If you're taking an undergraduate or postgraduate medical courses, or similar courses in other related disciplines, this is the book for you. Embryology is a concise and highly illustrated text, covering only the descriptions you really need to know. An appreciation of embryology is essential to understand topological relationships in gross anatomy and to explain many congenital anomalies. Text in concise Illustrated Colour Text style, so core information on embryology can be quickly recognised and digested. Clear full colour diagrams and pictures make the embryological concepts clear and easily assimilated. Clinical boxes highlight essential points of importance to medical students.

Infertility affects about five million individuals of childbearing age in the United States, yet infertility is a subject about which many people are reluctant to talk. This book discusses extensively many options available to individuals struggling with infertility. Infertility can result from a number of causes and affects men and women in equal numbers. Difficulty conceiving can take a heavy toll on couples both physically and psychologically and can lead to depression and marital discord. There are, however, many options available to those struggling with infertility for having a child. These include innovative medical procedures and powerful drugs as well as a variety of alternative treatment approaches, surrogacy, and adoption. A part of Greenwood's Health and Medical Issues Today series, this book provides an overview of these options and examines the many health, financial, and ethical decisions of each that must be considered when choosing one. Part I explores what causes infertility and the history and evolution of its treatment and then examines the options available today, detailing how they work, their success rates, and their risks. Additionally, it addresses controversial topics such as the legislation of assisted reproductive technologies and the regulation of fertility clinics. Part II delves into the many scientific, economic, and ethical debates that surround infertility treatment, presenting a clear and objective analysis of the issues. Part III provides a variety of useful supplementary materials, including case studies, a timeline of critical events, a glossary, and a directory of resources.

Unlike other areas of medicine where statistics are meticulously kept by governments and global organizations, there are no accurate data to describe the number of the world's inhabitants who are overweight, obese, or morbidly obese. Despite this knowledge deficit, it should come as no surprise to readers that the medical community is facing an epidemic. Obesity is present in many of the developed countries and can also be observed in some urban areas of developing nations. The cause of this epidemic, simply stated, is overeating, but the overriding concern is more complex. Social factors, such as growing affluence since the 1950s, increasing reliance on pre-prepared meals, and the popularity of fast foods and sweetened drinks, have all contributed to the problem. Without doubt, the obesity epidemic has had adverse effects on both men and women, but in the case of women, some of its worse complications occur with those who are severely obese and pregnant. Obviously, this combination has been seen in the past, but it has increased so dramatically in its frequency that research has yet to catch up. Studies may discuss one or another aspect of caring for the obese pregnant patient, but until now, there has been no attempt to draw all such material together to try and present a comprehensive appraisal of the problem. Written by international experts, this practical guide draws on evidence-based material and is an invaluable resource for healthcare professionals dealing with obese pregnant women on a day-to-day basis.

Andrology is the fastest growing subspecialty in urology and has recently achieved remarkable advances in the understanding of the erectile mechanism and in reproductive medicine. Male Infertility and Sexual Dysfunction presents all the current avenues of treatment with emphasis on multidisciplinary considerations. Chapters are written by select international authorities presenting indepth coverage of their areas of expertise. Each topic will cover the background, anatomy, physiology, diagnosis, classification, and treatment (medical and/or surgical). Part I focuses on the study of male infertility and includes discussions of the basic sciences, office evaluation, laboratory and imaging techniques, and the use of testicular biopsy. This is followed by specialized chapters dealing with immunologic infertility, genital inflammation, reactive oxygen species, medical management, sperm processing and preventive adolescent andrology. Part II reflects a more diverse format in the coverage of sexual dysfunction and includes discussions of androgen insufficiency, nocturnal penile tumescence studies, neurotransmission, penile neurology, premature ejaculation, psychogenic impotence and the latest medical, noninvasive and surgical treatments.

