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.

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

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.

The potential impact of work being conducted in genomics, proteomics, and metabolomics upon clinical practice for gynecologists is immense but not yet completely appreciated. This groundbreaking text from international experts examines the newest topics on the perinatal agenda and gives clinicians a real look into the future via the newest methodologies.

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.

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.

To Pee or Not to Pee? provides women with the information they need to reduce and stop their bladder leak for good. Shelia Craig Whiteman PT DPT, CLT is a pelvic health physical therapist who has successfully treated hundreds of women with urinary incontinence. Within To Pee or Not to Pee?, she helps women discover the tools needed to stop leaking and start living life again without worry or embarrassment of leaking in public. In To Pee or Not to Pee?, women learn: How to identify their type of urinary incontinence to personalize their program for success How to find and effectively strengthen their pelvic muscles The right exercises to do to stop their type of leakage Simple lifestyle changes to help produce big results How to stop bladder leaks for good

The Cassell Hospital Monograph Series, No. 1. The first in a series of monographs, intended to present accessible teaching material concerned with the practice of residential care.

This book stems from the author's clinical experience working with infertile women in psychotherapy and psychoanalysis. It highlights the crucial importance of integrative work of psychotherapists and psychoanalysts with reproductive medical specialists in assisted reproductive technology (ART).

"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.

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.

Enhancing Fertility through Functional Medicine: Using Nutrigenomics to Solve 'Unexplained' Infertility provides cutting-edge information and solutions to help support the worldwide rise of fertility challenges. It addresses common, yet not commonly known, root-causes of oxidative stress that are at the heart of reproductive issues (and all chronic health issues). These solutions can help enhance the outcomes of Assisted Reproductive Technologies (ART) or support women to avoid them altogether. Enhancing Fertility through Functional Medicine: Using Nutrigenomics to Solve 'Unexplained' Infertility will show you how to improve cell health (including egg and sperm), lower inflammation, balance nervous system functioning, and optimize genetic expression, allowing the body to return to its naturally fertile state. It details information on numerous root causes of health-derailing inflammation and oxidative stress, while the appendices discuss the genetic and biochemical pathways related to these topics. Each chapter also provides easy "Action Steps" that can be implemented immediately. Chapter topics include iron dysregulation; oxalates; mold/mycotoxins; phase 2 liver detoxification pathways; fat utilization; introductory information on genetics, epigenetics, and nutrigenomics; everything one needs to know about histamine intolerance; and how these factors adversely affect metabolic and reproductive functions. Enhancing Fertility through Functional Medicine: Using Nutrigenomics to Solve 'Unexplained' Infertility is the handbook for people wanting to achieve and sustain a healthy pregnancy. It highlights lesser-known causes of fertility challenges the reader can learn how to investigate. This book also serves as a reference guide for practitioners, providing them with additional tools to add to their repertoires when other protocols have not been effective. It may also provide clarity as to why other protocols did not work, and will enable the practitioner to custom-tailor protocols for each patient.

Highlighting latest advances in genetics and biochemistry, the completely revised Third Edition reviews the field from basic science, clinical, epidemiological, and regulatory perspectives. Contributions from top opinion leaders in the field bring together developments in molecular embryology and cell biology as they apply to problems in developmental toxicology. It covers testing of pharmaceutical and environmental agents and interpretation of developmental toxicology data, highlighting mathematical and statistical techniques, as well as the effects of toxic exposure on the functional development of various organs. The relationship between maternal and developmental toxicology is examined, in addition to current techniques for studying chemical disposition, metabolism, and placental transfer. Close attention is given to the regulatory aspects of testing and risk assessment. Pre- and postconceptional clinical care and genetic factors in clinical developmental toxicology are also discussed. Key topics include: the roles of apoptosis and signal transduction pathways in normal and abnormal development the role of epigenetic changes in development the role of nutrition and individual susceptibility the utility of bioinformatics global and targeted gene expression changes

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 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.

Female Puberty: A Comprehensive Guide for Clinicians is a practical reference, covering the full range of issues related to pubertal development. Developed to answer pointed clinical questions and to provide a thorough review of the literature, the book covers both the basics and the complexities of puberty, encompassing psychosocial development to pubertal nuances in highly specialized populations. Comprehensive in scope, this title offers concepts that are concisely conveyed and chapters that complement each other well. Complex subjects such as details of the hypothalamic-pituitary-ovarian axis are covered in a readily understandable manner and bullet points throughout the text serve as helpful reminders to the reader. An invaluable contribution to the literature, Female Puberty: A Comprehensive Guide for Clinicians will be of great interest to all health providers concerned with female reproductive health - including obstetrician gynecologists, reproductive endocrine specialists, pediatricians, pediatric specialists, family practitioners and allied health professionals.

