Beyond Second Opinions is both an expose of the risks, errors, and distortions surrounding fertility medicine and an authoritative guide for people seeking treatment. Accessible, comprehensive, and extremely well-informed, this book takes the reader beyond hype to the hard data on diagnoses and treatments. Judith Steinberg Turiel, a consumer health activist and herself a veteran of fertility treatments, uses the most up-to-date medical literature to shed new light on difficult decisions patients face today and on reproductive questions society must begin to address now. Those who are seeking a more balanced perspective to help them make better, more informed decisions will find a wealth of information about current reproductive interventions-from simple fertility pills to dazzling experimental options-as well as a discussion of the non-medical forces (economic and political) that shape an individual's treatment choices and reproductive outcomes. Despite quantities of information showered upon patients, they remain woefully misinformed; some fertility treatments may actually reduce chances for a successful pregnancy and threaten a patient's health. Turiel looks beyond surface claims to the real information, often uncovering counterintuitive findings and sometimes scandalous revelations. She exposes a realm of unregulated expansion, unscientific experimentation, and recent scandal over stolen embryos. Weaving together first-hand accounts, compelling stories, a range of scientific information, and lively anecdotes, Turiel addresses the persistent gulfs that separate medical professionals and health care consumers. In the process she arms laypeople with what they might not learn about infertility practices from doctors, patient education brochures, and the newspaper. This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1998.

Beyond Second Opinions is both an expose of the risks, errors, and distortions surrounding fertility medicine and an authoritative guide for people seeking treatment. Accessible, comprehensive, and extremely well-informed, this book takes the reader beyond hype to the hard data on diagnoses and treatments. Judith Steinberg Turiel, a consumer health activist and herself a veteran of fertility treatments, uses the most up-to-date medical literature to shed new light on difficult decisions patients face today and on reproductive questions society must begin to address now. Those who are seeking a more balanced perspective to help them make better, more informed decisions will find a wealth of information about current reproductive interventions-from simple fertility pills to dazzling experimental options-as well as a discussion of the non-medical forces (economic and political) that shape an individual's treatment choices and reproductive outcomes. Despite quantities of information showered upon patients, they remain woefully misinformed; some fertility treatments may actually reduce chances for a successful pregnancy and threaten a patient's health. Turiel looks beyond surface claims to the real information, often uncovering counterintuitive findings and sometimes scandalous revelations. She exposes a realm of unregulated expansion, unscientific experimentation, and recent scandal over stolen embryos. Weaving together first-hand accounts, compelling stories, a range of scientific information, and lively anecdotes, Turiel addresses the persistent gulfs that separate medical professionals and health care consumers. In the process she arms laypeople with what they might not learn about infertility practices from doctors, patient education brochures, and the newspaper. This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1998.

Now in a completely newly revised and expanded second edition, this comprehensive text presents the current state of the art in our understanding and management of polycystic ovary syndrome (PCOS), the most common hormonal disorder of reproductive aged women. The numerous bothersome symptoms of PCOS include menstrual irregularities, hirsutism, acne, scalp hair thinning, weigh excess and infertility; additionally, as they age, women with PCOS are at a higher risk for metabolic abnormalities such as diabetes and dyslipidemias, as well as for cardiovascular disease and even certain cancers. Despite improvements in our understanding of this condition, the exact cause/s of PCOS remain elusive; genetic, hormonal, metabolic and environmental underpinnings are all suggested as relevant. All chapters have been updated, with eight new chapters added across seven thematic sections. Part one discusses the epidemiology of PCOS in both adults and adolescents. Part two covers the pathophysiology of PCOS, including genetics, the hypothalamo-pituitary-ovarian and the hypothalamo-pituitary-adrenal axes, insulin resistance, inflammation, and obesity. The next three sections present the various management strategies, medical and surgical, for harnessing the symptomatology, including PCOS-related infertility; these chapters include added case material to provide real-world examples of the treatments in action and their efficacy. Part six covers the comorbidities that women with PCOS commonly encounter, such as issues of mental health, sleep disturbances, endometrial hyperplasia, and cancer, as well as examines the economic burden of PCOS. The final section discusses emerging concepts surrounding possible mechanisms and potential therapeutic approaches to PCOS, including angiogenic dysfunction, the role of vitamin D, future potential therapies to targeted AMH signaling. The closing chapter, by familiarizing the readers with the intergenerational implications of PCOS and by raising awareness of potential "ripple effects", aims at alerting the community on a need for vigilance as regards the health of PCOS progeny. With contributions from leaders in the field, Polycystic Ovary Syndrome, Second Edition remains the gold-standard text on this common medical condition and a valuable resource for the wide range of healthcare professionals engaged in caring for the women with PCOS (including but not limited to reproductive endocrinologists, gynecologists, family physicians, dermatologists, mental health professionals), for the aspiring women's health providers of tomorrow, and for the researchers who are striving to unravel the mysteries of the complex entity that PCOS is.

This open access book addresses self-care on sexual and reproductive health and rights and HIV prevention and treatment in the most marginalized and vulnerable communities. Case studies and personal narratives are used to share their perspectives and experiences, sources of information for self-care products, motivations for self-care, and challenges and outcomes. Self-care provides the way to reach the last mile in achieving universal health coverage and the Sustainable Development Goals. Issues related to stigma, discrimination and violence among these communities are highlighted. Changes in policies and programs to improve their sexual and reproductive health, education and employment are discussed. The last chapter in the book examines how the agenda on self-care can be advanced in the years ahead. The audience for this publication includes health professionals, researchers, those managing health institutions and service providers.

