For people experiencing infertility, wanting a baby is a craving unlike any other. The intensity of their longing is matched only by the complexity of the emotional maze they must navigate.
With insight and compassion, Drs. Janet Jaffe, Martha Diamond, and David Diamond-specialists in the field of Reproductive Psychology who have each experienced their own struggle with infertility-give couples the tools to:
*Reduce their sense of helplessness and isolation
*Identify their mates' coping styles to erase unfair expectations
*Listen to their "unsung lullabies"--their conscious and unconscious dreams about having a family--to mourn the losses of infertility and move on.
Ground-breaking, wise, and compassionate, Unsung Lullabies is a necessary companion for anyone coping with infertility.

"Junaelo Institute Infertility Manual" provides comprehensive infertility information in an easily understood format. It describes the causes of infertility and how they are managed. Couples who have difficulty conceiving will learn how to decide on when to see a physician and what to expect from infertility investigations and treatments. "Junaelo Institute Infertility Manual" helps everyone become more informed partners in the process that is aimed at helping them become pregnant.

Dr. Godwin Meniru is an Assistant Professor of Obstetrics and Gynecology and the Medical Director of Junaelo Institute of Reproductive Medicine. His other three books, "A Handbook of Intrauterine Insemination" (ISBN 0 521 58676 3), "Cambridge Guide to Infertility Management and Assisted Reproduction" (ISBN 0 521 01071 3), and "Prevention of Infertility and Complications in Women" (Soft Cover ISBN 0 595 25722 4; Hard Cover ISBN 0 595 65282 4), have received critical acclaim. Dr. Meniru has authored or co-authored more than 120 scientific papers, abstracts and book chapters. Also, visit the Institute's web site at www.JunaeloReproductiveMedicine.com for additional infertility resources.

This pioneering text formally introduces an all-inclusive approach to preventive health care that is targeted at female factor associated infertility. All female factor problems and related issues are examined critically. This is followed by the proposal of preventive strategies that are based on the three tiers of preventive health care (primary, secondary and tertiary prevention). This exceptional book is currently the only available comprehensive text on the subject. It is an invaluable resource guide for a wide range of medical, health and allied professionals. You will find:

The author of this book has a vast experience of teaching Medical and Midwifery students both in Tanzania and abroad. He has also worked as a Consultant Obstetrician and Gynaecologist in public hospitals both in Tanzania and abroad. This book is a testimony of the vast experience of the author. This book describes the management of a woman during pregnancy, childbirth and postpartum as well as care of the newborn. The book gives useful guidlines in the management of normal as well as 'High risk' women during this critical period of their lives. The book has been written in a style which makes it easy to read and understand. It is a book that medical/midwifery students and the practitioners working in health centres will find useful.

Intended as a tool for use by public health officials, research and regulatory scientists and risk managers, this publication seeks to provide a scientific framework for the use and interpretation of reproductive toxicity data from human and animal studies. It also discusses emerging methodology and testing strategy in reproductive toxicity. The text focuses on approaches to assessing reproductive toxicity in males and females, including sexual dysfunction and infertility, and many aspects of developmental toxicity (following both prenatal and postnatal exposure), from conception to sexual maturation. It is an overview of the major scientific principles underlying hazard identification, testing methods and risk assessment strategies in human reproductive toxicity. It also discusses the evaluation of reproductive toxicity data in the context of the extensive risk assessment methodology that has emerged over the past 10-15 years.

This book aims to address a number of controversies concerning the use of testosterone treatment. It explains topics that clinicians regularly encounter such as whether to use free or total testosterone in the evaluation of the patient with testosterone deficiency; what factors actually impact testosterone levels, polycythemia, gynecomastia, bone density, and hyperprolactinemia in the testosterone deficient patient; critical analysis of the numerous questionnaires that are available to clinicians; and the impact of testosterone therapy on male fertility, cardiovascular disease, and prostate events including prostate cancer. Guiding the reader in both evaluation and management, the book also illuminates novel concepts in the T space such as testosterone use in the transgender population, T therapy as an endothelial modulator, bipolar testosterone therapy in the patient with advanced prostate cancer, and testosterone therapy as a performance enhancer. Controversies in Testosterone Deficiency is intended for any clinician involved in the care of patients with testosterone deficiency, exploring hot topics and correcting existent misinformation in the routine care of patients.