This timely resource offers extensive discussions on the pharmacological, environmental, endocrinological, and natural factors that alter reproductive or developmental processes-elucidating the effects of toxicants on mechanisms of reproduction. Describing biological actions common to both genders as well as gender-specific processes, Reproductive and Developmental Toxicology -provides an overview of the basic biology and physiology of organ systems affected by toxicants -furnishes detailed examples of developmental toxicology -analyzes germ cell toxicity and infertility -covers the developmental effects of neurotoxicity -considers periods of exposure and long-term toxicological consequences -explains how gonadal processes may be susceptible to toxicants in other reproductive organ systems -and more! With over 3700 bibliographic citations and more than 100 photographs, drawings, and tables, Reproductive and Developmental Toxicology is a useful reference for toxicologists; reproductive, developmental, cell, and molecular biologists; endocrinologists; biochemists; obstetricians/gynecologists; pediatricians; pharmacists and pharmacologists; physiologists; geneticists; poison control specialists; and upper-level undergraduate, graduate, and medical school students in these disciplines.

The first and second editions of this successful textbook have been highly praised for their lucid and detailed coverage of abstract algebra. In this third edition, the author has carefully revised and extended his treatment, particularly the material on rings and fields, to provide an even more satisfying first course in abstract algebra.

Published in 1998, this book is a collected volume of papers from the first conference of the European Network for Biomedical ethics. The main subject of this conference is the ethical assessment of IVF in view of its concrete application as an infertility treatment and the consideration of possible alternatives for use. Twenty years after the introduction and the establishment of this therapy a more concrete evaluation of its medical indications, social conditions and consequences, the psychological consequences for the women involved and the parent-child relationship becomes possible. The legal and ethical evaluation of the reproduction technology as regards for example the legal and moral status of supernumery embyos in cryo-conservation has also to be considered in a European perspective. The ethical evaluation concentrates today on the new evolution that IVF technology takes in relation to the extension of diagnostics possibilities due to genetic research. Little work has been done on the connection between IVF and genetic diagnostics and therapy, so the medical and ethical evaluation of the connecting lines are also included in the book.

This is a comprehensive, up-to-date, authoritative research text and clinical reference work the menopause. It contains over 90 contributions covering every conceivable topic in the management of the menopause in women and related issues in the aging male. The book contains many illustrations and a wealth of references.

In the past, medical researchers and practicing clinicians have lacked a single, comprehensive resource on chromosome disorders, the cause of a wide variety of growth abnormalities and miscarriages. As new syndromes are being defined and known syndromes better described, patients with chromosomal abnormalities and their families are making greater demands on professionals for more extensive information. Consisting of more than 200 chromosomal aneuploidy syndromes, the Handbook of Chromosomal Syndromes is the most up-to-date reference to focus exclusively on clinical syndromes due to chromosomal abnormalities.

This fully illustrated guide is ideal for clinicians to use as a ready reference and for treatment and counseling of families and expectant parents facing abnormal prenatal tests. For each syndrome, this easy-to-use guide offers a complete description of clinical presentation, with illustrations, as well as information on behavioral aspects, life expectancy, diagnosis, and cytogenetics. Features of the text include:

• A section devoted to the nomenclature of chromosome abnormalities
• Pictorial material suitable to be shown to patient populations
• Descriptions of the phenotype in tabular and text form for quick and easy reference
• Ideograms for each entry
• A list of key references

Practicing clinicians–including primary care providers, pediatricians, and obstetricians–genetic counselors, researchers, and clinical and medical geneticists will find the Handbook of Chromosomal Syndromes to be an indispensable resource.

This important volume brings together findings in the psychological and medical treatment of sex offenders. It disseminates research from experts around the world in the field of sex offender treatment, making this knowledge available to researchers and clinicians everywhere. Professionals struggling to find effective methods for treating their patients will find Sex Offender Treatment a valuable tool for their daily work. Chapters in Sex Offender Treatment cover a variety of topics. Authors examine such areas as psychodynamic and psychiatric disorders associated with the sex offender, findings on pharmacologic interventions, treatment techniques and the public perception of sex offender treatment, and cautionary notes for those who provide therapy for sex offenders.Within these areas, some specific themes addressed include: types of personality disorders and implications for more effective treatment the effectiveness of antiandrogen treatment and the promising results of other pharmacotherapies techniques for developing insight in incest perpetrators a study of adult male incest offenders'perceptions of the treatment process an adolescent treatment program using a family communication approach hypotheses regarding sexual offenders and men who batter, using psychodynamic and feminist theory Full of practical strategies and useful information, Sex Offender Treatment is a book professionals will reach for again and again.

Prenatal Cocaine Exposures addresses the timely problem of maternal cocaine abuse and its effects on exposed infants, including growth retardation, learning, cardiovascular effects, and seizures. The impact of substance abuse on this and future generations presents an ongoing challenge to medical science. This comprehensive and authoritative volume reviews both animal and clinical studies to explain implications for treatment and long-term outcomes of early exposure.
Prenatal Cocaine Exposures investigates the specific role of cocaine in altering fetal development. Discussions of current studies and state-of-the-art techniques provide a basis for informed clinical decisions. Pediatricians, medical specialists, basic scientists, educators, and policy makers will all benefit from the comprehensive research gathered in this volume.

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.