The new edition of this infertility manual has been fully revised to provide clinicians with the latest advances in the diagnosis and management of infertility. Divided into seven sections, the book provides step by step guidance on each stage of the process, from initial examination and identifying the causes of infertility in both females and males, to ovarian stimulation and assisted reproduction techniques. The final section is dedicated to laboratory management covering topics such as follicular fluid screening and oocyte assessment, culture systems, and cryopreservation. The fourth edition includes new chapters on molecular mechanisms such as endometrial receptivity, and implantation; and current trends such as the embryoscope and assisted hatching. The comprehensive text is further enhanced by case studies, clinical photographs, diagrams, flowcharts and tables. Key points Fully revised, new edition providing latest advances in diagnosis and management of infertility Fourth edition features new chapters on molecular mechanisms and current trends Highly illustrated with clinical images, flowcharts and tables Previous edition (9788184486179) published in 2009

Intrauterine insemination (IUI), also known as artificial insemination, is a fertility treatment that uses a catheter to place washed sperm directly into the uterus. Its aim is to increase the number of sperm reaching the fallopian tubes and subsequently increase the chances of fertilisation (American Pregnancy Association). This book is a step-by-step guide to intrauterine insemination (IUI). Divided into 12 sections, the text begins with detail on counselling, diagnostic work up, and indications of IUI. The following chapters cover ultrasound monitoring of an ART cycle, stimulation protocol, triggering ovulation, and when and how to administer IUI. The book concludes with discussion on complications of IUI, factors affecting success, and sperm preparation. Authored by recognised experts in the field, the text is further enhanced by colour photographs, illustrations and flowcharts. Key points Step-by-step guide to intrauterine insemination (IUI) Covers the complete ART cycle, from initial counselling and work up, to monitoring and procedures, to success factors and complications Highly illustrated with photographs, diagrams and flowcharts Recognised, expert author team

Principles and Practice of Ovarian Tissue Cryopreservation and Transplantation provides methods and techniques of ovarian tissue harvesting and cryopreservation, including instructional videos. This book will benefit a wide audience, guiding infertility specialists, fellows, residents, reproductive surgeons, reproductive endocrinologists, pediatric surgeons, embryologists, infertility nurses and gynecologists. Ovarian cryopreservation and transplantation is rapidly gaining acceptance as a successful and established fertility preservation strategy in cancer patients and beyond. Unlike other fertility preservation strategies, it can be performed in children as well as adults, and can be helpful in restoring natural ovarian function and fertility, hence this is a welcomed resource on the topic.

Management of Infertility: A Practical Approach offers an accurate and complete reference for the management of infertility and a robust step-by-step guide for assisted reproduction technologies (ARTs), including how to plan, design and organize a clinical setting and laboratory. The book also provides an evidence-based, complete and practical description of the available methods for diagnosis and management of male and female infertility. This will be an ideal resource for researchers, students and clinicians who want to gain complete knowledge about both basic and advanced information surrounding the diagnosis and management of infertility and related disorders.

One message that comes along with ever-improving fertility treatments and increasing acceptance of single motherhood, older first-time mothers, and same-sex partnerships, is that almost any woman can and should become a mother. The media and many studies focus on infertile and involuntarily childless women who are seeking treatment. They characterize this group as anxious and willing to try anything, even elaborate and financially ruinous high-tech interventions, to achieve a successful pregnancy.

But the majority of women who struggle with fertility avoid treatment. The women whose interviews appear in "Not Trying" belong to this majority. Their attitudes vary and may change as their life circumstances evolve. Some support the prevailing cultural narrative that women are meant to be mothers and refuse to see themselves as childfree by choice. Most of these women, who come from a wider range of social backgrounds than most researchers have studied, experience deep ambivalence about motherhood and non-motherhood, never actually choosing either path. They prefer to let life unfold, an attitude that seems to reduce anxiety about not conforming to social expectations.

Psychological and Medical Perspectives on Fertility Care and Sexual Health provides the necessary specialized training of sexual dysfunction and sex therapy to those in reproductive medicine. Understanding and knowledge about these sexual dysfunctions is needed for reproductive specialists to identify sexual problems, provide treatment if they are able or make appropriate referrals, and coordinate care for more specialized and specific needs as part of the patients overall reproductive medical management. This must-have reference explores the intimate interface of sexuality and fertility, male and female sexual function, cultural influences on women, Eastern medicine, and more!

This manual provides insights into clinical and laboratory techniques used in assisted human reproduction, for example hormone therapy, in vitro fertilization, diagnostic and microsurgical techniques, cryoconservation, oocyte maturation etc.. Detailed information is given on the practical clinical value of the methods, as well as on their applications in basic research. This comprehensive manual covers the state of the art and prospects for future developments in assisted reproduction. The book is thus a quick and precise guide for clinical gynecologists and specialists in reproductive medicine.