This book brings together the most up-to-date information about the physiology of progestogens. Addressing the bidirectional communication between hormones, fertility, tumors, and autoimmunity, it provides the basic science and clinical perspectives of progestogens which have not been previously available in one volume. In addition to estrogens, androgens, mineralocorticoids and glucocorticoids, progestogens are a major class of steroid hormone. While present in certain phases of estrous and menstrual cycles, progestogens are named for their function in maintaining pregnancy. This book is essentially practical in orientation, addressing the specific issues that confront the practitioner, and provides information to Obstetricians, Gynecologists, Reproductive endocrinologists, as well as Gynecological Oncologists and Rheumatologists. Contributions are from an international team of experts in the field, now completely updated in this new edition with new developments in primary dysmenorrhea and contraception.

This book explores the cultural history of embryology in Tibet, in culture, religion, art and literature, and what this reveals about its medicine and religion. Filling a significant gap in the literature this is the first in-depth exploration of Tibetan medical history in the English language. It reveals the prevalence of descriptions of the development of the human body - from conception to birth - found in all forms of Tibetan religious literature, as well as in medical texts and in art. By analysing stories of embryology, Frances Garrett explores questions of cultural transmission and adaptation: How did Tibetan writers adapt ideas inherited from India and China for their own purposes? What original views did they develop on the body, on gender, on creation, and on life itself? The transformations of embryological narratives over several centuries illuminate key turning points in Tibetan medical history, and its relationship with religious doctrine and practice. Embryology was a site for both religious and medical theorists to contemplate profound questions of being and becoming, where topics such as pharmacology and nosology were left to shape secular medicine. The author argues that, in terms of religion, stories of human development comment on embodiment, gender, socio-political hierarchy, religious ontology, and spiritual progress. Through the lens of embryology, this book examines how these concerns shift as Tibetan history moves through the formative 'renaissance' period of the twelfth through to the seventeenth centuries.

The transnational industry surrounding assisted reproductive technology and regenerative medicine is based on the unacknowledged labour of gamete providers, surrogates and research subjects, and benefits from low labour costs in 'enabling' sectors such as logistics and transport. This finding calls for a comprehensive analysis of how the contemporary intersection of neoliberal capitalism and the life sciences - in short, the bioeconomy - capitalises on the body and its (re)productive capacities. The Reproductive Body at Work uptakes this challenge as it explores the relations between value production, labour and the body in one particular realm of the global bioeconomy: the South African bioeconomy of 'egg donation'. It highlights different forms and dimensions of unacknowledged or precarious human labour that are constitutive for the procurement, brokering and circulation of oocytes as valuable resources. The analysis illustrates that the respective organisation of value and labour renegotiate what 'the' (re)productive body can do, which status and roles it is ascribed, which cultural and economic values it signifies and how it is experienced and enacted within a matrix of intersectional power relations. A theoretically profound contribution to the interdisciplinary debate on 'New materialism', The Reproductive Body at Work will appeal to students and researchers interested in fields such as gender studies, medical anthropology, cultural studies, sociology, political economy and science and technology studies.

Written by the authors of the renowned embryology textbooks The Developing Human and Before We Are Born, Concise Clinical Embryology: An Integrated, Case-Based Approach offers essential, high-yield information and high-quality clinical cases to illustrate key principles of embryology and their relevance to everyday practice. Ideally tailored to the needs of today's medical students and medical courses, this concise text clearly explains how embryology relates to other medical disciplines and its importance in safe, effective clinical practice. Abundant illustrations throughout help you grasp highly visual concepts quickly and easily. Provides easily digestible, clinically oriented coverage of human development, establishing key principles in a week-by-week, stage-by-stage approach, before moving on to fetal organ development by body system. Includes clinical cases and follow-up questions in each chapter that help relate key principles to everyday practice, aid in problem-based learning, and offer review for exam preparation. Covers the latest advances in embryology, including normal and abnormal embryogenesis, causes of birth defects, and the role of genes in human development. Contains superb illustrations from cover to cover, including diagnostic images, full color figures, histology, and more. Summarizes molecular biology highlights throughout the text. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access 18 3D animations with expert commentary, plus all of the text, figures, and references from the book on a variety of devices.

