Award-winning journalist Charlotte Bauer's warm, witty and wise quest for the meaning of life after youth and how to navigate the menopausal years.

A deliciously funny and sage guide to midlife - an unscientific, flaws-and-all account of one woman's adventures and misadventures through the dark comedy of the wilderness years.

Through her own experiences as a fifty-something woman, and those of her three sisters, her indomitable mum and rebellious auntie, Charlotte tackles the big questions every woman seeks answers to at this time of our lives - chiefly: How the hell am I going to get over being young in a world obsessed with youth?

Written with warmth, wisdom and irreverence this guide to midlife is perfect for readers of Nora Ephron, Caitlin Moran and India Knight.

Known and accepted as the leading textbook in its subject area, Clinical Gynaecology is now in its fifth edition. The content of this new edition has been completely revised and updated to include the latest research and continues to provide a comprehensive review of the field of gynaecology. Clinical Gynaecology covers the full spectrum of gynaecological information (basic science, general gynaecology, endocrinology and reproductive medicine, contraception, urogynaecology, and is applicable internationally as well as within southern Africa. (An e-book of a Quick Reference Guide is available as a free download. Instructions on how to download the e-book are on the inside front cover of the book).

The Fundamentals of Human Embryology covers embryonic development, with a unique focus on adult anatomy. Its goal is to impart to students a comprehensive overview of how the human embryo forms, not only as a basis for the student of human anatomy, but also as a link to abnormalities they may encounter in their clinical careers. Extensively illustrated with labeled line drawings, now enlarged for better visibility, this concise manual will meet the needs of both undergraduate and postgraduate students in the Human Sciences. Special features include: * Separate chapters on the neural crest, the skull and osteogenesis * In-depth coverage of head and neck embryology, including the development of the tooth, for students of dentistry, and speech and audiology In this Second Edition of the manual at the request of students and teachers, the authors have made the following changes: * Increased the size of the diagrams * Revised the text to comply with the Federative International Committee on Anatomical Terminology changes to the Terminologia Embryologica * Altered the sequencing of some topics to allow the development to flow more logically * Included an appendix of coloured photographs of congenital abnormalities to help students form a more realistic idea of developmental abnormalities.

The book Fertility SOS by Daminda Senekal-Griessel is for anyone who may be frustrated, at a loss and feeling unsure if having children is a realistic option. If you desire to start a family, but experience unexplained infertility, Polycystic ovary syndrome (PCOS), recurrent miscarriages, secondary infertility, or male factor infertility, then this book will give you a unique insight into understanding why this may be happening and how to solve it.

Infertility is not uncommon nowadays, with up to 20% of couples having difficulty conceiving. Male infertility is at an all-time high, with a 35 to 50 percent share of overall cases. Over-the-counter drugs, chronic medications, inadvertent exposure to dangerous pollutants, epigenetics, blood types and nutrition deficiencies, are some of the causes of infertility. Infertility also has significant negative social consequences for women who face social humiliation, mental anguish, sadness, anxiety, and low self-esteem because of their infertility. As a result, many of these women will go on to develop mental health problems. Increasing maternal age is linked to a higher incidence of miscarriage, which is assumed to be caused by low egg quality, which leads to chromosomal (genetic) abnormalities. In certain cases, the mother or father may have a minor genetic abnormality, but the baby may be more seriously damaged, resulting in miscarriage.

Assisted reproduction like IVF (In Vitro Fertilization) for example continues to remain inaccessible and unaffordable for most couples, especially in the current economic conditions we experience. Thus, people are increasingly turning towards more affordable, natural yet effective therapeutic assistance. It all starts with understanding your own health, what factors may be affecting your ability to conceive, and taking the appropriate steps to ensure a successful pregnancy. Following the guidance provided, will result in optimum fertility, fertilisation and optimal preparation of the uterus for implantation.

Not only do genes play a large role, but some medications can cause infertility and increase the risk of miscarriage. Couples will learn how to increase the health of eggs and sperm, and understand other variables such blood types, PH levels, mucous, hidden PCOS, and many other factors, influencing chances of procreating. Male infertility is also on the rise, so it is important to consider both partners potential influencing factors.