YES, YOU PROBABLY CAN GET PREGNANT
...and the really good news is that most of you can conceive naturally, without expensive high-tech intervention. The six-step mind/body fertility enhancement program from Harvard Medical School could give you the answer.

• How can I relax when I'm worried sick about getting pregnant?
  
• Can antidepressants affect my fertility?
  
• Is there some medicine I can take to increase my sperm production?
  
• Does being a vegetarian increase or decrease my chances of conception?

Start to help yourself by learning the newest information on how simple lifestyle changes affect fertility.

A complete and up-to-date guide for those men (and their partners) concerned about preventing and overcoming impotence. Does increasing age inevitably lead to a sexual decline in men? What are the links between heart attack, stroke, and impotence? Can vasectomy cause sexual dysfunction? Richard Milsten and Julian Slowinksi answer these and numerous other questions in this clear and comprehensive guide to maintaining lifelong sexual health. The authors bring together the two critical areas of expertise--medical and psychological--to explain healthy male sexual function and the problem of sexual dysfunction. With an emphasis on prevention, they discuss the medical and psychological causes of impotence and all available treatment options. Topics include what questions to ask a doctor, what to expect from treatment or therapy, information for women about their partners' health, and a self-evaluation questionnaire. "The Sexual Male" provides important knowledge for men and women of any age.

This book gives an overview of the potential and the practical details that need to be resolved in order to make human germline engineering possible. It presents the ethical and social concerns, and implications of our fast-approaching capability to alter our own germline and take an active role in the future evolution of our own species. It provides explanations of how we have arrived at the capability to clone higher animals, and discusses the implications for human therapies and for our own future when these techniques are applied to the human germline.

..". extremely valuable. This book] addresses exactly the right questions in a balanced, nuanced way." Journal of the American Medical Association

"Cohen s book is a major contribution to the literature of the inevitable." Medical Humanities Review

"This book provides readers with an insightful overview of the practice of oocyte donation, the broader issues raised by this innovative yet problematic technology and, given the recommendations of NABER, how these issues mights be resolved.... Well written, structured, researched, and thought-provoking, this book makes a timely, important, and worthwhile contribution to the growing body of reproductive technology scholarship." Doody s Health Sciences Book Review Home Page

"Detailed notes; extensive references; comprehensive research... Recommended..." Choice

Leading scholars investigate the difficult ethical, legal, and policy issues that surround egg donation and the new reproductive technologies as a whole. In addition, the book describes procedures at four egg-donation centers and presents a new set of guidelines from the National Advisory Board on Ethics in Reproduction."

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.
*
* 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

"I still cannot believe the contrasts between the two births. Every day was filled with relief and joy that the terrible unhappy time before had not come back...I now feel cheated of the closeness and happiness I could have enjoyed with my first baby."--From a letter written by a woman given progesterone therapy before the birth of her second child.
It is estimated that eight out of ten mothers go through a period of post-baby blues' and that one in ten suffer from a more serious form of postnatal depression. It is never easy for the mother or for her family and friends to understand exactly what is happening, and to distinguish between the relatively mild blues' and the more severe cases of depression. In this book Katharina Dalton, an international authority on premenstrual syndrome and postnatal depression and pioneer of hormone therapy, describes the whole spectrum of symptoms, discusses the social and psychological as well as the hormonal factors, and shows how this debilitating and sometimes deadly disease can not only be treated but also prevented. This book is designed to serve the information needs of women who have suffered or are suffering from postnatal depression, their families and friends, and can also be valuable for physicians, midwives, health visitors, community psychiatric nurses, obstetricians, and psychiatrists.

