Attitudes of various religions and schools of beauty, plays a decisive role in form of their ARTworks and contents. In eastern civilizations, in most times for the long time, the ART has been accompanied with an ARTistic view, faith-spiritual or mythological and its purpose was to draw more people into absolute beauty. Examining aspects of cultural and ritual ART approach in the East and with the study of ideas, different perspectives and worldviews, we can define an acceptable offer of ART and we can take a look at the holy and religious ART that is result of the east civilization, with a mythological-literal view. In this paper that is done using a library and analytical-descriptive method, we tried to show that the true ART, truth of the beauty and the creator of the beauty and perfection of the creator and the philosophy, in addition to introducing the magnificent original ART.

Introduction: Infertility has always been an unsolved puzzle. Fertility has had an important and critical role in human life and primitive cultures. As time passes and science & technology progress, infertility treatment has advanced beyond imagination, and one of the most noticeable progresses has been embryo culture invitro until the blastocyst stage. Materials & Methods: This study was done as a clinical trial in 30 infertile couples who had failed at least one cycle of ART without endocrine cause (case group) and 30 infertile couples were selected as control. In the case group, blastocyst transfer (BT), and in the control group, embryo transfer (ET) was done. Results: There was an insignificant difference between the 2 groups. ANOVA Variance analysis was used for statistical evaluation. Frequency distribution was done by x2 and Fisher exact test. Fertilization rate (FR) in HT group was 62% while it was 65% in the ET group. Pregnancy rate (PR) was 16.7% in BT group and 6.7% in ET group Conclusion: A treatment alternative for infertile women with previous failures is blastocyst transfer as clinical pregnancy can be increased upto 40-60% in ART cycles with blastocyst transfer.    

Introduction: Implantation is one of the most important steps in ART cycles and it depends upon embryo and endometrial reception. Different protocols have been suggested for getting better endometrium. It seems estrogen increases the endometrial reception and pregnancy rate by inducing changes in the hormonal status. The aim of this study was to evaluate the effect of estradiol (E2) on luteal phase support and pregnancy rate in ART cycles.Methods: This prospective randomized study was done in Yazd at the IVF center from March until December, 2002. 68 patients who had undergone IVF or ICSI were enrolled in the study. Exclusion criteria was age>40, endometriosis and ovarian hyper stimulation syndrome. Induction ovulation protocol was long suppression with GnRH analogues. After embryo transfer, patients were divided in two groups randomly.Both groups received 100mg progesterone IM daily from the transfer day. Estradiol valerate 2 mg/day was added from the 7th transfer day to progesterone in Group I and continued if the BhCG became positive.Abortion and malformations were measured in all patients. Data analyzed with SPSS 11.0 and P value <0.05 considered statistically significant.Results: Pregnancy rate in the 34 patients of estradiol group (group I) was 26.5% which was significantly higher than 11.8% (4 cases) in the other group (Pvalue=0.034). Abortion rate was higher in estradiol group (3 cases), but there was no abortion in the progesterone group (P=0.119). 2 cases of major fetal malformations were observed in E2 supplementation group (P=0.246).Conclusions: E2 suplementation to progesterone in the luteal phase of ART cycles, especially in the long GnRH analogues causes higher endometrial receptivity and pregnancy rate.

Background: The transfer of multiple embryos during ART procedures (IVF/ICSI) in order to maximize the chance of pregnancy, has resulted in increasing rates of multiple pregnancies with a 20- fold increased risk of twins and 400- fold increased risk of higher order pregnancies with significantly high maternal and perinatal morbidity and mortality in comparison with singleton. Since at present there is no limitation in number of embryos being transferred in ART cycles in infertility centers in Iran, in order to evaluate the relationship between numbers of embryos transferred, pregnancy rates and multiple pregnancies, this study was performed in a referral university center.Methods: In a cross sectional descriptive analytical study a total of 536 ART cycles in infertile patients treated at the Infertility DepARTment of Vali-e-Asr Hospital & Vali-e-Asr Reproductive Health Research Center from October 1999- March 2003 were evaluated using a questionnaire dealing with the parameters affecting ART outcome.Results: There was a total pregnancy rate of 21% with a multiple pregnancy rate of 12%. Increased age had a negative effect on pregnancy rate with a significant difference over 40 years (p<0.05). Pregnancy rate was higher with increased number of transferred embryos but it was only statistically significant when three versus two embryos were transferred (p<0.008). When more than three embryos transferred, although there was an increase in pregnancy rate, the difference was not statistically significant, but there was a significant increase in multiple pregnancy rates.Conclusions: The maximum number of transferred embryos in ART cycles should not precede three embryos especially in age groups less than 40 and also when good quality embryos are available.