In addition to the book, FertilitySOS is launching Fertility Health Coaching sessions to offer guidance to couples struggling with infertility. By making use of the fertility coaching sessions, couples will achieve their goal to get their bodies into optimal reproductive health, with a tailored personal plan. The Fertility Health coach will uncover the possible root causes of individual cases of infertility.All sessions are available online www.fertilitysos.com

Concise, clearly written, and vibrantly illustrated, Langman's Medical Embryology, 15th Edition, makes complex embryology concepts approachable to help you build the clinical understanding essential to your success in medical practice, nursing, or other health professions. Hundreds of full-color illustrations clarify the stages of embryonic development with rich detail, and engaging learning features, clinical examples, and online review questions ready you for the challenges ahead on your exams and in clinical practice. NEW! Medical Embryology Animations, now included with the purchase of the print book, allow users to visualize the stages of human development and master the corresponding anatomical relationships. UPDATED! Clinical Correlates boxes reinforce clinically relevant content through realistic case-based scenarios you're likely to encounter in practice. UPDATED! More than 400 full-color illustrations, micrographs, and clinical images clarify key aspects of embryonic development in vivid detail. UPDATED! Clinical vignette and USMLE-style multiple-choice questions, available via digital access, with answers provide valuable self-assessment and strengthen your test-taking confidence. Problems to Solve boost your critical thinking capabilities. End-of-Chapter Summaries detail key stages of development, terms, and clinical conditions for each chapter at a glance.

John Rebus stands accused: on trial for a crime that could put him behind bars for the rest of his life. Although it's not the first time the legendary detective has taken the law into his own hands, it might be the last. What drove a good man to cross the line? Or have times changed, and the rules with them? Detective Inspector Siobhan Clarke faces Edinburgh's most explosive case in years, as a corrupt cop goes missing after claiming to harbour secrets that could sink the city's police force. But in this investigation, it seems all roads lead to Rebus - and Clarke's twin loyalties to the public and the police will be tested to their limit. A reckoning is coming - and John Rebus may be hearing the call for last orders...

New medical technology as reported in Preventing Miscarriage; The Good News pinpoints the causes and latest treatments available to prevent loss of pregnancy. This book presents a great deal of information in a sensitive, accessible and thorough manner. Illustrations.

Written by a fertility nurse specialist and a sexual health information expert, What Every Woman Needs to Know About Fertility is the most comprehensive, practical and accessible guide to fertility awareness methods available.

This essential guide to reproduction puts you in control of your fertility by explaining how your body works, giving you the confidence to make informed decisions about your sexual and reproductive health. It answers every conceivable question about fertility awareness using detailed images, charts and a step-by-step guide to tracking your temperature and observing the bodily changes associated with ovulation, and gives clearly defined guidelines for how to plan, or avoid, a pregnancy.

Dispelling the myths around fertility awareness methods, and explaining the pros and cons of reproductive technologies such as fertility apps, this book also gives practical answers to the questions that all women ask, including:

• How reliable are Fertility Awareness Methods?
• How easy are FAMs to use?
• How can I use FAMs after having a baby?
• How can I use FAMs if I'm menopausal?

With insights into optimum health and preconception care, plus detailed practical advice to ensure the best possible conditions for pregnancy, What Every Woman Needs to Know About Fertility provides unique, comprehensive guidance and choices for all on how to plan or avoid pregnancy naturally.

Maintaining physical and mental performance with a revolutionary diet that helps prevent age-related diseases. Sears explains that it is possible to reverse our 'biological' age (which is different to our 'chronological' age) if we look at our hormones and our diet. It is crucial to maintain the right balance of hormones in our bodies - ageing is not necessarily about the decreasing of certain hormones but rather how they effectively communicate with each other to maintain equilibrium. The Zone is a revolutionary diet plan which advocates a lower intake of carbohydrates which convert to sugar creating a diabetic-like condition. If we eat more protein and monosaturate fats we enter the Zone of optimum metabolic function. This diet has been proven in preventing age-related diseases: heart disease and diabetes (non-insulin dependent diabetes largely occurs in older age). Sears explores the activity of hormones as we age and gives a dietary plan (and supplement advice) to maintain peak performance: * calorie restriction without hunger or deprivation * insulin, cortisol, seratonin and eicosanoids * oestrogen and the menopause * testosterone as men and women age * DHEA, melatonin - are these hormonal supplements merely hype? * your thyroid gland and how it affects metabolism * exercise and the anti-ageing Zone lifestyle 'pyramid'

