The purpose of sexual and reproductive healthcare should be the enhancement of personal relationships and a healthy sex life and not merely counselling and care related to procreation or sexually transmitted infections. Providing practical and evidence-based guidance, this handbook follows the curriculum of the joint EBCOG and ESCRH Certificate and Diploma Examination in Sexual and Reproductive Health. Short, clearly structured text focuses on the essential knowledge of each topic, allowing readers to quickly access key information. Written by trusted experts in the field, topics covered include contraception, infertility and sexual dysfunction, sexual violence and STIs. The text provides advice and practical tips for how to practice patient-centred counselling and shared decision-making. Improving the relationship between the patient and healthcare-provider leads to increased trust, adherence of advice and more satisfactory treatment for the patient.

'Amy's book is everything I should have learned at school. It is a reminder to empower ourselves, in a world that still sadly lacks so much knowledge around women's health, by getting to know our own bodies more intimately - with the help of technology built by women' Emma Gannon 'Moody is a fascinating and friendly guide for you to understand you better.' Melissa Hemsley 'Knowledge is power and this book equips you with the power to unlock potential and happiness.' Poppy Jamie, author of Happy Not Perfect There is a secret inside you which, once you understand it fully, has the capacity to unlock untold potential. Once you learn the science of your hormones, you will be able to harness it forever. Hormones were something Amy Thomson, founder and CEO of leading women's health app and tech service Moody, never paid attention to, until one day her periods stopped and what had been an inconvenience each month became a barometer for her body's health and mental happiness. When she discovered that her hormonal burnout was driven by stress, she quit her job and focused on trying to understand how her body worked, to establish why and how she had pushed herself too far. In this guide, Amy shares the research and science behind how our hormones work for twenty-first-century survival, how understanding them can help you build better and healthier routines, and why the systems and cycles inside us are an invisible but powerful force. With insights from nutritionists, gynaecologists, endocrinologists, personal trainers and others, Moody provides a holistic and practical blueprint for understanding your hormones and optimising your life around them. Praise for Moody 'As a woman, medical doctor and scientist I found Moody hugely illuminating' Dr Tara Swart

'This book is totally brilliant - informative, sensitive, funny and wise. Reading it is like talking to a fairy godmother who also happens to be a gynaecologist and expert on all things fertility' Sophia Money-Coutts Big Fat Negative (BFN) - a term commonly used on internet forums to refer to a negative pregnancy test. Infertility can be a lonely journey. One in every six couples will struggle to conceive but, despite this, many don't feel comfortable talking openly about their experiences and sharing what they are going through. As a result, they feel isolated and alone. It doesn't have to be this way. By talking, laughing and shouting about our experiences we can start to lift the cloak of shame that so often engulfs those going through it. Big Fat Negative does just that. This no-nonsense, honest guide to infertility from the hosts of the Big Fat Negative podcast smashes the taboo around this isolating and heartbreaking illness, offering first-hand experience, an understanding voice when friends don't get it, expert advice, reassurance for when you feel alone and - most importantly - humour when it you need it the most. Using first-hand accounts of the various hurdles of infertility, from work to diagnoses and IVF, coupled with advice from leading experts, Big Fat Negative will hold your hand on the not-so simple journey to motherhood - helping you to face and defeat the trials of trying for a baby.

In 2018 the first genetically modified babies were reportedly born in China, made possible by the invention of CRISPR technology in 2012. This controversial advancement overturned the pre-existing moral consensus, which had held for over fifty years before: while gene editing an adult person was morally acceptable, modifying babies, and thus subsequent generations, crossed a significant moral line. If this line is passed over, scientists will be left without an agreed-upon ethical limit. What do we do now? John H. Evans here provides a meta-level guide to how these debates move forward and their significance to society. He explains how the bioethical debate has long been characterized as a slippery slope, with consensually ethical use at the top, nightmarish dystopia at the bottom, and specific agreed-upon limits in between, which draw the lines between the ethical and the unethical. Evans frames his analysis around these limits, or barriers. Historically they have existed to guide scientists and to prevent the debate from slipping down the metaphorical slope into unacceptable eugenicist possibilities, such as in Aldous Huxley's novel Brave New World or the movie Gattaca. Evans examines the history of how barriers were placed, then fell, then replaced by new ones, and discusses how these insights inform where the debate may head. He evaluates other proposed barriers relevant to where we are now, projects that most of the barriers suggested by scientists and bioethicists will not hold, and cautiously identifies a few that could serve as the moral boundary for the next generation. At a critical time in this new era of intervention in the human genome, The Human Gene Editing Debate provides a necessary, comprehensive analysis of the conversation's direction, past, present, and future.

