro Maturation Special Interest Group (IVMSIG)
IVMSIG strives to define the best strategies to optimize IVM outcomes. Learn more about IVMSIGTopic Resources
View more on the topic of ovarian stimulation
Use of Code 99211 for a Monitoring Appointment
Is it appropriate to use code 99211 if a patient is scheduled for a monitoring visit View the Answer
Intro to REI Ultrasound
Leslie King explains the basics of ultrasound in reproductive medicine, covering key techniques, anatomy, and abnormalities for new nurses and clinical staff. View the ASRMed Talk Video
Ultrasound for Ovarian Cyst
When a patient has a cyst from a previous Clomid or gonadotropin cycle, is it appropriate to bill the insurance company for the ultrasound with a N83.x? View the Answer
Coding of transabdominal vs. transvaginal ultrasound
I recently was informed that CPT 76857 can be used for a transvaginal ultrasound when done for a follicle check by a fertility practice. View the Answer
IVF Consent Counseling
When a patient is scheduled to undergo IVF and the provider schedules the patient for a 30-minute consultation is this visit billable? View the Answer
IVF Lab vs Physician Practice Billing
We are planning to open an IVF lab that is not contracted with insurance companies. View the Answer
Oocyte Aspiration
Should one bill oocyte aspiration as a bilateral procedure? View the Answer
Journal Club Global: Management of poor ovarian response
A poor ovarian response to what should otherwise be a successful stimulation cycle presents a clinical conundrum for clinicians. View the Video
The role of immunotherapy in in vitro fertilization: a guideline (2018)
ASRM guideline evaluates current evidence on immunotherapy use in IVF, finding limited support for routine adjuvant immunomodulating treatments. View the Committee Opinion
Comparison of pregnancy rates for poor responders using IVF with mild ovarian stimulation versus conventional IVF: a guideline (2018)
Mild-stimulation protocols with in vitro fertilization (IVF) generally aim to use less medication than conventional IVF. View the Guideline
Best practices of ASRM and ESHRE: a journey through reproductive medicine (2012)
ASRM and ESHRE are the two largest societies in the world whose members comprise the major experts and professionals working in reproductive medicine. View the Committee Joint Guideline
Executive summary of the Stages of Reproductive Aging WorkshopD10: addressing the unfinished agenda of staging reproductive aging (2012)
The aim of this article is to summarize the recommended updates to the 2001 Stages of Reproductive Aging Workshop (STRAW) criteria. View the Committee Guideline