‘A vital, heartfelt read for anyone navigating the rough seas of infertility and pregnancy loss’ – Leah Hazard, author of Hard Pushed An insightful, moving memoir, capturing life working as a midwife in a busy NHS hospital at the same time as dealing with experiences of infertility, IVF and loss. As a young married couple, Sophie Martin and her husband spent years trying to conceive. They went through several rounds of IVF, at great expense, and even travelled overseas for treatment, never quite knowing whether they would one day have a family. Alongside this, Sophie was working hard at a job she loved: looking after expectant mothers and newborn babies as a midwife in a busy hospital, where the patients’ daily new additions were a constant reminder of Sophie’s own setbacks in pursuit of motherhood. The Infertile Midwife is a deeply personal, moving account of chasing something that you want so desperately. It also offers a much-needed look at how society treats infertility – from the language we use to the small talk we make – and the ways in which we can all do more to make things better for hopeful parents. With great warmth and honesty, Sophie shares her experiences of the bursts of hope and moments of great loss, but also the humour, love and joy that can be found in even the darkest places.

Ever wondered why your life and health can sometimes be so hard to control? Or why it seems so easy for other people? Mark Hanson and Lucy Green draw on their years of experience as scientists and educators to cut through the usual information on genetics and lifestyle to reveal the secrets of early development which start to make each of us unique, during our first 1,000 days from the moment of conception. Some surprising discoveries, based on little-known new research, show how events during our first 1,000 days make each of us who we are and explain how we control our bodies, processes that go way beyond just the genes which we inherited. Provoking new ways of thinking about being parents, this book empowers individuals and society to give the next generation the gift of a good start to life and future health.

How women can improve their productivity, happiness, and physical well-being by keeping their natural cycles in mind and working with them (rather than ignoring them). In the Flo teaches women how to use their 28-day cycle to optimize their life by letting their internal clock and natural rhythms guide time management, diet, fitness, etc. (This is so simple and yet under-utilized it is shocking. It makes perfect sense when you think about it: You have different energy levels at different times of the month, different libido levels, etc. so why not use foresight to plan projects for when you are at your most effective, and understand when you need more emotional connection with others?) There are specific tips on what to eat and how to exercise depending on what phase you are in-and it works. Women are getting promotions, losing weight, and in one case thus far, literally clearing their endometriosis by using the cycle syncing method.

In this paradigm-shifting book from acclaimed Harvard Medical School doctor and one of TIME magazine's 100 most influential people on earth, Dr. David Sinclair reveals that everything we think we know about ageing is wrong, and shares the surprising, scientifically-proven methods that can help readers live younger, longer. For decades, the medical community has looked to a variety of reasons for why we age, and the consensus is that no one dies of old age; they die of age-related diseases. That's because ageing is not a disease - it is inevitable. But what if everything you think you know about ageing is wrong? What if ageing is a disease? And that disease is curable. In LIFESPAN, Dr. David Sinclair, one of the world's foremost authorities on genetics and ageing, argues just that. He has dedicated his life's work to chasing more than a longer lifespan - he wants to enable people to live longer, healthier, and disease-free well into our hundreds. In this book, he reveals a bold new theory of ageing, one that pinpoints a root cause of ageing that lies in an ancient genetic survival circuit. This genetic trick - a circuit designed to halt reproduction in order to repair damage to the genome -has enabled earth's early microcosms to survive and evolve into more advanced organisms. But this same survival circuit is the reason we age: as genetic damage accumulates over our lifespans from UV rays, environmental toxins, and unhealthy diets, our genome is overwhelmed, causing gray hair, wrinkles, achy joints, heart issues, dementia, and, ultimately, death. But genes aren't our destiny; we have more control over them than we've been taught to believe. We can't change our DNA, but we can harness the power of the epigenome to realise the true potential of our genes. Drawing on his cutting-edge findings at the forefront of medical research, Dr. Sinclair will provide a scientifically-proven roadmap to reverse the genetic clock by activating our vitality genes, so we can live younger longer. Readers will discover how a few simple lifestyle changes - like intermittent fasting, avoiding too much animal protein, limiting sugar, avoiding x-rays, exercising with the right intensity, and even trying cold therapy - can activate our vitality genes. Dr. Sinclair ends the book with a look to the near future, exploring what the world might look like - and what will need to change - when we are all living well to 120 or more. Dr. Sinclair takes what we have long accepted as the limits of human potential and mortality and turns them into choices. THE EVOLUTION OF AGEING is destined to be the biggest book on genes, biology, and longevity of this decade.

