Each of the 6 units of PROLOG addresses a major area in obstetrics and gynecology and consists of two parts - an assessment book and a critique book. Put your knowledge to the test and earn 14 CME credits for this volume!This edition contains a critique book and an assessment book. The assessment for this edition is available online, and can be purchased at acog.org/prologexam.On completion, users of this unit should be able to: Discuss normal pelvic anatomy and physiology and how alterations in anatomy and physiology contribute to development of pelvic floor disorders. Identify the pathophysiologic and epidemiologic factors that contribute to pelvic floor disorders in women. Associate symptom bother and quality of life impact of different pelvic floor disorders, determine appropriate diagnostic workups, and select accurate diagnoses. Associate pelvic floor symptoms with corresponding signs on examination and testing to ensure accurate diagnoses. Discuss the alternative surgical and nonsurgical treatment options for pelvic floor disorders and identify common complications of therapy. Apply knowledge of anatomy and appropriate surgical techniques in the surgical treatment of pelvic floor disorders.

Intrauterine insemination and ovulation induction is effective first-line treatment for infertility in many straightforward cases and is preferred by many clinicians because they are less invasive than in-vitro fertilization and its variants. This is a comprehensive account of how to set up and run a successful IUI program. The book addresses the practical aspects of treatments that will produce optimum results in terms of pregnancy outcome and safety, as well as the pharmacological and physiological reasons for their use. Chapters on how to prevent complications of ovulation induction such as multiple births and ovarian hyperstimulation syndrome are included, as well as how to diagnose infertility in both sexes. Laboratory procedures for sperm preparation are described in detail. Worldwide resources for obtaining donor sperm and legal issues that surround the management of patients are included. This 2009 manual is of interest to reproductive medicine specialists, general practitioners and general obstetrician gynecologists.

It is widely believed that reproductive cycles are very similar between human females. However, there are in fact considerable variations both between individuals and within the reproductive life of any given individual. 'Normal' reproductive cycles cover a wide range of eventualities, and the likelihood of successful monthly egg release and ensuing pregnancy can be modified by a large number of factors. In this book, the variability of human fertility is examined by first looking at the physiological processes regulating reproduction, and the roles of metabolic adaptation and metabolic load. Inter-population variation in normal ovarian function is then discussed, covering the importance of factors such as age, disease and breastfeeding in modifying ovarian function. First published in 1996, this is an important book for all those interested in human fertility.

Cambridge Pocket Clinician Neonatology covers a wide variety of topics related to neonatal medicine, as well as clinical questions on maternal and neonatal conditions, symptoms, and procedures that will challenge providers in both the outpatient and inpatient settings. The topics are organized under headings on different diagnoses, evaluation, treatment, complications, and prognosis so that the user will find the desired information quickly and easily. More than 200 diseases and conditions are discussed in detail. Editors Richard A. Polin, M.D. John M. Lorenz, M.D. An electrionic version of this book can be purchased at http: //www.

' Charlotte Grand gives sensible practical advice' Dr Clare Bailey 'Full of insightful information, valuable health hacks and delicious recipes' Dr Mark Surrey The Fertility Kitchen is the go-to nutrition and lifestyle cookbook for anyone who wants to become pregnant - whether they are just starting to think about having a baby, have been trying for a while, are navigating infertility or exploring assisted conception. In today's fast-paced society, we are so used to getting what we want, when we want it. For women suffering with infertility it can be the first time they find themselves in a situation they have little control over: they can feel powerless. The Fertility Kitchen will help to reclaim some of that lost power. Part one of The Fertility Kitchen is based around the three 'pillars' of 'Fertility', 'Food', and 'Life', that sit at the heart of everything Charlotte is passionate about, giving a framework for an achievable life-style change. Charlotte shares her expertly tailored, nutrient-rich fertility nutrition and lifestyle plan, covering stress, movement, sleep, and social connection. Part two will help readers put this plan into practice with over 60 original flavour-packed yet simple recipes that embrace everything that's good for fertility. Charlotte explains the food philosophy that she teaches her clients, the foundations of good nutrition and its importance for optimal fertility. She addresses the key areas of health that can affect fertility, enabling readers to personalise their diet to suit their unique needs, as well as outlining the impact lifestyle can have on fertility, giving readers the strategies to achieve balance across all aspects of their life.

