There are several possible solutions to the different problems presented with female patients who have been unable to conceive. This completely revised edition provides guidance on the technical aspects of diagnosis and explanations of treatment using a how to, when and why approach, incorporating new expanded sections on endometriosis and polycystic ovary syndrome. Illustrated throughout with tables and graphs as a source for easy reference for guidance and counselling in clinical decision making, it will be essential reading for all those working in the clinical practice setting within infertility, providing all the necessary information required for developing sound clinical judgement in the diagnosis and surgical management of structural abnormalities of the reproductive tract.

Wedding up-to-date scientific information to an understanding of the emotional burdens and ethical dilemmas that inhere in reproductive medicine, Frozen Dreams: Psychodynamic Dimensions of Infertility and Assisted Reproduction provides an overview of the psychology of infertility patients and of the evaluative, administrative, and especially psychotherapeutic issues involved in helping them. The contributors to this volume, who include professionals from nationally prestigious reproductive programs and psychotherapists who evaluate and work clinically with infertility patients, explore the complex choices about life and death that are the daily experience of infertility specialists. In voices equally authoritative and intimate, psychotherapists and other health professionals explore the therapeutic process with patients and couples struggling with miscarriage, infertility, childlessness, the possibility of adoption, and the promise of assisted pregnancy. Among the themes that recur throughout this collection are the following: When is a patient's bitterness, anger, and psychopathology extreme enough to disqualify her as a candidate for infertility treatment? the well-being of offspring resulting from an assisted pregnancy? How does the clinician's personal diagnosis of infertility influence an ongoing psychodynamic treatment? How can a therapist help patients overcome the overwhelming grief of miscarriage? And the contributors are equally attentive to the range of issues that challenge physicians and nurses active in reproductive medicine. Intent on providing practical information that will aid decision-making in this demanding area of practice, they examine questions such as: How reproductive medicine programs should handle difficult patients who present with a sense of entitlement. How staff differences within reproductive medicine programs can be constructively addressed and resolved. Why physicians, nurses, and other program personnel experience burnout and what can be done to prevent it. Written for a large audience of psychiatrists, psychologists, social workers, researchers, nurses, physicians, and general readers, Frozen Dreams is a fascinating introduction to the human face of reproductive medicine. mental health professionals who work with adult patients through their childbearing years. For professionals who work inside the complex world of infertility treatment, Frozen Dreams will quickly become an essential text that is turned to repeatedly for information, guidance, reassurance, and revitalization.

Worldwide, approximately 500,000 in vitro fertilization cycles are performed every year. Although the best possible result is a healthy child, the technology carries a number of varying risks and complications leading to a trade-off between the efficacy of these treatments and their quality and safety. Drawing on contributions from international experts with academic and clinical backgrounds, Assisted Reproductive Technologies: Quality and Safety presents an analysis of the medical risks and complications involved in reproductive medicine. Putting the intricacies of reproductive health in the spotlight, the book describes side-effects, risks, and complications related to ART treatments. It discusses ovarian hyperstimulation syndrome, demonstrates the impact of judicious elective single embryo transfer, and focuses heavily on multiple pregnancy as the major risk factor of ART. The editors highlight the relatively less likely, but important risks of oncogenic complications, bleeding at the time of ovum retrieval, and the even smaller but still existing risk for maternal mortality. They include discussions of non-medical factors that can have a major impact on people's lives such as psychological, sexual, financial, moral, ethical, and philosophical dilemmas. In today's litigious climate, modern management of any clinic is all about minimizing risks and complications. Thoroughly addressing quality and safety issues in ART, this book provides succinct, up-to-date information on quality care in reproductive medicine.

Just what is the andropause? Although acceptance of the andropause concept by the medical community is growing, it is still a hotly debated issue. But as a busy clinician you have patients to treat and you need information. So where can you find the information you need to understand, diagnose, and treat this condition? A comprehensive, detailed clinical resource, Androgen Deficiency in the Adult Male: Causes, Diagnosis, and Treatment distills the knowledge acquired by author Malcolm Carruthers in his 20 years of research and clinical experience in diagnosing and treating the andropause.

