Reproductive Medicine: Challenges, Solutions and Breakthroughs is a comprehensive guide to the diagnosis and management of infertility. Beginning with basic evaluation techniques, the following chapters discuss different aspects of infertility treatment including assisted reproductive technology techniques, pre-implantation genetic diagnosis, male infertility, ultrasonography and batch IVF. With contributions from recognised experts through the USA, Canada and Europe, the book includes numerous clinical photographs, diagrams and tables, making it an invaluable reference for both infertility specialists and trainees in reproductive medicine. Key points Comprehensive guide to diagnosis and management in infertility Covers all aspects of fertility treatment Contributions from internationally recognised experts Includes numerous clinical photographs, diagrams and tables

The development of the placenta was a pivotal event in evolution. Without it, we would still be laying eggs instead of giving birth to live offspring. It represents the critical link between the foetus and the mother, but its character is extraordinary - it is, in effect, a foreign tissue that invades the mother's body. Compared to many other animals, the human placenta represents a particularly aggressive body. But how is it managed and controlled? How did such an organ evolve in the first place? And why is it tolerated by the mother? Y.W. Loke, a highly respected expert in the placenta and its development, explores the nature of the placenta and what it can tell us about evolution, development, and genetics.

This important new book presents a comprehensive integration of psychoanalytic theories of human development from Freud to the present, showing their implications for the evaluation and treatment of children and adults. Phyllis Tyson and Robert L. Tyson not only review the literature on emotional growth but also provide a developmental theory of their own, one that examines psychosexual development in the context of a number of other simultaneously evolving systems-emotional, behavioral, cognitive, and social-all of which work in relation to one another in a dynamic way. The authors describe the developmental sequences of these systems and how they coalesce to form the human personality. The Tysons view development as it occurs rather than retrospectively from reconstructions of earlier life experience. They begin by tracing the history of this perspective, describing the developmental process, then critically reviewing psychoanalytic theories of development. The authors present developmental sequences for psychosexuality, object relations, the sense of self, affect, cognition, the superego, gender identity, and the ego. Throughout they maintain a central and orienting focus on the intrapsychic-on what happens in the mind as it evolves. In contrast to recent psychoanalytic emphases on interpersonal aspects of early development, they view perceived and felt interpersonal interactions as working in conjunction with innate factors to provide the basis for the internal world. According to the Tysons, it is the evolution and elaboration of this internal world that is the domain of psychoanalytic theory of development.

The Fallopian tube has until recently been a neglected structure, bypassed by IVF and seen only as a tube that transports the egg to the uterus. More recently, its central role as the site of fertilization and early embryogenesis has been recognized, along with the major effects of tubal disease, such as chlamydia trachomatis, on fertility. Tubal surgery is an option for those women who avoid IVF because of anxiety about medication side-effects or for religious reasons. The tube is also the site for female sterilization and its reversal. This definitive guide to the Fallopian tube and its disorders collates all these topics, with authoritative text covering the spectrum of clinically relevant topics in a digestible fashion. It will be of interest to gynecologists, specialists in reproductive medicine and infertility and family planning, and others with interest in this fascinating and underestimated organ of reproduction.

What limits the genetic choices parents make for their children? Is it okay to select the sex of our children, or for deaf parents to select deaf children? In this second edition of Genetic Dilemmas, Davis argues that parental reproductive autonomy should be limited by respect for the future autonomy of the children created by these measures.
Praise for the first edition:
"A thoughtful, timely and comprehensive look at genetics in the modern era by a recognized scholar of both their legal and humanistic implications. An excellent read "
-R. Alta Charo, Professor of Law and Medical Ethics, University of Wisconsin- Madison.
"Dena Davis has been the most consistent and important voice insisting that we take seriously the concept of each child's right to an open future, and what respecting that right would mean for new technologies in genetics and reproduction. This engaging new book is the work of a thoughtful and humane scholar, and deserves a broad readership."
-Thomas H. Murray, President of The Hastings Center
"Dena Davis offers an engaging, informative and provocative argument in Genetic Dilemmas. Her primary accomplishment is to draw much-needed attention to the interests of the child in reproductive decision-making...she has succeeded admirably."
-Mary Terrell White, Medical Humanities Review
"People now face a dizzying array of choices about reproduction-from sex selection to cloning, from prenatal screening to genetic enhancement. In this engaging and path-breaking book, Dena Davis intelligently and compassionately explores the often-ignored impact of these choices on the children that are created and the society in which they will be raised."
-Lori Andrews, Professor of Law, Chicago-Kent College of Law