Relevant to students, academics and practitioners across the globe, this original volume highlights contemporary issues associated with assisted reproduction and embryology and critically analyzes the law surrounding human reproduction in the light of case law and technological developments since the Human Fertilisation and Embryology Act (HFE Act) Act was passed in 1990. Tackling issues from an interdisciplinary perspective, the authors identify and evaluate areas that have provoked intense public and academic debate as well as those where further or renewed regulation is needed. Focusing primarily on the legal and ethical issues involved in regulating this area in the UK, which is at the forefront of developing legislation in this area, this book has international relevance as many countries have used the UK as a model for their own legislation. This text is suitable for a broad range of readers, including legal academics, law students and practitioners interested in the areas of medical/healthcare law and ethics, bioethics and moral philosophy, family law, sociology and reproductive medicine and genetics.

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.

Assisted reproductive technologies (ART) include the artificial or partially artificial methods to achieve pregnancy. These new technologies lead to substantial changes regarding of ethical and legal aspects in reproductive medicine. The book focuses on current hot topics about ethical dilemmas in ART, e.g. about the duties of ethical committees, guidelines regarding informed consent, ethical and legal aspects of sperm donation, embryo donation, ethics of embryonic stem cells, therapeutical cloning, patenting of human genes, commercialization.

What is it about the challenges and stresses of midlife that disrupts equilibrium and promotes a sense of despair, even of crisis? Why does this stage of the life cycle give rise to new mental and physical symptoms that, for some, lead to chronic unhappiness to the point of dysfunction? Of course, there are common midlife events that account for the special narcissistic vulnerabilities of this period of life, and Eda Goldstein ably reviews these events and the theoretical perspectives commonly brought to bear on them. In When the Bubble Bursts, however, Goldstein's special concern is those individuals who come to midlife with heightened narcissistic vulnerabilities that make the navigation of this stage of life more difficult still. In understanding the latter such patients and devising a treatment approach appropriate to their self issues, Goldstein adopts a broadly self-psychological frame of reference. It is a matter, she finds again and again, of understanding how current stressors frustrate healthy self needs and trigger narcissistic vulnerabilities. purview, embraces modalities that are, to varying degrees, supportive, psychodynamic, and psychoanalytic, reworks and strengthens self structures in helping patients find new ways of affirming their sense of self. Her substantive case studies, which accompany the reader through all the chapters in her study, draw on personal and supervisory experiences to illustrate crucial foci of the treatment process with a range of midlife patients in psychotherapy. It is a striking that, amid a voluminous literature on psychodynamic psychotherapy, so little attention has been paid to the narcissistic vulnerabilities of midlife and the manner in which they enter into the psychotherapy of midlife patients. Eda Goldstein remedies this glaring lacuna in the literature with a study that comprises an admirable blend of theoretical astuteness, clinical wisdom, and personal honesty. balanced discussion of theoretical perspectives on adult development and her concluding consideration of the countertransference issues elicited by midlife patient in their midlife therapists, is an edifying and ingratiating contribution to the literatures of psychodynamic psychotherapy, self psychology, and adult development.

Written by two urologists and a genitourinary physician, this impeccably researched text provides the reader with a comprehensive overview of sexual health, exploring a range of topics such as: sexually transmitted infections; contraception; urological conditions; genital dermatoses; sexual dysfunction; novel therapeutic options. With a clear, symptom-based format, this is an ideal quick reference guide for the consulting room and the ward.

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.

Offering an authoritative collection of chapters from clinicians and researchers in the United States, Canada, and Europe, this reference comprehensively covers the latest understanding in the etiology, pathophysiology, diagnosis, and treatment of sexual dysfunction.

This book is a synopsis of the key facts and concepts of human development. It is intended for students who are taking a human embryology course. The book includes the underlying mechanisms involved in clinically important congenital anomalies that will prove useful to medical and nursing.

