This practical and concise guide provides a step-by-step approach to every aspect of the interpretation of semen analysis results. While other books focus on basic semen analysis protocol and techniques, few books then go on to actually interpret these results and provide useful guidance on the significance of different results for infertility assessment. This guide takes a systematic, hands-on approach to identification of the ranges of abnormality that contribute to male subfertility. It also defines basic concepts, provides clinically essential reference values, and elucidates the often subtle relationships among many sperm characteristics. Once conclusions are reached, the guide offers recommendations for appropriate referral and additional options. Inclusion of vignettes from a wide range of real-life case reports based on the author's own experiences help to illustrate key points. This practical guide is an invaluable resource for all clinicians, scientists, and laboratory professionals working with infertile patients.

"Original, important, moving, witty and exquisitely-written. WHAT a feat." - BERNARDINE EVARISTO "Incredible... beautiful and funny and humane." - EMILIE PINE "Pristine poetry and prose." KATHERINE MAY, AUTHOR OF WINTERING "Babies who are this small, he says, have a good chance of survival. Small is not good for babies. It is not whimsical or cute or the cause of admiration. It is the first time it occurs to us that they might not survive. Babies die from smallness." Claire Lynch knew that having children with her wife would be complicated but she could never have anticipated the extent to which her life would be redrawn by the process. This dazzling debut begins with the smallest of life's substances, the microscopic cells subdividing in a petri dish in a fertility treatment centre. She moves through her story in incremental yet ever growing steps, from the fingernail-sized pregnancy test result screen which bears two affirmative lines to the premature arrival of her children who have to wear scale-model oxygen masks in their life-saving incubators. Devastatingly poignant and profoundly observant - and funny against the odds - Claire considers whether it is our smallness that makes our lives so big.

In recent years, the treatment of male infertility has been revolutionized by advances in assisted reproductive technology. Prepared by an authoritative international panel of experts, this concise and structured account provides a consensus on the most effective and logical approach to the investigation and management of male infertility. The manual focuses attention on three key areas: history taking, clinical assessment of male fertility, and objective criteria for diagnostic categories. This approach complements the areas covered in the companion volume WHO Laboratory Manual for the Examination of Human Semen and Sperm-Cervical Mucus Interaction (CUP, fourth edition, 1999) and significantly expands on the section on male infertility discussed in the previous volume on the infertile couple, WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple (CUP, 1993). This new, practical consensus will be an indispensable guide to good clinical management of all forms of male infertility.

'What would it mean to name this place I'm in, to map it? To say: this is the landscape. It looks like this, smells like this, at night these are the sounds that carry on the wind. Almost-motherhood . . .' When Miranda Ward and her husband decided to have a baby, they were young and optimistic. But five years, three miscarriages and one ectopic pregnancy later, she is still dealing with the ongoing aftermath of that decision, and the shadow it's cast over her relationship to her partner, her body and her future. In this searing, lyrical and radically honest memoir, Ward charts her journey through the uncertain landscape of almost-motherhood, asking questions of geography on the most intimate scale. How can we learn to be at home in our own bodies, even when we feel adrift from them? What language do we have for the spaces in between, the periods of wanting and waiting? And how do we maintain hope as we navigate towards an unknown future?

Approximately five million children have been born worldwide as a result of assisted reproductive technology (ART). These techniques are now practised independently in most of the world's nations. Although the vast majority of ART parents and children are healthy following the procedures involved, there is an imperative to maintain a high standard of practice and monitor outcomes carefully. Interpretation of outcome data is difficult for a variety of reasons. As ART technologies evolve and new variants are established, the need for robust assessment of outcomes increases. This book gives a thorough review of potential complications of ART, with detailed analysis of outcome data for the various conditions described. A worldwide perspective is given throughout, with an international team of chapter authors.