Nueva edici?n de la obra de referencia en la disciplina que recoge toda la informaci?n necesaria para entender el desarrollo del embri?n humano, desde la concepci?n hasta el momento del nacimiento, con un enfoque claramente molecular. No obstante y a pesar de que se reflejan las ?ltimas investigaciones en regulaci?n g?nica, se?ales de transducci?n, receptores., la obra no pretende ser un tratado enciclop?dico. Cuando se hace referencia al nivel molecular no se hace en profundidad, ya que s?lo en una ocasi?n (cap. 4 y a modo de ejemplo) se reproducen todos los pasos de las v?as y las interacciones moleculares implicadas. Cuando se hace referencia a las correlaciones cl?nicas, el texto se organiza en forma de cuadro de texto y se utiliza siempre el mismo color (morado).Esta nueva edici?n presenta interesantes fotograf?as cl?nicas y dibujos muy claros que ayudan a memorizar de forma bastante f?cil los conceptos pertenecientes tanto a un proceso de desarrollo normal como anormal. Como importante novedad, esta edici?n presenta un enfoque molecular mucho m's profundo y facilita la comprensi?n e interpretaci?n de todos los pasos del desarrollo embrionario a trav's de im?genes 3D. Al final de cada uno de los cap?tulos, se incluyen preguntas de autoevaluaci?n para poder contrastar los conocimientos adquiridos.Otro recurso did?ctico que presenta la obra es la inclusi?n al final de cada cap?tulo de un resumen estructurado en puntos y de preguntas de repaso. Igualmente, a lo largo del texto aparecen las llamadas 'Vi?etas cl?nicas', que plantean un caso cuya respuesta se encuentra al final del libro junto con las de repaso. Se incluye tambi?n el recurso "online" "Student Consult" que cuenta con animaciones, aparte de todo el contenido extra que ofrece este recurso.

Whether you're a newly diagnosed patient, or a friend or relative of someone suffering from benign prostate disease, this book offers help. The only text to provide the doctor's and patient's views, 100 Questions & Answers Prostate Disease gives you authoritative, practical answers to your questions about the disease, including diagnosis, medical and surgical treatment options, sources of support, and much more. Written by an expert on the subject, Dr. Kevin R. Loughlin, with actual patient commentary from John Nimmo, this book is an invaluable resource for anyone coping with the physical and emotional turmoil of prostate disease.

If you need help having a baby, reproductive technology can supply the answer. But it also raises a host of questions that won't arise until after the child is born: What will you say to "Where did I come from?" when the answer includes a donor or surrogate? Will knowing the truth about how you conceived make your child love you less? Will having a baby with someone else strain your relationship with your spouse or partner? What will grandparents, family members, friends, and coworkers think? Dr. Diane Ehrensaft--a developmental and clinical psychologist who's worked with families formed using assisted reproductive technology for more than 20 years--helps you anticipate the big questions and find solutions that are right for you and your loved ones. Dr. Ehrensaft offers information, support, and straightforward advice for coping with private worries, confronting public prejudices, and raising happy, healthy children. Single or married, straight or gay, anyone looking forward to the joys and challenges of building a family with the help of a donor or surrogate will discover a wealth of thought-provoking ideas and fresh insights in this sensitive, practical, and positive book.

