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Practice Committee Reports:

Guidelines, Statements and Opinions
of the ASRM Practice Committee

Committee Opinions | Technical Bulletins
Educational Bulletins | Position Statements
Guidelines and Minimum Standards
Joint Reports (written with other societies)

• NOTE:  Most ASRM Practice Committee Reports are available online only to ASRM Members.  If you are a member and would like to view the Guidelines for Practice, please log in to the ASRM Members-Only Area and click the link on the Members-Only page.

• If you are not a member, the ASRM Practice Committee Guidelines are available for purchase.  Please visit the ASRM Store to order copies.  

• If you are not a member and would like to be, click here

A Guideline presents a recommended approach to evaluation or treatment, but is not intended to describe the only approved standard of practice or to dictate an exclusive course of treatment.

Some ASRM Practice Committee Reports are archived in PDF format and may be viewed with a free Adobe®Acrobat® Reader.   If you do not have an Adobe Reader or do not know how to view or print a PDF file, please go to this page. Some of these files will take extra time to download.

Committee Opinions:

A Committee Opinion offers consensus-based (or evidence-based when there is sufficient evidence available) guidance relative to a given practice activity. This guidance, in addition to scientific and clinical information, may take into account issues of ethical and financial concerns.

• Definitions of infertility and recurrent pregnancy loss
  published June 2008
  Fertil Steril 2008;89:1603
  (PDF format, 44K file)

• The menopausal transition
  revised January 2008 
  (PDF format, 158K file)

• Essential elements of informed consent for elective oocyte cryopreservation: a Practice Committee opinion
  published December 2007
  Fertil Steril 2007;88:1495-1496
  (PDF format, 63 file)

• Preimplantation genetic testing: a Practice Committee opinion
  published December 2007
  Fertil Steril 2007;88:1497-1504
  (PDF format, 150 file)

• Aging and infertility in women
  published November 2006; under revision 
  Fertil Steril 2006;86(Suppl 4):S248-52
  (PDF format, 104K file)

• Anti-phospholipid antibodies do not affect IVF success
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S224-25
  (PDF format, 55K file)

• Blastocyst culture and transfer in clinical-assisted reproduction
  published November 2006; revised June 2006
  Fertil Steril 2006;86(Suppl 4):S89-92
  (PDF format, 65K)

• The clinical utility of sperm DNA integrity testing
  published November 2006
  Fertil Steril 2006;86(Suppl 4):S35-37
  (PDF format, 74K file)

• Definition of "experimental"
  published November 2006; revised June 2006
  Fertil Steril 2006;86(Suppl 4):S123
  (PDF format, 31K)

• Elements to be considered In obtaining informed consent for ART
  published November 2006; under revision 
  Fertil Steril 2006;86(Suppl 4):S272-3
  (PDF format, 52K file)

• Genetic considerations related to intracytoplasmic sperm injection (ICSI)
  published November 2006; revised June 2006
  Fertil Steril 2006;86(Suppl 4):S103-105
  (PDF format, 58K)

• Increased maternal cardiovascular mortality associated with pregnancy in women with turner syndrome
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S127-8
  (PDF format, 45K)

• Intracytoplasmic sperm injection (ICSI)
  published November 2006; revised June 2006
  Fertil Steril 2006;86(Suppl 4):S122
  (PDF format, 33K)

• Intravenous immunoglobulin (IVIG) and recurrent spontaneous pregnancy loss 
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S226-27
  (PDF format, 52K file)

• Optimal evaluation of the infertile female 
  published November 2006; under revision 
  Fertil Steril 2006;86(Suppl 4):S264-7
  (PDF format, 77K file)

• Ovarian tissue and oocyte cryopreservation
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S142-7
  (PDF format, 88K file)

• Repetitive oocyte donation
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S216-7
  (PDF format, 47K file)

• The role of assisted hatching in in vitro fertilization: a review of the literature
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S124-7
  (PDF format, 63K)

• Round spermatid nucleus injection (ROSNI)
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S184-6
  (PDF format, 59K file)

• Salpingectomy for hydrosalpinx prior to in vitro fertilization
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S200-1
  (PDF format, 52K file)

• Use of clomiphene citrate in women
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S187-93
  (PDF format, 102K file)

• Use of insulin sensitizing agents in the treatment of polycystic ovary syndrome
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S221-23
  (PDF format, 59K file)

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Technical Bulletins:

A Technical Bulletin is a brief presentation of a diagnostic or therapeutic procedure, with selected references from the literature.

• Pathogenesis, consequences, and control of peritoneal adhesions in gynecologic surgery
  published July 2007
  Fertil Steril 2007;88:21-6
  (PDF format, 115K file)

• Correct coding for laboratory procedures during assisted reproductive technology cycles
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S168-71
  (PDF format, 59K file)

• The evaluation and treatment of androgen excess
  published November 2006; under revision 
  Fertil Steril 2006;86(Suppl 4):S241-47
  (PDF format, 213K file)

• Medical treatment of ectopic pregnancy
  published November 2006; revised June 2006
  Fertil Steril 2006;86(Suppl 4):S96-102
  (PDF format, 113K)

• Sperm retrieval for obstructive azoospermia
  published November 2006; revised June 2006
  Fertil Steril 2006;86(Suppl 4):S115-120
  (PDF format, 218K)

• Vasectomy reversal 
  published November 2006; under revision 
  Fertil Steril 2006;86(Suppl 4):S268-71
  (PDF format, 68K file)

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Educational Bulletins:

An Educational Bulletin is a review of the literature on a subject of clinical importance. It differs from the evidence-based guideline in that it is utilized when inadequate data of high quality prohibits objective comparisons and clinical recommendations.