This innovative book is one of the first resources to describe in detail the technique of digital time-lapse microscopy, a state-of-the-art analytical tool which is revolutionizing the field of assisted reproduction. Over 180 high-quality video sequences, accessible online via the password included in the book, provide a practical and highly visual guide to this new technology and the wealth of detail it can reveal about human embryo development. Written by a team of experts from across numerous clinical and scientific subspecialties, this book is a comprehensive guide to all aspects of the technique. It covers both the general principles of time-lapse microscopy and the specifics of working with various devices, with chapters on EmbryoScopeTM, Primo VisionTM and EevaTM as well as set-up and troubleshooting. Full electronic access to all text, images and supplementary videos makes this the ideal everyday reference for embryologists, clinicians and others working in IVF laboratories.

Infertility Counseling: A Comprehensive Handbook for Clinicians, 2nd edition, is a comprehensive, multidisciplinary textbook for all health professionals providing care for individuals facing reproductive health issues. It is the most thorough and extensive book currently available for clinicians in the field of infertility counseling, providing an exhaustive and comprehensive review of topics. It addresses both the medical and psychological aspects of infertility, reviewing assessment approaches, treatment strategies, counseling for medical conditions impacting fertility, third-party reproduction, alternative family building and post infertility counseling issues. Each chapter follows the same format: introduction, historical overview, literature review, theoretical framework, identification of clinical issues, suggestions for therapeutic interventions, and future implication. This edition also includes extensive appendixes of clinical tools useful to the clinician, including an Internet database of resources and an extensive glossary of terminology.

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 is a practical guide to the optimal clinical management of preterm labour, using the best available evidence. Preterm labour remains a challenge today, even with the latest developments summarised here. The editors and authors (mostly practising clinicians) are all actively involved in research into the mechanisms, aetiology, treatment and associated outcomes of preterm labour. The chapters are based on common clinical scenarios and each provides a comprehensive literature review followed by evidence-based recommendations on appropriate management. A summary of the pathophysiology of parturition is provided, and the obstetric scenarios cover management of threatened preterm labour, management of preterm premature ruptured membranes and management of preterm labour with specific complications (such as intrauterine growth restriction). Other chapters include the epidemiology, the prediction and the prevention of preterm labour. Anaesthetic and paediatric issues are explored in depth, and there are chapters on legal and organisational issues around preterm labour.

This textbook covers the basic aspects of stem cell research and applications in regenerative medicine. Each chapter includes a didactic component and a practical section. The book offers readers insights into: How to identify the basic concepts of stem cell biology and the molecular regulation of pluripotency and stem cell development. How to produce induced pluripotent stem cells (iPSCs) and the basics of transfection. The biology of adult stem cells, with particular emphasis on mesenchymal stromal cells and hematopoietic stem cells, and the basic mechanisms that regulate them. How cancer stem cells arise and metastasize, and their properties. How to develop the skills needed to isolate, differentiate and characterize adult stem The clinical significance of stem cell research and the potential problems that need to be overcome. Evaluating the use of stem cells for tissue engineering and therapies (the amniotic membrane) The applications of bio-nanotechnology in stem cell research. How epigenetic mechanisms, including various DNA modifications and histone dynamics, are involved in regulating the potentiality and differentiation of stem cells. The scientific methods, ethical considerations and implications of stem cell research.

This book is a practical, evidence-based resource covering thyroid disease and its effects on reproduction and fertility, discussing thyroid function and dysfunction - hypothyroidism and hyperthyroidism, thyroid nodules and cancer - during pregnancy as well as its effects on the fetus. It begins with a review of the anatomy and function of the thyroid and the biosynthesis and physiology of thyroid hormones, as well as the pathophysiology of thyroid dysfunction. The chapters that follow discuss thyroid function and dysfunction (e.g., hypothyroidism and hyperthyroidism) during pregnancy and its effects on fertility as well as the developing fetus. The management of thyroid nodules and cancer, the role of thyroid dysfunction in infertility, the role of thyroid autoimmunity and miscarriage, and postpartum thyroiditis are presented in detail in the concluding chapters. Clinical cases and outcomes bookend each chapter, demonstrating current management strategies for a well-rounded presentation. Filling a clear gap in the literature usually covered only briefly in larger texts on the thyroid, Thyroid Disease and Reproduction: A Clinical Guide to Diagnosis and Management is a unique resource for reproductive endocrinologists, obstetrician/gynecologists, and residents and students in these clinical areas.