The must-have fertility plan that will soothe your mind, nourish your body and maximise your chances at having a baby. Leading fertility counsellor, Ann Bracken, draws together her years of expertise in the field with this supportive guide that will boost fertility by putting wellbeing at the heart of your journey. Ann breaks down the mindfulness-based stress reduction techniques that are scientifically-proven to combat the stress caused by fertility problems and offers clear, practical advice and tips on how to nurture your health and wellbeing - to optimise your fertility and inspire positivity during difficult times. Includes chapters on: * How to manage the psychological and emotional impacts of fertility problems * Mindfulness Practice * Information on Reproductive Treatment * Natural Health Therapies * Nutrition & Supplements to Boost Fertility, by Dr Marilyn Glenville * Restorative Yoga and Mindful Movement * Fertility Thinking through CBT * Self-Care * Taking care of your relationships * Useful Resources Featuring line illustrations to complement the text, journaling exercises throughout, and a foreword by pioneer of Mind-Body Medicine, Dr Alice Domar. 'A definite must-read regardless as to where you are on your journey' My Fertility Specialist Magazine 'A much-needed antidote to the all-too-often stressful and soul-searching path to parenthood. I will be recommending it to my fertility patients' Emma Cannon, integrated fertility expert, author of The Baby-Making Bible 'This book provides the perfect balance outlining the integrative mind and body approach and provides an essential complement to the medical aspects of the fertility journey' Dr James Nicopoullos, Consultant Gynaecologist?& subspecialist in Reproduce Medicine, The Lister Clinic, Lister Hospital, Chelsea, London 'In this book Ann Bracken has compiled what you need to know in an easily accessible, friendly and compassionate format' Dr Alice D Domar, Associate Professor in Obstetrics, Gynaecology and Reproductive Biology, Harvard Medical School and Executive Director of the Domar Center for Mind/Body Health

A comprehensive integrative handbook on fertility treatment, and Assisted Reproduction Techniques (ART), the book is written by specialist contributors for health professionals and Complementary and Alternative Medicine (CAM) practitioners, and for those seriously considering ART themselves. Integrated approaches to infertility offer both a greater awareness and understanding of the combination of factors that can influence the chances of success when undergoing different types of ART. Leading experts review the evidence and discuss the benefits of different approaches to support the physiological and emotional aspects of fertility and fertility treatment. The book covers everything from identifying and treating conditions that may reduce fertility, including immunological abnormalities and specific male and female factors, to how nutrition, acupuncture, reflexology and yoga can support couples going through assisted reproduction, including helping to improve some immunological aspects. There is also a chapter that looks specifically at support for the over 40's.

It is widely believed that reproductive cycles are very similar between human females. However, there are in fact considerable variations both between individuals and within the reproductive life of any given individual. 'Normal' reproductive cycles cover a wide range of eventualities, and the likelihood of successful monthly egg release and ensuing pregnancy can be modified by a large number of factors. In this book, the variability of human fertility is examined by first looking at the physiological processes regulating reproduction, and the roles of metabolic adaptation and metabolic load. Inter-population variation in normal ovarian function is then discussed, covering the importance of factors such as age, disease and breastfeeding in modifying ovarian function. First published in 1996, this is an important book for all those interested in human fertility.

Many wrongly believe that reproductive cycles are very similar among human females. In actuality, there are considerable variations among individuals and within the reproductive life of any given female. "Normal" reproductive cycles cover a wide range of examples, and the likelihood of successful monthly egg release and ensuing pregnancy can be modified by many factors. In this book, the variability of human fertility is examined by looking first at the physiological processes regulating reproduction. Interpopulation variation in normal ovarian function is then discussed, covering the importance of factors such as age and disease in the modification of ovarian function. The final part of this text covers issues of metabolic effects on reproduction. Researchers will welcome this definitive compilation of observations on fertility.