Are girls entering puberty earlier than they used to? This question, which has been debated recently by doctors and scientists in the pages of "Time" magazine and the "New York Times," proves that there is still a great deal to learn about women's reproductive health. "Female Fertility and the Body-Fat Connection" is the record of one scientist's groundbreaking and decades-long work on the connections among fertility, body fat, and reproductive health in women.
Rose E. Frisch explains here how, in women, a certain amount of body fat is crucial to the reproductive system and sexual maturation. Women who are too lean are infertile and cannot conceive children; young girls who are too thin have a delayed onset of their first period. "Female Fertility and the Body-Fat Connection" illuminates how and why a "critical fitness" level underlies a woman's reproductive health. In the process Frisch gives readers a comprehensive view of the research done to date on the relationship between body composition and fertility and also describes her own journey as a woman scientist working to advance her critical-fitness hypothesis both to the general public and the scientific community. Frisch answers the questions every woman has about the desirable weight for health and fertility and even includes tables to help women find their own best weight. She also demonstrates how important diet and exercise are for the long-term reproductive health of women, and shows what factors influence the onset of puberty in girls.
Each milestone of the reproductive life span is affected by food intake and energy output, the factors affecting the storage of fat. "Female Fertility and the Body-Fat Connection" is acornerstone to understanding the health of girls and women.

In "The Garden of Fertility, "certified fertility educator Katie Singer explains how easy it is to chart your fertility signals to determine when you are fertile and when you are not. Her Fertility Awareness method can be used to safely and effectively prevent or help achieve pregnancy, as well as monitor gynecological health. Singer offers practical information, illuminated with insightful personal stories, for every woman who wants to learn to live in concert with her body and to take care of her reproductive health naturally.
"The Garden of Fertility "provides:
Directions (and blank charts) for charting your fertility signals Instructions for preventing pregnancy naturally - a method virtually as effective as the Pill, with none of its side effects. Guidelines for timing intercourse to enhance your chances of conceiving without drugs or hormones Information to help you use your charts to gauge your reproductive health - to determine whether you're ovulating; if you have a thyroid problem, low progesterone levels, or a propensity for PCOS or miscarriage; or if you're pregnant Nutritional and nonmedical strategies for strengthening your gynecological health Clear descriptions of reproductive anatomy, hormonal changes throughout the menstrual cycle, and how conception occurs

This book offers a comprehensive roadmap for determining when and how to regulate risky reproductive technologies on behalf of future children. First, it provides three benchmarks for determining whether a reproductive practice is harmful to the children it produces. This framework synthesizes and extends past efforts to make sense of our intuitive, but paradoxical, belief that reproductive choices can be both life-giving and harmful. Next, it recommends a process for reconciling the interests of future children with the reproductive liberty of prospective parents. The author rejects a blanket preference for either parental autonomy or child welfare and proposes instead a case-by-case inquiry that takes into account the nature and magnitude of the proposed restrictions on procreative liberty, the risk of harm to future children, and the context in which the issue arises. Finally, he applies this framework to four past and future medical treatments with above average risk, including cloning and genetic engineering. Drawing lessons from these case studies, Peters criticizes the current lack of regulatory oversight and recommends both more extensive pre-market testing and closer post-market monitoring of new reproductive technologies. His moderate, pragmatic approach will be widely appreciated.

This book, by two of the most distinguished figures in fertility and reproduction research, answers all the most common questions about menaupause and andropause, and hormone resupplement therapy (HRT) for menopausal women. It offers explanations of all aspects of this subject, presenting balanced and reliable information about benefits, risks, and prospects for this field. Segal invented Norplant, the first long-term implantable contraceptive, and as the leader of Reproductive Biology at the Population Council, he orchestrated and coordinated the research and trials leading to basically every new contraceptive introduced over a period of about 25 years. Mastroianni did more than anyone else to develop in vitro fertizilation as a viable treatment option, and was for many years the chairman of the largest department of obstetrics and gynecology, and the director of the most successful IVF clinic. This book is unique in including coverage of the climacteric in men.