'Hill's advice is straightforward and no-nonsense' - The Guardian 'A life-transforming book... fascinating - Daily Mail 'Maisie Hill has written a bloody brilliant book (pun intended). Everything you need to know about periods and how they affect you and your life is here. It's revolutionary' - Miranda Sawyer 'Thank GOODNESS for Maisie Hill! Flipping open the lid on a vital conversation. It's about time we claimed the power of our periods!' - Gemma Cairney, broadcaster & co-founder of Boom Shakalaka Productions 'This is such an important book. Maisie's insights and cycle strategy have changed my life and my cycle. Period Power is written with such intelligence, humour and a deep understanding of women's health. If you have a period you need to read this book.' - Anna Jones, author of The Modern Cook's Year A profound and practical blueprint for aligning daily life with your menstrual cycle. Period Power is the handbook to periods and hormones that will leave you wondering why the hell nobody told you this sooner. The hormones of the menstrual cycle profoundly influence our energy, mood and behaviour, but all too often we're taught that our hormones make us unreliable, moody bitches, or that it's our lot in life to put up with 'women's problems'. Maisie Hill, a women's health practitioner, knows the power of working with the menstrual cycle and refuses to accept this theory. Instead, Maisie believes that our hormones are there to serve us and, if utilized correctly, can be used to help you get what you want out of life. Yes, we are hormonal, and that's a very good thing. This revolutionary book reveals everything you need to know about taking control of your menstrual cycle and outlines The Cycle Strategy to help us perform at our best, throughout our cycle. In Period Power you will discover how to: - maximise your natural superpowers each month while making adjustments for the darker days, and use Maisie's favourite tips to improve them - identify your personal patterns, powers and pitfalls for each phase of the menstrual cycle - plan your month to perform at your best in all aspects of your life - figure out if you have a hormonal imbalance and what to do about it. Period Power is a no-nonsense guide with all the tools you need to improve your menstrual health.

A paradigm-shifting book from an acclaimed Harvard Medical School scientist and one of Time’s most influential people.

It’s a seemingly undeniable truth that aging is inevitable. But what if everything we’ve been taught to believe about aging is wrong? What if we could choose our lifespan?

In this groundbreaking book, Dr. David Sinclair, leading world authority on genetics and longevity, reveals a bold new theory for why we age. As he writes: “Aging is a disease, and that disease is treatable.”

This eye-opening and provocative work takes us to the frontlines of research that is pushing the boundaries on our perceived scientific limitations, revealing incredible breakthroughs—many from Dr. David Sinclair’s own lab at Harvard—that demonstrate how we can slow down, or even reverse, aging. The key is activating newly discovered vitality genes, the descendants of an ancient genetic survival circuit that is both the cause of aging and the key to reversing it. Recent experiments in genetic reprogramming suggest that in the near future we may not just be able to feel younger, but actually become younger.

Through a page-turning narrative, Dr. Sinclair invites you into the process of scientific discovery and reveals the emerging technologies and simple lifestyle changes—such as intermittent fasting, cold exposure, exercising with the right intensity, and eating less meat—that have been shown to help us live younger and healthier for longer. At once a roadmap for taking charge of our own health destiny and a bold new vision for the future of humankind, Lifespan will forever change the way we think about why we age and what we can do about it.

'I am blown away by the level of detail Phil Cavell brings to his work.' - Elinor Barker MBE, multiple world champion and Olympic gold medallist 'The Midlife Cyclist is a triumph' - Cycling Plus 'An amazing accomplishment... a simple-to-understand precis of your midlife as a cyclist - you won't want to put it down.' - Phil Liggett, TV cycling commentator 'Phil is eminently qualified to write The Midlife Cyclist. Well, he is certainly old enough.' - Fabian Cancellara, Tour de France rider and two-time Olympic champion Renowned cycling biomechanics pioneer, Phil Cavell, explores the growing trend of middle-aged and older cyclists seeking to achieve high-level performance. Using contributions from leading coaches, ex-professionals and pro-team doctors, he produces the ultimate manifesto for mature riders who want to stay healthy, avoid injury - and maximise their achievement levels. Time's arrow traditionally plots an incremental path into declining strength and speed for all of us. But we are different to every other generation of cyclists in human history. An ever-growing number of us are determined to scale the highest peaks of elite physical fitness into middle-age and beyond. Can the emerging medical and scientific research help us achieve the holy triumvirate of speed and health with age? The Midlife Cyclist offers a gold standard road-map for the mature cyclist who aims to train, perform and even race at the highest possible level.