Carruthers documents the history of testosterone treatment from antiquity to the awarding of the Nobel Prize Adolf Butenandt and Leopold Ruzicka for synthesizing testosterone and patenting its production some 4,000 years later. He discusses the causes of androgen deficiency, the male menopause or andropause, and its differential diagnosis. The text includes reviews of the literature in each section and a fund of bibliographic references gleaned from the author's years of research in this field. This combination of features makes Androgen Deficiency and the Aging Male: Causes, Diagnosis and Treatment a technically thorough clinical guide, a complete and detailed reference volume, and a cohesive and readable textbook.

Sperm morphology evaluation by strict criteria is the gold-standard used by IVF and andrology units around the world. It is based on an approach to sperm morphology evaluation that utilizes optimal preparation methods, evaluation procedures, and criteria for a morphological normal spermatozoon based on biological evidence. Featuring fresh perspectives from the founders of the Tygerberg strict criteria, Atlas of Human Sperm Morphology Evaluation provides state-of-the-art information on crucial aspects of male factor infertility. The atlas consists of an introductory teaching manual that gives readers the ability to train and test their diagnostic capabilities and enables laboratories to implement quality control measures. Together with a team of internationally renowned experts in the field of human reproduction, the editors explore every avenue you need to know to successfully evaluate and manage male factor infertility. An accompanying interactive CD-ROM training program, STRICT 1-2-3(R) is available from the editors. STRICT 1-2-3(R) has been developed alongside the atlas to provide not only a complete theoretical background on sperm morphology, but also self-training facilities. Laboratory directors and technicians will now be able to set up their own internal quality control program for sperm morphology evaluation.

Contents:
1. The Comparative Policy Design Perspective
2. Belgium: A Bioethical Paradise?
3. ART Policy in Italy: Explaining the Lack of Comprehensive Regulation
4. Policy Networks, Federalism and Managerial Ideas: How ART Non-Decision in Canada Safeguards the Autonomy of the Medical Profession
5. The United States: National Talk and State Action in Governing ART
6. ART in Spain: Technocratic Inheritance and Modernist Aspirations
7. United Kingdom: Regulation Through a National Licensing Authority
8. France: Protecting Human Dignity While Encouraging Scientific Progress
9. The Netherlands: Conflict and Consensus on Assisted Reproductive Technology Policy
10. Germany: ART Policies as Embryo Protection
11. Switzerland: Policy Design and Direct Democracy
12. Legislation for Protection: Why Norway Designed Restrictive Policies in the Field of ART
13. Comparing Policy Design Across Countries: What Accounts for Variation in ART Policy?

This book provides andrologists and other practitioners with reliable, up-to-date information on all aspects of male infertility and is designed to assist in the clinical management of patients. Clear guidance is offered on classification of infertility, sperm analysis interpretation and diagnosis. The full range of types and causes of male infertility are then discussed in depth. Particular attention is devoted to poorly understood conditions such as unexplained couple infertility and idiopathic male infertility, but the roles of diverse disorders, health and lifestyle factors and environmental pollution are also fully explored. Research considered stimulating for the reader is highlighted, reflecting the fascinating and controversial nature of the field. International treatment guidelines are presented and the role of diet and dietary supplements is discussed in view of their increasingimportance. Clinicians will find that the book s straightforward approach ensures that it can be easily and rapidly consulted."

This atlas summarizes in simple tabulations and elaborate illustrations some of the newest research in the field: male endocrinology, growth factors and wellness, sperm quality and fertility, male reproductive and erectile dysfunction, genetics, andrology and immunoandrology, molecular andrology, mal contraception, and future research directions. Bridging the gap between basic and clinical science, the book covers laboratory techniques and morphological, anatomical, biochemical, immunological, hereditary, and microbiological parameters and their clinical application. Detailed instructions are included so that techniques can be followed accurately.

Erectile dysfunction is a common problem that may result from a number of medical conditions. With increasing public awareness, men with ED are seeking medical help. This pocketbook will assist the physician in treating and managing ED effectively with either drugs or devices.