The development of new reproductive technologies has raised urgent questions and debates about how and by whom these treatments should be controlled. On the one hand individuals and groups have claimed access to assisted reproduction as a right, and some have also claimed that this access should be available free of charge. As well as clinically infertile heterosexual couples, this right has been claimed by single women, gay couples, post-menopausal women, and couples who wish to delay having children for various reasons. Others have argued that a desire to have children does not make it a human right, and, moreover, that there are some people who should not be assisted to become parents, on grounds of age, sexuality, or lifestyle. Mary Warnock steers a clear path through the web of complex issues underlying these views. She begins by analyzing what it means to claim something as a 'right', and goes on to discuss the cases of different groups of people. She also examines the ethical problems faced by particular types of assisted reproduction, including artificial insemination, in-vitro fertilization, and surrogacy, and argues that in the future human cloning may well be a viable an

The concept of reproductive health promises to play a crucial role in improving health care provision and legal protection for women around the world. This is an authoritative and much-needed introduction to and defence of the concept of reproductive health, which though internationally endorsed, is still contested. The authors are leading authorities on reproductive medicine, women's health, human rights, medical law, and bioethics. They integrate their disciplines to provide an accessible but comprehensive picture. They analyse 15 cases from different countries and cultures, and explore options for resolution. The aim is to equip readers to fashion solutions in their own health care circumstances, compatibly with ethical, legal and human rights principles.

Drawing on the experiences of parents, offspring and donors, including her own and her family's story, this is an exploration of the process of donor conception, from the consumer advocate for the Donor Conception Support Group of Australia.;Caroline Lorbach takes the reader step by step through the process of deciding to use donor conception, choosing a donor, and discussing the decision with others. She also considers the perspective of the donor alongside those of parents and offspring.

New research has shown that children exposed to cocaine before birth are at risk of learning and behavioral problems. Such problems have broad implications for education, social welfare, and criminal justice in the United States. However, there are numerous opportunities to minimize prenatal cocaine exposure and its impacts and thus to enhance the well-being of women and their children. This report, a collaborative effort of the RAND Drug Policy Research Center and the New York Academy of Sciences, presents an overview of the current state of knowledge regarding the effects of cocaine on the developing brain and offers policy considerations for addressing the issues that arise from cocaine use by pregnant women. The report discusses three prevention strategies: primary prevention (preventing substance use before and during pregnancy); secondary prevention (identifying pregnant women who use drugs and minimizing their drug use); and tertiary prevention (reducing the adverse consequences of substance exposure in children who were exposed in utero). In addition, the report presents a number of areas where more research is needed and offers a rationale for making more resources available for women and children affected by cocaine. (JD)

The possibility that human beings may soon be cloned has generated enormous anxiety and fueled a vigorous debate about the ethics of contemporary science. Unfortunately, much of this debate about cloning has treated cloning as singular and revolutionary. The essays in Cloning and the Future of Human Embryo Research place debates about cloning in the context of reproductive technology and human embryo research. Although novel, cloning is really just the next step in a series of reproductive interventions that began with in vitro fertilization in 1978. Cloning, embryo research, and reproductive technology must therefore be discussed together in order to be understood. The authors of this volume bring these topics together by examining the status of preimplantation embryos, debates about cloning and embryo research, and the formulation of public policy. The book is distinctive in framing cloning as inextricably tied to embryo research and in offering both secular and religious perspectives on cloning and embryo research.

A groundbreaking new book on American policy and human fertility control which reviews and analyzes policies and practices over the last thirty years in each of the fifty states. Arguing that morality politics has helped make fertility policies contentious and complex, McFarlane and Meier conclude that current policies are inadequate for addressing unintended pregnancies and even contribute to high abortion rates. The authors offer alternative public policy designed to be more effective in the future.

Many health problems are unique to, more common in, or more severe in women than men. This book examines the underpinnings of these gender differences. Sections deal with biological (hormonal, anatomic, immunologic, and pregnancy-related), social, behavioural/psychological, and lifestyle influences. Chapters are heavily referenced, packed full with data, and they provide methodological insights that will guide future women's health research.

This Basic Concepts title sheds light on the most elusive concepts in embryology and does so in a concise, lively manner. The level of detail is geared directly to that which is required by students in a way which esily accesses the most relevant information. The book utilizes jargon-free language and innovative teaching techniques to promote an understanding of concepts--not just the rote memorization of facts. To further enhance comprehension, text and illustrations accompany each other on the same or facing pages.