This second edition emphasizes the environmental impact on reproduction, with updated chapters throughout as well as complete new chapters on species such as sharks and rays. This is a wide-ranging book that will be of relevance to anyone involved in species conservation, and provides critical perspectives on the real utility of current and emerging reproductive sciences.Understanding reproductive biology is centrally important to the way many of the world's conservation problems should be tackled. Currently the extinction problem is huge, with up to 30% of the world's fauna being expected to disappear in the next 50 years. Nevertheless, it has been estimated that the global population of animals in zoos encompasses 12,000 - 15,000 species, and we anticipate that every effort will be made to preserve these species for as long as possible, minimizing inbreeding effects and providing the best welfare standards available. Even if the reproductive biology community cannot solve the global biodiversity crisis for all wild species, we should do our best to maintain important captive populations. Reproductive biology in this context is much more than the development of techniques for helping with too little or too much breeding. While some of the relevant techniques are useful for individual species that society might target for a variety of reasons, whether nationalistic, cultural or practical, technical developments have to be backed up by thorough biological understanding of the background behind the problems.

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.

Part of the renowned Donald School series, this book is a comprehensive guide to the diagnosis and management of reproductive and gynaecological endocrinology disorders. The book begins with an overview of ovulation and investigation and causes of female infertility including anovulation, tubal block, endometriosis and congenital uterine anomalies. The following chapters discuss ovarian stimulation and assisted reproductive techniques. The second half of the book covers causes and management of male infertility, and concludes with chapters on recurrent miscarriage, gamete banking, and assessment of early pregnancy. Authored by recognised experts in the field, the text is further enhanced by clinical photographs, illustrations, tables and flowcharts. Key points Comprehensive guide to diagnosis and management of reproductive and gynaecological endocrinology disorders Part of renowned Donald School series Covers investigation, causes and management of both female and male infertility Authored by recognised experts in the field

The second edition of this comprehensive reference provides practitioners with the latest advances in the use of ultrasound for diagnosis and management of subfertility. Divided into thirteen chapters, the book begins with an introduction to the principles and applications of ultrasound, and examination techniques and in pelvic assessment. The next sections cover the use of ultrasound for the diagnosis of different gynaecological conditions that may affect fertility, followed by ultrasound-guided procedures in assisted reproduction and potential complications. The text concludes with chapters on ultrasound in male infertility, and three-dimensional ultrasound in subfertility. Edited by recognised experts in the field, the text is further enhanced by more than 400 ultrasound images and is accompanied by an interactive DVD ROM providing video clips for each clinical scenario described in the book. Key points Second edition presenting latest advances in use of ultrasound in subfertility Includes DVD ROM of video clips demonstrating clinical scenarios Internationally recognised editor team Previous edition (9789351520108) published in 2014

Women's reproductive tract infections and other gynecological disorders are an enormous global health burden. This significant book helps focus research in this important, neglected area. It is a vital tool for doctors, epidemiologists and public health professionals to formulate effective ways of evaluating the scale of this problem within the local community. The book takes an international perspective and recognizes that gathering gynecological information in different societies requires a sensitive and multidisciplinary approach. This research highlights the social significance of these disorders for women's health and casts new light on effective medical and behavioral interventions.

Part of the recognised Infertility Management Series, this handbook is a complete guide to basic laboratory procedures in assisted reproductive technology (ART). The book guides clinicians step by step through the processes, beginning with discussion on semen analysis, cryopreservation of semen samples, and semen selection, to embryo culture, selection and transfer, and oocyte and embryo vitrification. The final chapters cover time-lapse imaging - a new technology for embryo development, design and equipment for the laboratory, and future developments in ART laboratory procedures, including the development of gametes from stem cells. Compiled by a recognised team of editors and contributors, the text is enhanced by clinical photographs, illustrations and tables. Other titles in the series include: Investigating Infertility, Intrauterine Insemination, Practical Management of Male Infertility, Polycystic Ovarian Syndrome, Handbook of Ovarian Stimulation, and Abnormalities of the Pelvis. Key points Part of Infertility Management Series providing complete guide to basic laboratory procedures in ART Guides clinicians step by step through the various processes Highly illustrated with photographs, diagrams and tables Edited by recognised team of experts in reproductive medicine

Asserting that there are many more organic codes in nature than just the genetic code, Marcello Barbieri states that the existence of these codes and their corresponding organic memories can be used to explain the key steps in the evolutionary history of life. With major events corresponding to the appearance of new codes, the organic codes and their corresponding organic memories can also shed new light on the problems of epigenesis and how embryos generate their own complexity.

