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.

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 book is a comprehensive guide to the management of infertility for gynaecologists and trainees. Divided into seven sections, the text begins with initial patient presentation and various diagnostic investigation techniques including transvaginal sonography, laparoscopy, hysteroscopy, and semen analysis. The following sections cover different causes of anovulation (lack or absence of ovulation), problems with the uterus and fallopian tubes such as polyps and fibroids, and other conditions including endometriosis, pelvic inflammatory disease, and cervical factors. The next section examines male infertility, followed by detailed discussion on the use of IUI (intrauterine insemination) and IVF (in vitro fertilisation), and when each is the more appropriate treatment method. The third edition of this book has been fully revised to provide clinicians with knowledge of the latest advances and technologies in the field. Key points Comprehensive guide to management of infertility Step by step approach to both basic and advanced procedures Fully revised, third edition providing latest advances in the field Previous edition (9789350905319) published in 2013

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.

Reproductive technologies to assist in both human conception and animal breeding are increasingly in demand. These technologies, along with the advent of tissue engineering, have propelled the challenges of tissue collection, preservation, and banking to the research forefront. Using examples drawn from reproductive technologies, Reproductive Tissue Banking presents the scientific principles underlying tissue banking. These examples serve as models for the technology of banking other living tissues, including blood, bone marrow, cornea, and skin. In discussing research emerging from their laboratories and those of others, the authors meld fundamentals of biology, chemistry, and physics with the latest discoveries in the field to give the reader profound insight into research directions and ethical considerations crucial to the advancement of tissue banking.
With its emphasis on human applications and concerns, this book provides a valuable supplement to short courses on tissue preservation and tissue engineering. Researchers in reproductive medicine, animal and veterinary science, and cryobiology will find this book, with its extensive bibliography, a very handy reference.
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* Written by leading international researchers
* Provides insightful discussions on reproductive tissue banking
* Presents comprehensive citations to relevant literature, both current and historic
* Discusses in vitro preservation of spermatozoa, oocytes, embryos, and gonadal tissues of mammals
* Contains coverage of ethical considerations from a discussion of the splitting of embryos to an exploration of the protection of biodiversity

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

Fertility specialists are constantly looking for ways to improve the chances of pregnancy through IVF or other assisted reproductive techniques (ART). 'Adjuvant' or 'add-on' therapies are procedures or medications which are added to IVF treatment to try and improve the chances of success. This book is a practical guide to the use of adjuvants in infertility for clinicians and trainees. Divided into ten sections, the text begins with an overview of the rational for additional therapy in IVF. The next section examines different types of adjuvant therapy and their pros and cons. Topics include medical nutrition therapy, neutraceuticals, antioxidants, micronutrients, and reactive oxygen species. Each of the following sections covers adjuvant use for improving a specific fertility issue - PCOS, ovarian reserve, uterine blood flow, endometrial receptivity, embryo implantation, and male subfertility. The final sections discuss the impact of thyroid autoimmunity on the outcome of ART, and the use of surgery as an adjuvant in infertility. Key points Practical guide to the use of adjuvants in infertility Covers various types of adjuvant and their use for different fertility issues Includes discussion on surgery as an adjuvant Highly illustrated with clinical photographs and diagrams

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.

In the last forty years anthropologists have made major contributions to understanding the heterogeneity of reproductive trends and processes underlying them. Fertility transition, rather than the story of the triumphant spread of Western birth control rationality, reveals a diversity of reproductive means and ends continuing before, during, and after transition. This collection brings together anthropological case studies, placing them in a comparative framework of compositional demography and conjunctural action. The volume addresses major issues of inequality and distribution which shape population and social structures, and in which fertility trends and the formation and size of families are not decided solely or primarily by reproduction.

The continued debate regarding the stage at which the human embryo conceived in the laboratory should be placed in the mother, combined with recent developments in culture media formulations, have brought the role of the human blastocyst in ART back into the spotlight. ART and the Human Blastocyst presents the proceedings of the International Symposium on ART and the Human Blastocyst held from March 30- April 2, 2000 in Dana Point, California. This book brings to the forefront the main issues raised with the transfer of embryos at the blastocyst stage, including the reduction of high order multiple gestations and the role of the blastocyst culture and transfer in facilitating successful single embryo transfer. Sections include gamete quality and pregnancy outcome, physiology of the embryo, blastocyst development in culture, blastocyst transfer and fate, and implantation. More than 40 illustrations and 25 tables complement the text.