Offering expert, practical guidance through the decision-making process,Differential Diagnoses in Surgical Pathology: Gynecologic Tract, Second Edition, by Drs. Russell Vang, Anna Yemelyanova, and Jeffrey D. Seidman, helps you systematically solve tough diagnostic challenges in gynecologic pathology and arrive at a correct diagnosis between commonly confused entities. In this fully revised edition, lesions are presented side by side for easy comparison, with clinical and pathological findings in short outline format followed by several full-color images. In addition to illustrating and discussing the classical features of these entities, the authors emphasize atypical features that can complicate diagnoses.  Provides side-by-side comparisons for each major differential diagnosis—more than 170 in all— helping you distinguish between commonly confused lesions of the gynecologic tract  Contains more than 1,500 full-color photographs that depict the features of each entity and cover all major differential diagnoses in this challenging area  Offers up-to-date coverage of the vulva and vagina, cervix, endometrial epithelial lesions, uterine pure mesenchymal and mixed epithelial-mesenchymal lesions, the ovary, peritoneum/omentum, fallopian tube and paratubal region, and gestational trophoblastic disease  Ideal for practicing pathologists, pathologists in training, residents, and medical students    Enrich Your eBook Reading Experience  Read directly on your preferred device(s), such as computer, tablet, or smartphone.  Easily convert to audiobook, powering your content with natural language text-to-speech. 

If you had a dependable method for determining the healthiest and most viable conceptus from a cohort of growing preembryos, replacing more than a single one in order to achieve good pregnancy rates would be moot. Sometime in the not-so-distant future, this may be a reality. Taking a step towards that future, An Atlas of Human Blastocysts vividly illustrates the typical and atypical morphology of mammalian blastocysts. The atlas demonstrates that extended culture of blastocysts is now achieveable in the laboratory and points us toward the day when it will be possible to choose between a number of healthy hatched blastocysts.

It is over two decades since the first test-tube baby was born. During this period a new belief that all infertile women can now have babies has become widely accepted; indeed, infertile couples may feel great pressure to seek a medical solution. However, the psychological and social effects of the changing experiences of infertility remain confusing, both for those who experience infertility and for wider society. In this book, a distinguished range of contributors, including novelist Hilary Mantel and Germaine Greer, examine the experience of infertility from both male and female perspectives, the psychological aspects of infertility diagnosis and treatment, and the often radical and unexpected effects on kinship.
Drawing from a wide range of theoretical backgrounds including Jungian, analytical, and compelling personal reflections, this book aims to unravel the implications of advancing reproductive technology for our understanding of ourselves and our families.

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Reproductive biologists, evolutionary biologists, demographers and social scientists all have a common interest in the business of human reproduction. Their perspectives, however, are very different and have traditionally prevented them from having much to do with each other. The conference on which this book is based brought together contributors from each of these disciplines in an attempt to explore the common ground that they share and so generate a better understanding of the factors that influence human fertility.

The health of a population is most accurately reflected in the rate of growth of its children. It is this theme which underlies the analysis and presentation of what is by far the largest compilation of growth data ever assembled. The first edition, published in 1976, included all known reliable recent results on height, weight, skinfolds and other body measurements from all parts of the globe. In this edition, the very numerous measurements taken between 1976 and 1988 have been included as well as the results of the large number of new studies made on rate of maturation as evinced by bone age and pubertal development stages. Many sections of the book dwell on disentangling the effects of the environment and heredity on growth, and thus answer the question of whether one universal standard suffices for all peoples of the world, or whether different populations (such as races or nations) should each have their own optimal growth standards. Written by practical people with experience of the problems in developing countries, this book explains in simple terms the different sorts of growth surveys, how to set about making them, and which sort to choose. All who are professionally concerned with child health should read it.

SEE THE ENTIRE RANGE OF STRUCTURAL DEVELOPMENT

A volume in the Atlas of Human Central Nervous System Development series, The Spinal Cord from Gestational Week 4 to the 4th Postnatal Month presents unique illustrations of structural development. With its clearly labeled photographs and extensive quantitative comparisons, you'll gain new insights into the steps involved in the morphogenesis of the mature spinal cord.

YOUR COMPLETE GUIDE TO NORMAL DEVELOPMENT

The first comprehensive study of its kind, the five-volume Atlas of Human Central Nervous System Development Series allows you to:

· Observe the complex structural processes that normally occur during human development
· Better evaluate neural developmental disorders
· Design experiments that more efficiently target the root causes of neural disorders

Why do women live longer than men? Does ownership of paired X chromosomes confer more prolonged survival on females, or is the gender difference in life-expectancy a cumulative consequence of differing life experiences for women and men? The areas of gender differences in aging, functional capacity, and the response to physical activity have often been the basis for speculation rather than informed judgment.

Gender, Physical Activity, and Aging draws upon the sound knowledge base of leading investigators to provide objective, evidence-based evaluations of particular facets of the aging process. Focusing on gender differences, it examines the rate of aging, loss of functional capacity, disability, and the quality of life among the elderly and presents evidence of potential modification through physical activity and lifestyle.