Controversies about abortion and women's reproductive technologies often seem to reflect personal experience, religious commitment, or emotional response. Laura M. Purdy believes, however, that coherent ethical principles are implicit in these controversies and that feminist bioethics can help clarify the conflicts of interest which often figure in human reproduction. As she defines the underlying issues, Purdy emphasizes the importance of taking women's interests fully into account. Reproducing Persons first explores the rights and duties connected with conception and pregnancy. Purdy asks whether conceiving a child or taking a pregnancy to term can ever be morally wrong. She challenges the thinking of those who feel the prospect of disability or serious genetic disease should not constrain conception or justify abortion. The essays next look at abortion from a variety of angles. One contends that killing fetuses is not murder; others emphasize the moral importance of access to abortion. Purdy considers the conflicting interests of women and men regarding abortion, and argues against requiring a husband's consent. The book concludes with a consideration of new reproductive technologies and arrangements, including the controversial issue of surrogacy, or contract pregnancy. Throughout, Purdy combines traditional utilitarianism with some of the most powerful insights of contemporary feminist ethics. Her provocative essays create guidelines for approaching new topics and inspire fresh thinking about old ones.

Get Your Body Ready for the Marathon of Labor!

If you're newly pregnant, you're probably watching your diet carefully, getting plenty of rest, and preparing for the arrival of your new baby. You're also thinking about the big day itself and what the experience of labor will be like. Even if you're following a regular fitness program, you'll want to do everything you can to strengthen and prepare your body for the rigors of labor.

Maternal Fitness features clearly illustrated exercises that focus specifically on the muscle groups you'll use throughout labor, especially the transverse abdominals -- the stomach muscles that play a critical role during delivery. A powerful set of transverse abs can speed labor and delivery and make for a quick recovery. By learning how to strengthen your abdominals and relax your pelvic floor muscles, you'll be able to push more effectively.

While the Maternal Fitness program is designed specifically for the big moment, it also has other benefits, from minimizing backache and fatigue to giving you a welcome head start on getting back into shape after childbirth. Developed by a professional trainer who is also a registered nurse and childbirth educator, the Maternal Fitness program is safe for you and your baby and easy to do. Once learned, it can be incorporated into any workout.

A Guide for Women and Those Who Love Them
Revised Edition

The most up-to-date and authoritative guide for women on the change of life. Includes the latest information on hormone replacement therapy; cancer and heart disease; sexuality in the menopausal years; nutrition; exercise; and much more.

Here is a comprehensive guide to the changes, in lifestyle as well as in body, that menopause brings. When the first edition of the book was published in 1983, reviewers hailed it as the most authoritative and accessible bolume ever written on menopause and the general health and well-being of menopausal women.

Now in paperback for the first time, the completely updated Revised Edition includes several new chapters exploring such crucial women's health topics as the importance of good nutrition and exercise, overcoming smoking and obesity, and improving cardiovascular health. Information on the pros and cons of hormone replacement therapy (HRT), as well as advice for women who cannot take hormones, is included, as is advice on osteoporosis and on when surgery such as hysterectomy is and is not warranted. Throughout the book, in their own candid words, menopausal women relate their experiences going through this transition. Menopause is a guide to living a long, health life and understanding the natural course of the female body.

"Extraordinary depth of information that is beautifully easy to read. A necessity for every health care provider or woman who is approaching menopause."—Isaac Schiff, M.D., professor of obstetrics and gynecology, Harvard Medical School

"Provides readable information and anticipates many of the questions that a woman might ask or should ask . . . Practical and useful, it is a wonderful book."—Florence P. Haseltine, M.D., National Institutes of Health

There is a forgotten history to our current debates over reproductive technology - one interweaving literature and science, profoundly gendered, filled with choices and struggles. We pay a price when we accept modern reproductive technology as a scientific breakthrough without a past. Babies in Bottles retrieves some of that history by analyzing the literary and popular science writings of Julian Huxley, J.B.S. Haldane, Charlotte Haldane, Aldous Huxley, and Naomi Mitchison - writings that include representations of reproductive technology from babies in bottles to surrogate mothers. It is to these images, fantasies, practices, and narratives of scientific intervention in reproduction that we must look if we want to understand what acts of ideological construction have been carried out, and are currently being performed, in the name of reproductive technology. Susan Merrill Squier shows how the imaginative construction of reproductive technology helps to shape our contemporary practices. Susan Merrill Squier is Julia Gregg Brill Professor in Women's Studies and English at the Pennsylvania State University, University Park. She is the author of Virginia Woolf and London: The Sexual Politics of the City, editor of Women Writers and the City: Essays in Feminist Literary Criticism, and co-editor of Arms and the Woman: War, Gender, and Literary Representation.

