In this volume, two experts on sexual disorders describe the most effective treatment yet developed for male impotence. The authors review both the medical and the psychiatric aspects of injection treatment for men of all ages, with particular attention to older men and those with psychogenic impotence. The authors also discuss ethical considerations.

In the last decades, major advances have been made in assisted reproductive technologies (ART) and the public demand for these procedures has increased globally. All ART clinics, from those just starting out to the well established, must employ the latest equipment and implement the best practices, while ensuring that their resources are effectively engaged to optimize patient outcomes. This is a tenet of the fiduciary role of physicians and it is increasingly recognized as a quantifiable goal regulated by formal certifications and accreditations. Quality management protocols such as those proposed by the International Organization for Standardization (ISO) are being rapidly adopted as standards of measure. Quality Management in ART Clinics: A Practical Guide provides easily adoptable ways to implement and improve formalized quality management systems. Essential to any clinic to achieve best practices and maintenance of formal regulatory certifications, this book brings together the know-how of experienced opinion leaders operating in key areas worldwide. The book offers an overview of primary regulations in the ART field, with attention to quality management demands, and links specific requirements to practical steps for implementation. Filled with process and procedure examples, flow diagrams and administrative form templates, this book is the first of its kind, gathering the necessary elements for optimizing practice, management, and quality assurance.

Lax federal oversight, high technology resources, privatized health care, a pluralist population, and a commitment to professional autonomy make the United States an ideal host for reproductive tourists. Those who are in possession of enough material resources and political savvy can subvert their countries' norms and laws regarding reproductive technologies, in effect becoming procreative outlaws. This book examines the United States as a destination for international consumers of assisted fertility services, including egg donation, surrogacy, and sex selection. It is based on interviews conducted with fertility industry insiders who market their services to an international clientele in three of the largest American hubs of the global fertility marketplace - New York City, Los Angeles, and San Francisco. By focusing on the providers rather than the consumers of assisted fertility services, the book shines a light on how professional ethics and norms, in addition to personal moralities, shape the practice of reproductive tourism.

Each patient seeking assisted reproduction has a unique set of circumstances that affects the outcome of treatment. Particularly challenging are those patients with pre-existing medical conditions or those receiving medical therapies that may impact the safety and success of their IVF treatments. Prior identification and preparation of the patient at increased risk of complications will enable the clinician to avoid problems in advance, anticipate the necessary management, and optimize outcomes. A new expanded edition of the prize-winning text IVF in the Medically Complicated Patient: A Guide to Management, Second Edition provides a readily accessible, authoritative, and didactic source of information to aid clinicians in this important field.

A candid assessment of the pros and cons of delayed motherhood.
Biology does not bend to feminist ideals and science does not work miracles. That is the message of this eye-opening discussion of the consequences of delayed motherhood. Part personal account, part manifesto, Selvaratnam recounts her emotional journey through multiple miscarriages after the age of 37. Her doctor told her she still "had time," but Selvaratnam found little reliable and often conflicting information about a mature woman's biological ability (or inability) to conceive.
Beyond her personal story, the author speaks to women in similar situations around the country, as well as fertility doctors, adoption counselors, reproductive health professionals, celebrities, feminists, journalists, and sociologists. Through in-depth reporting and her own experience, Selvaratnam urges more widespread education and open discussion about delayed motherhood in the hope that long-lasting solutions can take effect. The result is a book full of valuable information that will enable women to make smarter choices about their reproductive futures and to strike a more realistic balance between science, society and personal goals.

Spermatogenesis involves the coordination of a number of signaling pathways, which culminate into production of sperm. Its failure results in male factor infertility, which can be due to hormonal, environmental, genetic or other unknown factors. This book includes chapters on most of the signaling pathways known to contribute to spermatogenesis. Latest research in germ cell signaling like the role of small RNAs in spermatogenesis is also discussed. This book aims to serve as a reference for both clinicians and researchers, explaining possible causes of infertility and exploring various treatment methods for management through the basic understanding of the role of molecular signaling. Key Features Discusses the signaling pathways that contribute to successful spermatogenesis Covers comprehensive information about Spermatogenesis at one place Explores the vital aspects of male fertility and infertility Explains the epigenetic regulation of germ cell development and fertility Highlights the translational opportunities in molecular signaling in testis

Artificial Insemination and Treatment of Infertility in Dairy Animals by Honnappagol and Tandle is a handy work of 16 well experienced faculties drawn from different departments of higher learning. Most of them are actively engaged in under-graduate and post-graduate teaching with considerable expertise. Adequate care has been exercised by the editors to incorporate all the aspects of artificial insemination and infertility in the chapters form 1 to 20 so that it can serve as a real guide to the students and veterinarians and in turn minimizing the possible economic losses to the dairy animal owners and dairy Industry. Adequate care has been taken to include all spheres of infertility starting from endocrinology of estrous cycle, role of nutrition, feed formulation, breeding strategies, estrus detection aids, recent advances in reproduction controlled breeding, fertility improvement use of ultrasound and laparoscopy, therapeutic management of infertility and reproductive disease control. Practical knowledge and skill in respect of handling, storage and evaluation of frozen semen, safety handling of cryocans and liquid nitrogen, factors affecting success rate in artificial insemination programme and drugs and hormones used in treating reproductive disorders is also provided.