"Original, important, moving, witty and exquisitely-written. WHAT a feat." - BERNARDINE EVARISTO "Incredible... beautiful and funny and humane." - EMILIE PINE "Pristine poetry and prose." KATHERINE MAY, AUTHOR OF WINTERING "I've read a beautiful perfect book. If you are straight or gay, read it." PHILIPPA PERRY "Babies who are this small, he says, have a good chance of survival. Small is not good for babies. It is not whimsical or cute or the cause of admiration. It is the first time it occurs to us that they might not survive. Babies die from smallness." Claire Lynch knew that having children with her wife would be complicated but she could never have anticipated the extent to which her life would be redrawn by the process. This dazzling debut begins with the smallest of life's substances, the microscopic cells subdividing in a petri dish in a fertility treatment centre. She moves through her story in incremental yet ever growing steps, from the fingernail-sized pregnancy test result screen which bears two affirmative lines to the premature arrival of her children who have to wear scale-model oxygen masks in their life-saving incubators. Devastatingly poignant and profoundly observant - and funny against the odds - Claire considers whether it is our smallness that makes our lives so big.

The experiences of infertility and childlessness, while not worse than other griefs and disappointments people experience, are nevertheless distinctive in a number of important respects. Unlike other griefs, they often take place in private, with no body, no funeral, and no public acknowledgement of the loss. In her profound and wise theology of childnessness, Emma Nash takes her own story as a starting point, examining several distinctive features of this painful human experience. She asks what biblical and theological resources offer consolation, and what liberative action individuals and churches might take to make an appropriate response. Weaving trauma theology together with personal experience, Nash offers a profound and heartfelt theological reflection which breaks the barriers between pastoral resource and carefully constructed theology.

'This book is an absolute game-changer' - Dr Xand Van Tulleken 'Everyone concerned about their fertility should read this book' - Dr Raj Mathur, Chair of the British Fertility Society The book you can trust to help you achieve a healthy pregnancy. Whether you are trying for a baby now or preparing for a family in future, The Fertility Book is the no-nonsense guide you need to help you to optimize your chances of a healthy pregnancy. World-renowned fertility consultant Adam Balen and reproductive biologist Grace Dugdale dispel the myths in this comprehensive guide to reproductive health, explaining in easy-to-understand terms the genetic and lifestyle factors at play. They take an honest look at the evidence for both conventional and alternative approaches, equipping you with powerful tools to improve your chances of a natural conception and an understanding of how to create the best environment for a healthy pregnancy. If you do decide to seek help through assisted conception, this book will be with you every step of the way, explaining what treatments are available and how to approach them, so that you can come to an informed decision about what is right for you. Professor Adam Balen and Grace Dugdale have decades of experience helping couples on their journey to conception and beyond. Now in this, their first book for a general readership, they explain everything you need to know to understand your own fertility.

In order to maximize the chance of IVF success, couples need to ensure that their preconceptual health is optimal to increase the quality of gametes and reproductive fitness. This text reviews the medical and lifestyle factors that can affect the body at preconception stage, such as micronutrients, stress, hormonal and gynecologic assessment, as well as environmental factors such as optimal weight and age for childbirth. This book will enable all medical practitioners and healthcare professionals to give evidence-based advice to influence the success rate of subsequent IVF cycles, and ensure that every child is born in the best possible condition. Part of a four-book series on optimizing different aspects of the IVF cycle, this book focusses on preparing the body for assisted conception. Other books in the series focus on the egg and embryo, the endometrium, and the sperm.

Meet Woody. Former journalist. Die-hard Oasis fan. High energy. Low sperm count. Training to be a vicar. Obviously. Matt Woodcock's frank, funny real-life diaries reveal what it was like for him to train as a vicar while struggling against all odds to become a father. In them he lays bare his joys and struggles as he attempts to reconcile his calling as a vicar with his life as a party-loving journalist, footie-freak and incorrigible extrovert. Becoming Reverend is a compelling and original account of how faith can work in the midst of a messy life, combining family, fertility, faith and friendship with the story of a divine - but unlikely - calling.