Written by experts in their respective fields, this book reviews the expanding knowledge concerning the mechanisms regulating male reproduction at the molecular and cellular levels. It covers the development of the testes and regulatory controls for spermatogenesis and steroidogenesis, and it considers aspects of Sertoli cell function. Areas of emphasis include communication between the various cell types involved in reproduction by hormone and growth factors and the mechanisms by which these factors regulate gene expression. A number of mammalian systems, including humans, are covered. The carefully selected authors provide a clear synopsis of the concepts in each area as well as the latest references, enabling the reader to investigate the topic further. This book is of interest to those seeking an understanding of the regulatory mechanisms in male reproduction and is written for the graduate and postgraduate levels.
Key Features
* Provides up-to-date reviews of the molecular and cellular biology of male reproduction
* Includes chapters on the developmental biology of the testes
* Links conventional hormonal control of testicular function with the evolving role of growth factors and proto-oncogenes

This book will be of importance in breast cancer diagnosis where cytology has become a mandatory procedure in the large number of cases where doubt remains. The book aims to provide the reader with up-to-date information on the techniques of breast cytologic sampling and interpretation. The text is accompanied by colour and black and white illustrations and includes practical procedures and pathological findings.

For counselor Nancy Wainer Cohen, this book is the sibling to "Silent Knife: Cesarean Prevention and Vaginal Birth after Cesarean "(Bergin & Garvey, 1983) her critically-acclaimed expose on America's growing reliance on cesarean sections. "Open Season "provides fresh insights and new information on the subject, offering guidance to childbearing couples, educators, health professionals, and scholars who value the natural path of childbirth.

Readers will find this book timely, informative, shocking, irreverent, and extremely readable. Cohen's intimate writing style presents a compendium of knowledge on childbirth in the fashion of a personal letter. Her aim is to lower America's alarming reliance on cesarean section, which is currently at 25 percent of all births, and to return the responsibility for childbirth to women by encouraging them to choose the kind of birthing experience they wish to have. In addition to cesarean section, Cohen discusses many other generally unnecessary interventions performed on women during pregnancy and childbirth--such as fetal monitoring and routinized hospital procedures.

..". glimpses of intriguing changes in social arrangements and cultural understandings in relation to surrogacy. Disturbing motherhood indeed." New Scientist

"Larry Gostin has put together the definitive collection of essays on one of the most perplexing and titillating topics in contemporary medical ethics. This book includes contributions from some of the leading scholars on the legal, ethical, and social aspects of surrogacy, as well as several critical perspectives on the famous Baby M case must reading for understanding the surrogate motherhood controversy." Robert M. Veatch

"Highly recommended... " Choice

..". a valuable resource for those concerned with an exceedingly difficult ethical, legal, and political problem." Ethics

"There is a wealth of information here on the current status questionis in the United States, and anyone involved in the surrogacy debate, in the U.S. or otherwise, will find working through this material very worthwhile." Canadian Philosophical Review

..". an excellent sample of some of the best and most varied thinking so far on the numerous conceptual, moral, social, and policy questions raised by contract motherhood." The Journal of Clinical Ethics"

The creation of 'test--tube babiesa acted as a spur to public debate about the implications of research on embryos, in vitro fertilization, surrogate motherhood, and the whole range of technologies concerned with human reproduction. The scope of reproductive technologies examined in this volume -- from techniques for the medical 'managementa of childbirth, to genetic engineering -- is such that few women in the western world, and smaller and smaller numbers in the third world, escape their influence. What then is their impact: on the process of reproduction, on family life and particularly on women? 'Reproductive Technologiesa is a remarkable collection of original essays which attempts to place the current controversy over reproductive technologies in a political, legal and economic context. Contributors -- including Lesley Doyal, Ann Oakley, Ros Petchesky, Carol Smart, Hilary Rose, and Naomi Pfeffer -- examine systematically the technologies that have sparked off these debates. They explore the problem of infertility which is used to validate reproductive technologies; the way assumptions about the family and about biological parenthood continue to structure the arguments for and against; the impact of the medicalization of childbirth; the way debates are embedded in changing conceptions of paternal rights, maternal rights and embryo rights; the problems of providing adequate health care for women; and, above all, the urgency with which these issues raise problems about the accountability of science.