'Maisie's knowledge of hormones changed my life... you need this book' Anna Jones 'Hill's advice is straightforward and no-nonsense' The Guardian 'An informative must-read for any woman - whatever their age' Vogue online During perimenopause three quarters of women will experience symptoms such as mood changes, insomnia, hot flushes, and night sweats, but there is little in the way of evidence-based information out there to help and guide us. Perimenopause Power is the essential handbook to understanding what the hell's going on and to empower us to improve our experience of the dreaded 'change'. Maisie Hill, the highly qualified women's health expert, best-selling author of Period Power and founder of The Flow Collective, takes us through the physiological changes of perimenopause and menopause, step by step, with calm positivity. In this invaluable guide she shares tips and advice to support women through the challenge of wildly fluctuating hormones. A must-read for anyone looking for a well-researched, evidenced-based book on perimenopause and menopause that gives women the information they need to address their hormonal needs. Perimenopause Power will help women to understand what's going on with their bodies and how to deal with troublesome symptoms, and share valuable insights into making it a positive and powerful experience. 'Maisie Hill helps you understand the changes in your body and psyche during the lead-up to menopause and how to handle symptoms.' Top Sante 'Maisie Hill gets rid of myths, sheds light and allows for an open, honest and much-needed conversation' Mind

'A stunner ... If you haven't got this book in your house, I don't know why' Chris Evans 'A startling wake-up call . . . Writing with the vim of a Bill Bryson and the technical knowledge of a scientist, Steele gives us a chance to grasp what's at stake' Independent 'An exhilarating journey . . . Steele is a superb guide' Telegraph 'A fascinating read with almost every page bursting with extraordinary facts . . . Read it now' Mail on Sunday Ageless is a guide to the biggest issue we all face. Ageing - not cancer, not heart disease - is the world's leading cause of death and suffering. What would the world be like if we could cure it? Living disease-free until the age of 100 is achievable within our lifetimes. In prose that is lucid and full of fascinating facts, Ageless introduces us to the cutting-edge research that is paving the way for this revolution. Computational biologist Andrew Steele explains what occurs biologically as we age, as well as practical ways we can slow down the process. He reveals how understanding the scientific implications of ageing could lead to the greatest discovery in the history of civilisation - one that has the potential to improve billions of lives, save trillions of dollars, and transform the human condition.

The treatment of cancer in young women and men is increasingly turning from focusing purely on survival to a recognition of the long-term effects of treatment on subsequent quality of life. In this regard, fertility is a very high priority for patients. This is the first book to explain the latest techniques in fertility preservation. Chapters cover fertility preservation in both women and men, management of cancer in pregnancy, egg donation and surrogacy, hormone replacement options, counselling and ethical issues. A multidisciplinary team of over 60 specialists were involved in this work, with contributions from leading obstetricians, medical oncologists, gynaecological oncologists, urologists and fertility specialists. The book is formally supported by the Association of Cancer Physicians (ACP). This highly patient-centred, readable text will be of value to a wide range of clinicians and physicians, and doctors in training, in their daily work.

The United Nations Madrid International Plan of Action on Ageing (MIPAA) offers a bold new agenda for handling the issue of ageing in the 21st-century. It focuses on three priority areas: older persons and development; advancing health and well-being into old age; and ensuring enabling and supportive environments. This book brings together global perspectives on the MIPAA and focusses on and assesses the success and failures of governments to implement its recommendations. Despite its pivotal importance in international ageing policy, the MIPAA has been relatively neglected by academics in their writings and studies. This book mitigates this analytical and empirical cavity. Each chapter focuses on one specific geographical region and addresses five key themes: National ageing situation; Twenty years of MIPAA; Ensuring ageing with dignity; Healthy and active ageing in a sustainable world; and Priorities for the future. It presents an overall summary of the findings, future challenges and opportunities related to ageing, recommendations for future actions to be taken, and policy adjustments needed. The authors also present lessons that were learnt from managing the impact of COVID-19 on older people, together with an outlook on the most immediate priorities for the future so that the recommendations in the MIPAA are achieved in post-COVID-19 and sustainable ethical scenarios. An important contribution towards the advancement of ageing policy, the book will be indispensable to students and researchers of gerontology, ageing, and health. It will also be of interest to policy makers, geriatricians, dementia care specialists, social policy makers responsible for ensuring active and healthy ageing, and all public sector departments which have specific responsibilities towards improving the quality of life of older adults.