Winner of the NCTE George Orwell Award for Distinguished Contribution to Honesty and Clarity in Public Language Although Roe v. Wade identified abortion as a constitutional right 45 years ago, it still bears stigma-a proverbial scarlet A. Millions of Americans have participated in or benefited from an abortion, but few want to reveal that they have done so. Approximately one in five pregnancies in the US ends in abortion. Why is something so common, which has been legal so long, still a source of shame and secrecy? Why is it so regularly debated by politicians, and so seldom divulged from friend to friend? This book explores the personal stigma that prevents many from sharing their abortion experiences with friends and family in private conversation, and the structural stigma that keeps it that way. In public discussion, both proponents and opponents of abortion's legality tend to focus on extraordinary cases. This tendency keeps the national debate polarized and contentious, and keeps our focus on the cases that occur the least. Professor Katie Watson focuses instead on the cases that happen the most, which she calls "ordinary abortion." Scarlet A gives the reflective reader a more accurate impression of what the majority of American abortion practice really looks like. It explains how our silence around private experience has distorted public opinion, and how including both ordinary abortion and abortion ethics could make our public exchanges more fruitful. In Scarlet A, Watson wisely and respectfully navigates one of the most divisive topics in contemporary life. This book explains the law of abortion, challenges the toxic politics that make it a public football and private secret, offers tools for more productive private exchanges, and leads the way to a more robust public discussion of abortion ethics. Scarlet A combines storytelling and statistics to bring the story of ordinary abortion out of the shadows, painting a rich, rarely seen picture of how patients and doctors currently think and act, and ultimately inviting readers to tell their own stories and draw their own conclusions.

This innovative reference explores a wide selection of topics associated with aging, providing a solid understanding of the significance and molecular basis of the aging process and charting the course of future research in the area. Stresses the interplay of mitochondria, mitochondrial DNA, oxidants, and antioxidants! Featuring the research of over 55 experts in the area, Understanding the Process of Aging -covers the functions of nitric oxide and peroxynitrite in mitochondria -integrates several views on the role of mitochondria in the development of apoptosis -gives a quantitative analysis of mutations of mitochondrial DNA during human aging -highlights mitochondrial free radical production -introduces new roles of ubiquinone in mitochondrial functions -offers new antioxidant-based complementary therapeutic strategies -details aspects of intact cells and whole organisms in health and disease -and more! Featuring over 1800 references, tables, drawings, and photographs, Understanding the Process of Aging benefits nutritionists and dieticians, geriatricians, cell and molecular biologists, chemists and biochemists, pharmacologists, biotechnologists, neurologists, cardiologists, oncologists, dermatologists, and graduate and medical school students in these disciplines.

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.

The fourth edition of this book updates and elaborates on the seven dimensions of maternal emotional health that have significant impact on delivery, postpartum adaptation, infant health, and early childhood development. Supported by the authors' original research and interviews, the book provides readers with an analysis of the role of these core functions throughout pregnancy, as well as practical materials for use with pregnant clients in the form of assessment instruments and evidence-based interventions for promoting positive development. The book provides a theoretical framework with rationales for the seven psychosocial dimensions, therapeutic and counseling intervention strategies to improve adaptive development in each of the seven psychosocial dimensions, findings specific to women in diverse cultural groups, a chapter devoted to women in the military and military spouses, and discussion of salient issues of pregnancy, including physical changes, body image, intimacy, trust, and ambivalence. The book focuses on the seven dimensions of maternal prenatal emotional health: Acceptance of the pregnancy. Motivation and preparation for motherhood. Relationship with husband/partner. Relationship with her own mother. Preparation for labor. Sense of control in labor Self-Esteem and Well-Being in labor. Psychosocial Adaptation to Pregnancy is a significant addition to the psychosocial assessment literature, a needed resource for clinical and health psychologists, clinical social workers, marriage and family therapists, professional counselors, midwives, and obstetrical nurses. It is also adaptable to undergraduate and graduate courses in maternal reproductive health and obstetrical nursing.

This is a comprehensive, up-to-date, authoritative research text and clinical reference work the menopause. It contains over 90 contributions covering every conceivable topic in the management of the menopause in women and related issues in the aging male. The book contains many illustrations and a wealth of references.