This book examines the United States as a destination for international consumers of assisted fertility services, including egg donation, surrogacy, and sex selection. Based on interviews conducted with fertility industry insiders who market their services to an international clientele in three of the largest American hubs of the global fertility marketplace - New York City, Los Angeles, and San Francisco - and focusing on the providers rather than the consumers of assisted fertility services, the book shines a light on how professional ethics and norms, in addition to personal moralities, shape the practice of reproductive tourism.

The use of IVM in assisted reproductive technology continues to increase around the world. The major benefit of IVM is that significant numbers of oocytes can be collected from ovaries without recourse to ovarian stimulation. This reduces the costs, time, and risks associated with conventional IVF. Although initially limited to women with polycystic ovary syndrome who were at higher risk of problems following ovarian stimulation, IVM is increasingly used in women with normal ovulatory menstrual cycles. This authoritative text covers the current scientific knowledge of oocyte development and the understanding behind the techniques involved in the clinical application of IVM in assisted reproductive technologies.
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This comprehensive overview of the known literature concerning the physical and psychosocial health of children conceived by ART brings together an international panel of experts in fertility medicine, epidemiology, medical genetics, obstetrics, twin research, psychosocial development and pediatrics. Each chapter gives a concise, readable commentary on the key areas of established knowledge. The book will prove an essential component for clinic library for fertility practitioners throughout the world. It will be useful for counselling families about known risks, and for placing in context what is generally a positive literature. Knowledge in this area has been restricted by the studies performed; however, there is a body of research that is hard for the busy fertility practitioner, counsellor, fertility nurse, or obstetrician to bring together and synthesize for their clients. The book is edited by Dr Alastair Sutcliffe - one of the world experts in this field. This is a revised and expanded edition of IVF Children - The First Generation. It is hoped that this will be a continuing project, in which periodic further updates will be published to maintain the currency of quality information needed to inform practitioners of what is a rapidly changing field.

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.

This useful illustrated text summarizes for an audience of clinicians in Reproductive Medicine the practical essentials of what they need to know about diagnosis and management of the infertile male patient, whether they need to instruct or liaise with a colleague or undertake the procedures themselves.

Infertility Saved My Life: Healing PCOS From The Inside Out exposes the raw teaching moments of Sarah Willoughby's journey to self-love through Polycystic Ovary Syndrome and secondary infertility. Within Infertility Saved My Life, Sarah Willoughby addresses the challenges and heartbreak she experienced while becoming a mum to three amazing children. She writes about her multiple miscarriages, as well as the trauma she endured, so that anyone still on their journey to parenthood can feel less alone in their loss and grief. Sarah's story peaks in 2009, when she ended up in intensive care after a disastrous IVF cycle. Lying in her hospital bed, she promised herself that if she survived, she would embrace her fears and empower others to do the same. Seven months later, Sarah Willoughby left the corporate world, emigrated to Australia and fell pregnant naturally twice with her daughters. Infertility Saved My Life shares the wisdom and insight that enabled Sarah to complete her family and begin a heart-centered life and business. She includes practical exercises and tools to help balance the reader's mind, body and spirit and improve their chances of having a baby.

In the late 1990s, Egypt experienced a boom period in in vitro fertilization (IVF) technology and now boasts more IVF clinics than neighboring Israel. In this book, Marcia Inhorn writes of her fieldwork among affluent, elite couples who sought in vitro fertilization in Egypt, a country which is not only at the forefront of IVF technology in the Middle East, but also a center of Islamic education in the region. Inhorn examines the scientific, religious and cultural ramifications of the transfer of IVF technology from Euro-American points of origin to Egypt - showing how cultural ideas reshape the use of this technology and in turn, how the technology is reshaping cultural ideas in Egypt.

In this work the eminent Dutch physician offers for the intelligent layman as well as for doctors, psychologists, teachers and social workers a guide to the causes and effects of fertility and sterility. This book is the third and last volume in Dr Theodoor Hendrik van de Velde's trilogy on the problems of marriage and this book completes his internationally authoritative work on eugenics and volitional sex behavior. Following his other book Ideal Marriage and Sexual Tensions in Marriage, this book considers such problems as sexual abstinence and excess, family limitation, the achievement of desired pregnancy, the causes and consequences, physically and emotionally, and sterility in women and impotence in men, artificial insemination, and the delicate personal and social aspects of undesired conception. Scientific in its approach and simple in its presentation, this book is for doctors and laymen. It offers information that contributes to a healthier understanding of voluntary and planned conception and helps safeguard happiness in marriage.

A new model for treating infertility

This new book offers a revolutionary clinical model for treating individuals and couples who are infertile. The authors reveal how infertility profoundly affects a sense of identity and colors the most intimate relationships with family and friAnds. Step by step, this vital resource, shows clinicians how they can learn to support clients in overcoming their inevitable sense of loss and help them to regain their power.