A much-needed overview of the available information now accumulating to indicate that assisted reproductive technologies are generally safe for both babies and mothers. However, the literature abounds with reports of a higher risk of obstetric and perinatal complications; regarding the long term outcomes for both women and children, the data are still scarce. The chapters summarized in this book review the current knowledge on long term safety of assisted reproduction and indicate the need for continued research to cover the lack of data in some specific patient groups and for recently developed treatments that only have a short period of follow-up.

What happens when two intelligent and highly informed fictional college students, one strongly pro-choice and the other vigorously pro-life, are asked to put together a presentation on abortion? Their conversations over five days - friendly but lively, charitable but clear - are captured in this book. Through these dialogues, students and other interested readers are introduced to the difficult moral issues of abortion. In Chapter 1, readers learn about Roe v. Wade and other relevant legal cases. Chapter 2 covers basic, philosophical issues such as: What is a person? Are fetuses persons? Is fetal potential morally relevant? How shall we define the moral community? Chapter 3 introduces students to Don Marquis's "Why Abortion is Immoral" and also the metaphysical issues of personal identity and its relevance to abortion. Chapter 4 covers Judith Jarvis Thomson's "A Defense of Abortion", including objections and responses to the argument from bodily autonomy. Finally, Chapter 5 looks at abortion in hard cases, such as in cases of rape, fetal disability, non-viable pregnancies, and sex-selection; the chapter also includes a conversation on fathers and abortion. With a Foreword by Laurie Shrage, topics headings in the margins, and an annotated bibliography, Dialogues on the Ethics of Abortion is an easy-to-use volume and valuable resource for anyone interested in a fair and clear-headed approach to one of the most contentious moral issues of our time.

The purpose of this third edition of Developmental and Reproductive Toxicology is to provide a practical guide to developmental and reproductive toxicology in a regulatory environment. In addition to a comprehensive update of current chapters, the third edition been revised to reflect recent changes in the field. It contains new chapters that reflect emerging topics of interest, including testing of biologics (including vaccines), nonhuman primates as nonclinical models, developmental immunotoxicity testing, in vitro assays (such as use of zebrafish and stem cells, as well as high throughput screening), in silico systems modelling, evaluating mechanisms of reproductive toxicity, in-depth coverage of neurobehavioral testing, and testing under the EU's REACH regulations, as well as updated chapters on nonclinical juvenile toxicity testing, endocrine disruptor screening, and on functional and computational genomics. The study of hazard and risk associated with exposure to toxicants during prenatal development has been expanded in recent years to include effects on development until the time of puberty. Concern over the adverse effects of chemical or physical agents on the reproductive processes of both sexes has increased, and progress has been made in identifying the causes and mechanisms eliciting congenital defects and determining the genetic, epigenetic, and environmental factors involved. This book provides up-to-date guidance on the use and interpretation of the newest research techniques in developmental and reproductive toxicology, as well as the more traditional approaches. Developmental and Reproductive Toxicology, Third Edition: Contains valuable insights gained from hands-on experience, together with a critical evaluation of current testing strategies. Includes guidance for the design, conduct, and interpretation of tests in all areas of developmental and reproductive toxicity. Contains reprinted guidelines from major regulatory agencies, as well as terminology for description of developmental abnormalities in laboratory animals, for easy reference. Provides guidance for planning and conducting preclinical toxicity studies and follow-up studies, and interpreting their results in a regulatory environment. This book continues to be the ideal practical reference for developmental and reproductive toxicologists who perform research in industry, government, and academia and for anyone who intends to enter these research areas.

A potential crisis in human fertility is brewing. As societies become more affluent, they experience changes that have a dramatic impact on reproduction. As average family sizes fall, the selection pressure for high-fertility genes decreases; exacerbated by the IVF industry which allows infertility-linked genes to pass into the next generation. Male fertility rates are low, for many reasons including genetics and exposure to environmental toxins. So, a perfect storm of factors is contriving to drive fertility rates down at unprecedented rates. If we do not recognize the reality of our situation and react accordingly, an uncontrollable decline in population numbers is likely, which we'll be unable to reverse. This book will address, in a unique and multi-faceted way, how the consequences of modern life affects fertility, so that we can consider behavioural, social, medical and environmental changes which could reduce the severity of what is about to come.