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.

Preimplantation genetic testing (PGT) is now well established as a valuable treatment option for patients wishing to start or continue a family, for a range of indications from advanced maternal age to high risk of transmitting inherited disease. This text brings together contemporary thinking from international opinion leaders and will be an invaluable guide for practitioners in Reproductive Medicine wishing to keep pace with the latest developments and clinical data.

APPRAISAL AND REVALIDATION SERIES The new Appraisal and Revalidation Series helps doctors demonstrate their competence to the standard expected by the General Medical Council and to the standard expected if they are recognised as having 'special clinical interests'. It helps doctors gather evidence of their performance for appraisal and revalidation portfolios. This fifth book in the series examines the practical ways to identify learning and service needs within the areas of substance abuse palliative care musculoskeletal conditions and prescribing practice. It also provides guidance on how to collect data to demonstrate learning competence performance and service delivery standards. All general practitioners and those with special clinical interests and primary care organisation leads will find this book essential reading. For more information on other titles in this series please click here

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.

This is a complete, medically reliable dictionary of congenital malformations and disorders. As the authors explain, Down syndrome is the only common congenital disorder; the other defects and disorders are rare or very rare, some having been reported fewer than 20 times worldwide.This dictionary covers them all. Examples: Aagenaes syndrome is due to congenital hypoplasia of lymph vessels, which causes lymphedema of the legs and recurrent cholestasis in infancy, and slow progress to hepatic cirrhosis and giant-cell hepatitis with fibrosis of the portal tracts. Acrocallosal syndrome is characterized by total or partial absence of the corpus callosum, craniofacial dysmorphism, polydactyly, and severe mental retardation. Other features can be retinal pigmentation anomalies, optic atrophy, strabismus, nystagmus, cleft lip and palate, cardiovascular anomalies, hernia, abnormal nipples, and fits. Acrodysostosis is characterized by prenatal growth deficiency, brachycephaly, de formities of the humerus, radius and ulna, short and broad hands, hypoplastic maxilla, and mental retardation.

"I say that this is a dirty, filthy book, and the test of it is that no human being would allow that book on his table, no decently educated English husband would allow even his wife to have it...." Such was the uncompromising pronouncement of Sir Hardinge Gifford, Her Majesty's Solicitor General, who in 1877 prosecuted Charles Bradlaugh and Annie Besant for publishing Dr. Charles Knowlton's Fruits of Philosophy.

Knowlton's work was the first American medical handbook on contraception. It had become an incredibly popular book among Britons who believed the neo-Malthusian dictum that the only solution to poverty in Britain was a limit on the growth of its population. They saw effective birth control measures as a way to make such a limit practicable. In 1877, its publisher was hauled into court and pleaded guilty to printing obscene material. Bradlaugh and Besant tested the right of official harassment by bringing out an edition of the Fruits of Philosophy that bore an introduction explaining their motives. The pair was arrested and charged with violating the Obscene Publications Act of 1857.

Their arrest, trial, conviction, and eventual acquittal constitute a landmark in the history of the world birth control movement. The enormous publicity accorded the principals and their cause brought the subject of family planning into the homes of nearly every Briton who read the newspapers' sensational coverage. What followed thereafter is telling: a dramatic, steady decline in the English birthrate. By their simple act of publishing Knowlton's short book, Bradlaugh and Besant helped establish England's pioneering role in the dissemination, democratization, and implementation of birth controlinformation.

This volume contains the writings of Charles Knowlton and Annie Besant on reproductive physiology and birth control and an account of the Bradlaugh-Besant trial. Included also are two of Besant's own pamphlets on birth control, and a comprehensive introductory essay that establishes a context for understanding neo-Malthusianism and the advocacy of birth control in nineteenth-century England. One of a small handful of books that helped stimulate a women's movement in the West, it will interest sociologists and gender studies specialists as well as the general reader interested in the history of birth control.