Documenting the latest statistical data on current problems related to reproductive health issues in Central and Eastern Europe, this book explores the reasons for these problems and recommends action based on the scientific evidence for improving reproductive health.

The main issues covered in the book are: declining standards of reproductive health care; rising trends in the incidence of sexually transmitted diseases; low rates of use of modern contraceptives; high rates of induced abortion; high prevalence of infertility; and the needs of adolescents with regard to reproductive health.

This work provides insight into the subjective experience of stillbirth, miscarriage and pregnancy, and the professional response. It has grown out of interviews with women and with the range of health professionals who were significant in their care. These experiences are drawn upon to explore the dilemmas in offering good care, and to suggest ways in which practice might be improved.

Chronicling the shifts in public attitudes towards reproduction, this book traces attitudes from colonial times to the 1990s. In colonial days barrenness was associated with sin, from here the progression is traced to the laws of compulsory sterilization in the early twentieth century, the baby craze of the 1950s, the rise in voluntary childlessness in the 1990s, and the increasing reliance on reproductive technologies. The author reveals the intersection between public life and the most private part of life - sexuality, procreation, and the family.

"Preventing Misdiagnosis of Women is a crucial resource for all therapists who treat women. Not only will the information further the well-being of women clients, but it could literally save lives. Interesting, readable, and well-organized, this book belongs on the shelf next to the DSM-IV. The case examples will grip the reader whether professional or lay audience." --Natalie Porter, Ph.D., California School of Professional Psychology "I am greatly impressed with the book. It is a brand new idea, one that is long overdue." --Hannah Lerman, Ph.D., Clinical Psychologist, Los Angeles Some clients don't respond to a therapist's chosen treatment for a specific mental disorder. Could there be a physical disorder that is causing psychiatric symptoms? How can a therapist distinguish between similar psychiatric and physical disorders to arrive at the correct diagnosis, refer on, and/or suggest appropriate treatment? Preventing Misdiagnosis of Women gives the therapist the foundation for identifying those physiological disorders that may be at the root of the mental problems presented by women clients. Hyperthyroidism, for example, can result in depression and anxiety, and temporal lobe epilepsy can manifest itself with the same symptoms as bipolar disorder. This special guidebook sorts out potential mix-ups by providing detailed cases and illustrations, a quick reference table for checking symptoms, and a glossary. Making technical information clear and concise, the authors cover endocrinological--including thyroid, adrenal, pituitary, and parathyroid systems--and brain seizure problems as well as other diseases--such as multiple sclerosis, mitral heart valve prolapse, and lupus erythematosus. They offer a basic overview of the systems and organs involved and focus on how particular malfunctions can result in serious behavioral problems. A guide to providing the best and most effective care to women clients, Preventing Misdiagnosis of Women presents important information about assessment and interfacing with medical professionals. All mental health and helping professionals will find this book invaluable, as will students in clinical/counseling psychology, health psychology, social work, and gender studies. "This book is informative and interesting to read. This is a text that can be read more than once and be that much more helpful in subsequent readings. . . . Preventing Misdiagnosis of Women will certainly have an impact on feminist assessment, theory, and therapy. In a broader context, it provides a foundation to spawn research hypotheses on women's health and to reconnect the mind and body. Written accessibly even for reader without a background in physiological psychology, it fills a gap in the clinical and counseling literature. This text has far-reaching implications about the origin of psychiatric symptoms and possibly for explaining some differential rates in sex ratios for prevalence of certain psychologically based clinical syndromes. I found the text a humbling reminder of how easy it can be to miss the obvious and how easy it can be to attribute psychological explanations to symptom clusters one doesn't understand. This book could easily become a 'required' text for graduate students in mental health professions and mental health professionals. . . . This text will undoubtedly have an impact." --Maria P. P. Root, Ph.D., University of Washington "Preventing Misdiagnosis of Women is very good and will make an important contribution to the field. . . . The book's message--that it is critical that differential diagnosis include consideration of both psychiatric disorders--is convincing and important to emphasize to students in graduate programs." --Helene Jackson, Ph.D., The Columbia University School of Social Work