The authors' advocacy of acceptance of infertility is a liberating approach for families who have been struggling to `resolve' these life long issues. This original book . . . .Can change your life.

--Linda Perilstein, executive director, Cradle of Hope Adoption Center, Washington, DC

This unique textbook is designed to provide a summary of state of the art developments in both male and female fertility and its association with cancer for both new and experienced practitioners. Clear, concise and readable, the text allows the reader to obtain rapid answers to this challenging medical issue. Special emphasis is placed on diagnostic and treatment algorithms. Topics covered include demographics of cancer in the reproductive age male, fertility conditions which predispose to cancer development, the role of assisted reproduction for fertility management, as well as fertility preservation strategies for the male and female cancer patients. Cancer and Fertility will be of great value to general urologists, uro-oncologists, gynecologists, medical oncologists, obstetricians, primary care providers, allied health providers.

This unique text provides a comprehensive yet concise review of the various environmental factors and lifestyle choices which impact male fertility, with special emphasis on the mechanisms that contribute to decreased sperm production and impaired function. Internationally recognized scientists and clinicians, leaders in the field of infertility, gather their insights and discuss how to prevent, address and cure male infertility caused by factors such as smoking, alcohol consumption, medication and drug use, obesity, dietary and exercise habits, sexually transmitted infections, psychological stress and occupational exposure to chemicals and radiation. Written in an easy to follow, informal yet scientific style, "Male Infertility" offers invaluable clinical guidelines for physicians and infertility experts and new data and research of great interest to basic scientists, andrologists and embryologists.

Based on the gold standard procedures and protocols developed at Boston IVF, this new edition of a bestselling text continues to provide a structured approach to treating the infertile couple that can be of benefit to the gynecologist, reproductive endocrinologist, and reproductive medicine nurse alike. Both clinical and laboratory techniques are included, with material on preconception care. New to this edition are chapters on fertility care for the LGBT community, endometriosis, elective egg freezing, and effective nursing.

The new edition of this text admirably fills the need for a primer on the central topics involved in Human In Vitro Fertilization (IVF). Supplying a comprehensive and hands-on approach to IVF, this source presents established state-of-the-art procedures and techniques, as well as the most current research in the field. Expert contributors also discuss the history of IVF and the potential of future research. Offering essential information for reproductive endocrinologists, IVF practitioners and embryologists, this book guides readers though every step of human assisted conception, from patient pre-treatment to monitoring of outcomes.

The new edition of this text admirably fills the need for a primer on the central topics involved in Human In Vitro Fertilization (IVF). Supplying a comprehensive and hands-on approach to IVF, this source presents established state-of-the-art procedures and techniques, as well as the most current research in the field. Expert contributors also discuss the history of IVF and the potential of future research. Offering essential information for reproductive endocrinologists, IVF practitioners and embryologists, this book guides readers though every step of human assisted conception, from patient pre-treatment to monitoring of outcomes.

For the generation that reached sexual maturity in the 1960s, the "pill" became synonymous with sexual freedom and started a sexual revolution. For women it meant freedom from the fear of pregnancy, and for men enhanced sexual opportunity. The new era of the pill has nothing to do with fertility, but everything to do with sex. The first orally effective prescr- tion drug for treating erectile dysfunction (ED) was marketed in 1998. (R) Sildenafil (Viagra ) has rejuvenated the aging male veterans of the sexual revolution, forever changed the science of sexual medicine, and tra- formed society's perspective on aging and sex. This class of drugs, known as oral phosphodiesterase inhibitors (PDE-type 5), is highly effective in the treatment of ED. Since its introduction there has been a much greater awa- ness of ED, its comorbidities, and its effects on the quality of life. In 1997, while preparing to address the Endocrine Society on the occasion of the 92nd American Urological Association meeting, I first looked at the p- clinical studies of sildenafil. I thought "this will change everything" and it clearly has-changing practice patterns in sexual medicine, and the at- tudes of patients, potential patients, and their partners. Two new PDE-type (R) (R) 5 inhibitors, tadalafil (Cialis ) and vardenafil (Levitra ), were first approved by the European Committee for Proprietary Medicinal Products and subsequently by the Food and Drug Administration in 2003 and 2004.

One in seven couples experience problems in conceiving, and this book provides information about fertility investigations, treatments, management and dilemmas. This overview of the management of couples with fertility problems is a straightforward account of best practice in the UK today. Fertility treatments have many ethical implications and the book explains the challenges we face following new developments in assisted reproduction, cloning, surrogacy and rationing. Fertility Problems helps GPs and their teams undertake as much management as possible in primary care, and enables them to understand and explain the issues to infertile patients. The book is also useful for patients themselves. Junior doctors, nurses, counsellors and members of ethics committees will find it a valuable introduction and overview. Much of the material is based on the guidelines for clinical management produced by the Royal College of Obstetricians and Gynaecologists. The author is a general practitioner and former member of the Human Fertilisation and Embryology Authority.