• Progesterone supplementation during the luteal phase and in early pregnancy in the treatment of infertility: an educational bulletin
  published April 2008
  Fertil Steril 2008;89:789–92
  (PDF format, 91K file)

• Hormonal contraception: recent advances and controversies
  revised January 2008 
  (PDF format, 183K file)

• Estrogen and progestogen therapy in postmenopausal women
  published November 2006; revised January 2008
  (PDF format, 321K)

• Current evaluation of amenorrhea
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S148-55
  (PDF format, 180K file)

• Effectiveness and treatment for unexplained infertility
  published November 2006; revised June 2006
  Fertil Steril 2006;86(Suppl 4):S111-114
  (PDF format, 71K)

• Endometriosis and infertility
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S156-60
  (PDF format, 90K file)

• Hepatitis and reproduction
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S131-41
  (PDF format, 184K file)

• Indications and options for endometrial ablation
  published November 2006
  Fertil Steril 2006;86(Suppl 4):S6-10
  (PDF format, 91K file)

• Interpretation of clinical trial results
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S161-67
  (PDF format, 99K file)

• Multiple pregnancy associated with infertility therapy
  published November 2006; revised June 2006
  Fertil Steril 2006;86(Suppl 4):S106-110
  (PDF format, 83K)

• Myomas and reproductive function
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S194-99
  (PDF format, 90K file)

• Ovarian hyperstimulation syndrome
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S178-83
  (PDF format, 81K file)

• The role of tubal reconstructive surgery in the era of assisted reproductive technologies
  published November 2006
  Fertil Steril 2006;86(Suppl 4):S31-34
  (PDF format, 68K file)

• Treatment of androgen deficiency in the aging male
  published November 2006; under revision 
  Fertil Steril 2006;86(Suppl 4):S236-40
  (PDF format, 77K file)

• Smoking and infertility
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S172-7
  (PDF format, 98K file)

• Status of environmental and dietary estrogens - are they significant estrogens?
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S218-20
  (PDF format, 56K file)

• Treatment of pelvic pain associated with endometriosis
  published November 2006
  Fertil Steril 2006;86(Suppl 4):S18-27
  (PDF format, 142K file)

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Position Statements:

A Position Statement is a brief declaration regarding the status of a practice or procedure, based on committee opinion.

• New Guidelines from the American Heart Association Regarding Antibiotic Prophylaxis to Prevent Infective Endocarditis Associated with Genitourinary Procedures
  published February 2008
  (PDF format, 103K)

• Indications for Fragile X Mental Retardation-1 (FMR-1) Genetic Testing
  published February 2008
  (PDF format, 78K)

• Precautions for the Use of Ergot-derived Dopamine Agonists for the Treatment of Hyperprolactinemia
  published March 2007
  (PDF format 14K)

• American Society for Reproductive Medicine/Society for Assisted Reproductive Technology position statement on West Nile virus
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S129-30
  (PDF format, 52K)

• Position statement on nurses performing focused ultrasound examinations in a gynecology/infertility setting
  published November 2006; revised June 2006
  Fertil Steril 2006;86(Suppl 4):S121
  (PDF format, 32K)

• Society for assisted reproductive technology position statement on donor suitability of recipients of smallpox vaccine (vaccinia virus)
  published November 2006; revised June 2006
  Fertil Steril 2006;86(Suppl 4):S73-74
  (PDF format, 46K)

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Guidelines and Minimum Standards:

A Position Statement is a brief declaration regarding the status of a practice or procedure, based on committee opinion.

• Guidelines for development of an emergency plan for in vitro fertilization programs
  published April 2008
  Fertil Steril 2008; 89:793-5
  (PDF format, 70K file)

• 2006 Guidelines for gamete and embryo donation
  published November 2006; revised June 2007
  (PDF format, 180K file)

• Guidelines for reducing the risk of viral transmission during fertility treatment
  published November 2006
  Fertil Steril 2006;86(Suppl 4):S11-17
  (PDF format, 102K file)

• Guidelines on number of embryos transferred 
  published November 2006; revised June 2006
  Fertil Steril 2006;86(Suppl 4):S51-52
  (PDF format, 53K file) ASRM is making this Practice Committee Opinion available to the public for a limited time. 

• Revised guidelines for human embryology and andrology laboratories
  published November 2006; revised June 2006
  Fertil Steril 2006;86(Suppl 4):S57-72
  (PDF format, 122K)

• Revised minimum standards for practices offering assisted reproductive technologies
  published November 2006; revised June 2006
  Fertil Steril 2006;86(Suppl 4):S53-56
  (PDF format, 65K)

• Vaccination guidelines for female infertility patients
  published November 2006
  Fertil Steril 2006;86(Suppl 4):S28-30
  (PDF format, 64K file)

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Joint Reports:

Joint Reports are collaborations between the ASRM and other medical societies to create documents of importance to the field of reproductive medicine. These reports are intended to provide medical practitioners with a consensus of principles and strategies for the care of couples, and are based on current professional literature, clinical experience and expert opinion.

• Report on evaluation of the azoospermic male
  originally written with the American Urological Association
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S210-5
  (PDF format, 81K file)

• Report on management of obstructive azoospermia
  originally written with the American Urological Association
  published November 2006; under revision 
  Fertil Steril 2006;86(Suppl 4):S259-63
  (PDF format, 77K file)

• Report on optimal evaluation of the infertile male
  originally written with the American Urological Association
  published November 2006; reviewed June 2006
  Fertil Steril 2006;86(Suppl 4):S202-9
  (PDF format, 106K file)

• Report on varicocele and infertility
  originally written with the American Urological Association
  published November 2006; revised June 2006
  Fertil Steril 2006;86(Suppl 4):S93-95
  (PDF format, 58K)

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