This insightful and thought-provoking collection of chapters describes the rapid advances that have revolutionized reproductive medicine. From oogenesis and spermatogenesis, through to fertilization, embryogenesis, and cloning, this volume looks at cutting-edge technologies and scientific advances. Subsequent chapters focus on infertility and its diagnosis and treatment using the full armory of assisted reproductive technologies. A concluding section surveys the impact of these developments on the provision, regulation, and financing of reproductive health care in the global community.

This well-illustrated new publication provides concise yet comprehensive practical information on the modern-day approach to the diagnosis and treatment of infertility. The author explains basic principles of reproductive physiology, before moving on to the medical causes of infertility. The full armory of techniques from IVF to ICSI and even newer technologies used to treat infertility in all its manifestations is described and detailed. The aim throughout is to explain issues clearly, simply, and directly in a way that will be understood by doctors, scientists, and nurses alike. By combining basic science and medical aspects, along with "how it is done" descriptions of techniques and medical interventions, this book offers an unsurpassed introductory account of this fast moving area.

Part of a new series on reproductive medicine, this book is a complete guide to assisted reproductive technology (ART). Divided into 39 chapters, the book covers all aspects of ART, providing clinicians with a step by step guide through the processes. The text covers ovarian stimulation, embryo transfer, imaging, hormone analysis, endometrial receptivity, surgical procedures and much more. Many different causes of infertility and their management through ART are described in detail. The book presents the latest advances in the field and each chapter includes key points and references for further reading. Clinical photographs, diagrams and tables further enhance the comprehensive text. Other titles in the series include: Practical Guide in Infertility, Practical Guide in Reproductive Surgery and Practical Guide in Andrology and Embryology. Key points Comprehensive guide to assisted reproductive technology Part of new series on reproductive medicine Covers numerous ART procedures for management of infertility Chapters include key points and detailed references for further reading

As we enter the twenty-first century, a number of medical, environmental, and social changes have profoundly affected human reproduction. This book discusses some of the more dramatic changes in an accessible manner, illustrating the ways in which human biology and culture can affect fertility. It provides a unique interdisciplinary perspective on the subject. Topics of discussion include medical technological advances that equip us with potential cures for many causes of infertility; diseases, such as AIDS, that have a devastating impact on the reproductive and social lives of humans; increasing industrialization and the development of fabricated materials that pollute our environment in unforeseen ways with possibly devastating effects on human health and fertility; and social revolutions that profoundly alter human relationships, such as nonmarital unions between heterosexual couples, same-sex relationships, and adoption and surrogacy.

This practical and concise guide provides a step-by-step approach to every aspect of the interpretation of semen analysis results. While other books focus on basic semen analysis protocol and techniques, few books then go on to actually interpret these results and provide useful guidance on the significance of different results for infertility assessment. This guide takes a systematic, hands-on approach to identification of the ranges of abnormality that contribute to male subfertility. It also defines basic concepts, provides clinically essential reference values, and elucidates the often subtle relationships among many sperm characteristics. Once conclusions are reached, the guide offers recommendations for appropriate referral and additional options. Inclusion of vignettes from a wide range of real-life case reports based on the author's own experiences help to illustrate key points. This practical guide is an invaluable resource for all clinicians, scientists, and laboratory professionals working with infertile patients.

In recent years, the treatment of male infertility has been revolutionized by advances in assisted reproductive technology. Prepared by an authoritative international panel of experts, this concise and structured account provides a consensus on the most effective and logical approach to the investigation and management of male infertility. The manual focuses attention on three key areas: history taking, clinical assessment of male fertility, and objective criteria for diagnostic categories. This approach complements the areas covered in the companion volume WHO Laboratory Manual for the Examination of Human Semen and Sperm-Cervical Mucus Interaction (CUP, fourth edition, 1999) and significantly expands on the section on male infertility discussed in the previous volume on the infertile couple, WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple (CUP, 1993). This new, practical consensus will be an indispensable guide to good clinical management of all forms of male infertility.