This volume is the proceedings of the International Symposium on Male Sterility for Motility Disorders, held in Paris, January 30-31, 1998. The internationally recognized faculty present the latest research on etiologic factors and treatment of male sterility for motility disorders, including the etiology of immobile sperm; therapeutic possibilities for immotile sperm; ICSI option; testicular sperm, physiological and pathological aspects and retrieval; and conceptus quality in ICSI and ethical problems with ART.

Microsurgery for Fertility Specialists is an invaluable resource for physicians who specialize in the surgical treatment of male and female infertility. This practical text explains the basics of microsurgery and provides detailed operative descriptions of surgical procedures such as vasectomy reversal, sperm retrieval, tubal reanastomosis, and penile surgery. An exceptional cadre of reproductive specialists shares valuable knowledge of the current state of microsurgery, its role in infertility procedures, and the latest advances in the field --including some non-infertility microsurgical techniques. The book is an essential educational guide for those with a more advanced knowledge of microsurgical practice as it includes chapters that will help them mentor residents and fellows, and inspire future generations of reproductive surgeons.

This issue of the Obstetrics and Gynecology Clinics covers the Medical and Surgical Management of Common Fertility Issues. Articles include Infertility Evaluation, Ovulation Induction, and problems such as fibroids, endometriosis, and ectopic pregnancy.

Part of the recognised Infertility Management Series, this handbook is a complete guide to ovarian stimulation. Beginning with an overview of the physiology of gonadotropins, the following chapters discuss ways in which clinicians may better predict ovarian response to stimulation and how to select and tailor appropriate protocols. The book covers both oral and injectable agents for stimulation, and protocols for IVF and IUI, egg donors, oncofertility patients, and for low ovarian response. The final chapter details complications in ovarian stimulation, and their prevention and management. Other titles in the series include: Investigating Infertility, Intrauterine Insemination, Practical Management of Male Infertility, and Polycystic Ovarian Syndrome. Key points Part of Infertility Management Series providing complete guide to ovarian stimulation Helps clinicians better predict ovarian response and select appropriate treatment protocols Covers oral and injectable agents for different patient groups Edited by recognised team of experts in reproductive medicine

This textbook considers the medical, surgical, legal and ethical aspects of establishing and maintaining an office-based egg donation programme. Chapters discuss: indications and success rates; screening and demographics of recipients and donors; preparation of the endometrium; synchronization of cycles; obstetrical outcomes; risks and complications; gestational carriers; consents and contracts; and ethics.

aCahn explores the relationships that underpin artificial reproductive technology: parenting, donating, and becoming (those who are the children brought to life through this process). . . . Much about assisted reproduction are the relationships that are fostered and challenged by the use of the technology, whether donor to potential parent, potential parent to state, surrogate to intended mother, or embryo to clinic, and after it is all adone, a child to parent.a
--Michele Goodwin, author of "Black Markets: The Supply and Demand of Body Parts"

The birth of the first test tube baby in 1978 focused attention on the sweeping advances in assisted reproductive technology (ART), which is now a multi-billion-dollar business in the United States. Sperm and eggs are bought and sold in a market that has few barriersto its skyrocketing growth. While ART has been an invaluable gift to thousands of people, creating new families, the use of someone elseas genetic material raises complex legal and public policy issues that touch on technological anxiety, eugenics, reproductive autonomy, identity, and family structure. How should the use of gametic material be regulated? Should recipients be able to choose the abesta sperm and eggs? Should a child ever be able to discover the identity of her gamete donor? Who can claim parental rights?

Naomi R. Cahn explores these issues and many more in Test Tube Families, noting that although such questions are fundamental to the new reproductive technologies, there are few definitive answers provided by the law, ethics, or cultural norms. The regulatory void outside of minimal requirements for gametic testing and limited protection against deceptivemarketing techniques used by fertility clinics creates thorny problems for all involved in the egg and sperm business.

As a new generation of adonor kidsa comes of age, Test Tube Families calls for better regulation of ART. It exhorts legal and policy-making communities to cease applying piecemeal laws and instead create laws that sustain the fertility industry, yet protect the interests of donors, recipients, and the children that result from successful transfers.

Incorporating real-life stories to illustrate her arguments, Cahn provides specific suggestions for legal reforms. The book sets out a series of controversial proposals, including an end to donor anonymity and a plea for states to clarify parentage decisions. She also calls for the federal government to regulate ART processes to ensure that donors are adequately protected against exploitation, that recipients receive the gametes they have been promised, and that the market functions ethically as well as efficiently.