Howard Harrell

speaker

1,260 appearances 4 recordings 1 series first heard May 2026 last heard 23 Jul

Howard Harrell’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 4 in all, peaking in Jul 2026 with 2.

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Thinking About Ob/Gyn · Episode 12.1 IVF Add-Ons and More! · 9 Jul 2026 podcast

So yeah, let's apply that to back to here.

So in in this review of these IVF add-ons.

Essentially the only one that they determined might be associated with increased chance of live birth was the endometrial scratching.

So they considered the evidence for that to be moderate, and the odds ratio was 1.2 with a confidence interval interval of 1.02 to 1.41.

So that still is overall a pretty weak effect and moderate quality at that, so

Yeah, that was really the only one that they concluded had any positive evidence at all.

So it's my impression is it's a minor procedure that

Scratches?

and disturbs the lining of the uterus.

So I guess like when you would do a endometrial biopsy, except you're just not removing any tissue.

I'm not sure how extensively do they scratch all around or just kind of a quick in and out.

But the thought is there's some resulting inflammation and a r immune response that might improve maybe the endometrial receptiveness to the embryo.

And this add on will usually run patients anywhere from one hundred to three hundred extra dollars.

And th this one was not even presented to me as something.

So I obviously I didn't have this done.

Well, as for the other items listed, they they concluded that embryo glue, the endometrial receptivity testing.

Corticosteroids

And also surprisingly, the pre implantation genetic testing for aneuploidy

Have no impact on live birth rates.

And they concluded this with a degree of certainty based on

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