Reproductive donation is the most contentious area of assisted reproduction. Even within Europe there are wide variations in what is permitted in each country. This multi-disciplinary book takes a fresh look at the practices of egg, sperm and embryo donation and surrogacy, bringing together ethical analysis and empirical research. New evidence is offered on aspects of assisted reproduction and the families these create, including non-traditional types. One of the key issues addressed is should children be told of their donor origin? If they do learn the identity of their donor, what kinds of relationships may be forged between families, the donor and other donor sibling families? Should donation involve a gift relationship? Is intra-familial donation too close for comfort? How should we understand the growing trend for 'reproductive tourism'? This lively and informed discussion offers new insights into reproductive donation and the resulting donor families.

This revised and updated second edition provides a comprehensive account of the human male gamete. Detailed overviews of human sperm production, maturation, and function - and how these processes affect and influence fertility, infertility, and assisted reproduction - are given. A wide range of new developments including proteomics, spermatogenesis, sperm-specific WW domain-binding proteins, Ca2+ signalling, DNA packaging, epididymis are explored, whilst a new chapter presents information gained from mouse genetics, highlighting how it informs male fertility research. The impact of environmental factors during pre-pubertal and pubertal stages of life is also investigated. Featuring engaging prose with chapters organized topographically, The Sperm Cell remains an essential resource for andrologists, clinical scientists, and laboratory personnel.

Spermatogenesis is a tightly regulated cellular renovation and differentiation process. It consists of self-renewal and differentiation of spermatogonial stem cells (SSCs), spermatocytic meiosis and spermiogenesis; each of these processes is essential to the continuous, successful production of male gametes. During spermiogenesis, haploid spermatids undergo extensive cellular, molecular and morphological changes, including acrosome biogenesis, flagellum development, cytoplasmic reorganization and chromatin condensation. These changes ultimately result in mature spermatozoa with an acrosome-covered head and motile tail. In this book, Chapter One summarizes the progress that has been made in understanding the molecular mechanisms underlying acrosome biogenesis, and the authors discuss the potential directions of future investigations of this process. Chapter Two briefly addresses the basics of spermatogenesis and the synthesis of ncRNAs, and then the authors discuss the recent progress in understanding of the functions of miRNAs, endo-siRNAs, piRNAs and lncRNAs in the regulation of spermatogenesis. Chapter Three provides a review of the current literature on testicular immunoregulation and its underlying mechanisms, along with its effect on testicular functions.

El problema de la esterilidad e infertilidad en las parejas hoy dia esta poniendo en riesgo la capacidad de reemplazo generacional en Europa. Segun la Organizacion Mundial de la Salud (OMS), alrededor del 10 al 15% de las parejas en edad de procrear consultan al medico por problemas de esterilidad. El objetivo de este manual es actualizar los conocimientos y adiestrar en los procedimientos para evaluar la calidad del semen, ayudar al diagnostico de la subfertilidad y esterilidad de origen masculino. Va dirigido al personal en formacion y a profesionales del ambito sanitario, principalmente del laboratorio (tecnicos y facultativos) pero tambien a los clinicos prescriptores (urologos y ginecologos).

Omdat mensen nietzelf kunnen kiezen volgens welk receptzijhun kinderwens vorm geven, is begnip en respect erg belangrijk. Dit boekje is een schitterend instrument om kinderen te introduceren in de complexe wereld van fertiliteitsbehandelingen. Het ontdoet de problematiek van de taboes waarmee fertilieteitsbehandelingen vaak nog zijn omgeven en helpt inzien dat het niet uitmaakt volgens welk recept je op de wereld gekomen bent. Kortom, een aanrader voor groot en klein"

IVF is a major treatment in infertility when other methods of assisted reproductive technology have failed. The process involves hormonally controlling the ovulatory process, removing ova (eggs) from the woman's ovaries and letting sperm fertilise them in a fluid medium. This book presents topical research in the study of in vitro fertilisation including management of chronic viral infections in assisted reproduction; posthumous sperm procurement; assisted reproductive technologies for serodiscordant couples with an HIV-1 infection and the impact of laparoscopic ovarian cystectomy for infertile women with endometriomas prior to IVF/ICSI cycles.

The reproductive system and all of its functions related to sex, conception, pregnancy and delivery, all actions aimed at keeping it functioning optimally and free from diseases and harmful traditional practices are explored in this book.

How a health disaster helped give rise to the feminist health care movement

Whether you're a newly diagnosed patient, or a friend or relative of someone suffering from benign prostate disease, this book offers help. The only text to provide the doctor's and patient's views, 100 Questions & Answers Prostate Disease gives you authoritative, practical answers to your questions about the disease, including diagnosis, medical and surgical treatment options, sources of support, and much more. Written by an expert on the subject, Dr. Kevin R. Loughlin, with actual patient commentary from John Nimmo, this book is an invaluable resource for anyone coping with the physical and emotional turmoil of prostate disease.

In "The Garden of Fertility, "certified fertility educator Katie Singer explains how easy it is to chart your fertility signals to determine when you are fertile and when you are not. Her Fertility Awareness method can be used to safely and effectively prevent or help achieve pregnancy, as well as monitor gynecological health. Singer offers practical information, illuminated with insightful personal stories, for every woman who wants to learn to live in concert with her body and to take care of her reproductive health naturally.
"The Garden of Fertility "provides:
Directions (and blank charts) for charting your fertility signals Instructions for preventing pregnancy naturally - a method virtually as effective as the Pill, with none of its side effects. Guidelines for timing intercourse to enhance your chances of conceiving without drugs or hormones Information to help you use your charts to gauge your reproductive health - to determine whether you're ovulating; if you have a thyroid problem, low progesterone levels, or a propensity for PCOS or miscarriage; or if you're pregnant Nutritional and nonmedical strategies for strengthening your gynecological health Clear descriptions of reproductive anatomy, hormonal changes throughout the menstrual cycle, and how conception occurs