Human Reproduction, Vol. 17, No. 5, 1146-1148,
May 2002
© 2002 European Society of Human Reproduction and Embryology
Aspirin Dilemma
Remodelling the hypothesis from a fertility perspective
1 Departments of Obstetrics and Gynaecology and 2 Medicine and Therapeutics, University of Aberdeen, UK
Many clinical trials in obstetrics have failed to demonstrate improved outcomes with low-dose aspirin. This is not entirely surprising as prescribing aspirin for compromised tissue perfusion without insight into underlying pathology inevitably leads to suboptimal outcomes. We argue that a mismatch between the aspirin dose and the underlying pathology of altered tissue perfusion is the key factor to this failure. Based on this groundwork, we address the question of how best to optimize the dose of aspirin for use in fertility management, by providing examples from the assisted conception and recurrent miscarriage settings.
Key words: aspirin/fertility/IVF/miscarriages/prostaglandins
3 To whom correspondence should be addressed at: Reproductive Medicine Unit, Obstetric Hospital, University College Hospital, Huntley Street, London WC1E 6AU, UK. E-mail: ozkanozturk{at}tesco.net