The latest edition of An Atlas of Gynecologic Oncology continues its coverage of the innovative techniques in investigation and surgery on the brink of becoming established as part of the gynecologic surgeon's repertoire, now including the exciting developments in uterine transplantation.

Am I the Reason I'm Not Getting Pregnant? gets women struggling with infertility ready to unleash unshakable confidence and certainty on the road to motherhood. Am I the Reason I'm Not Getting Pregnant? reveals the secret to trading that fear for the unwavering confidence and certainty that women are truly doing everything they can. Rosanne Austin is the coach women around the world turn to when they want success on their fertility journey. In Am I the Reason I'm Not Getting Pregnant? Rosanne shares: The genius hack for getting back on the road to fertility success, regardless of age, past "failures," and scary statistics The secret to making fertility decisions like an expert, so women improve their chances of getting pregnant immediately and don't waste time or resources How to create the perfect Bump Squad, so women can finally get the support they really want - even from people they think won't "get" it What it takes to crush fear, doubt, negativity, and spinning in "what-ifs", so women don't wreck their results or set themselves up for soul-searing regret Daily practices that empower women to never have to utter the words, "What should I do," ever again

Replacing and superseding all other works in this area, Dr. Lucinda L. Veeck's An Atlas of Human Gametes and Conceptuses is the only book now in print that shows the typical and atypical morphology of human oocytes, sperm, and preembryos collected and cultured during the course of in vitro fertilization treatment. Brilliantly illustrated with hundreds of original photographs in color as well as black and white, the book also details and fully illustrates specific new reproductive technologies and provides the reader with both a glossary and a concise history of in vitro fertilization. Includes bibliographic references and index.

Making a Good Life takes a timely look at the ideas and values that inform how people think about reproduction and assisted reproductive technologies. In an era of heightened scrutiny about parenting and reproduction, fears about environmental degradation, and the rise of the biotechnology industry, Katharine Dow delves into the reproductive ethics of those who do not have a personal stake in assisted reproductive technologies, but who are building lives inspired and influenced by environmentalism and concerns about the natural world's future. Moving away from experiences of infertility treatments tied to the clinic and laboratory, Dow instead explores reproduction and assisted reproductive technologies as topics of public concern and debate, and she examines how people living in a coastal village in rural Scotland make ethical decisions and judgments about these matters. In particular, Dow engages with people's ideas about nature and naturalness, and how these relate to views about parenting and building stable environments for future generations. Taking into account the ways daily responsibilities and commitments are balanced with moral values, Dow suggests there is still much to uncover about reproductive ethics. Analyzing how ideas about reproduction intersect with wider ethical struggles, Making a Good Life offers a new approach to researching, thinking, and writing about nature, ethics, and reproduction.

Assisted Reproduction is a specialty undergoing rapid change as new technologies are introduced and new research challenges previous treatment options. This text examines a selection of controversial topics for both laboratory and clinical practice and tries to place them in perspective, so readers can understand how and why the current state of the question has come about and how future contributions to the debate should be measured. All physicians involved with the technologies concerned will learn from the expert contributions assembled here. CONTENTS: The use of ovarian markers * Use of molecular markers of endometrial receptivity * Use of GnRHa for triggering final oocyte maturation during ovarian stimulation cycles * Use of time-lapse embryo imaging in assisted reproductive technology practice * Use of cryopreservation for all embryos * Preimplantation genetic screening * The use of single embryo transfer * Use of luteal phase support * Measuring safety and efficiency in in vitro fertilization * To flush follicles during egg collection or not * Use of blastocyst culture * Use of mitochondrial donation * Controversies in recurrent implantation failure: From theory to practice * Fibroids: To remove or not? * Limitations of endometrioma surgery in in vitro fertilization: Possibilities of early disease control

The success of Assisted Reproductive Technology is critically dependent upon the use of well optimized protocols, based upon sound scientific reasoning, empirical observations and evidence of clinical efficacy. Recently, the treatment of infertility has experienced a revolution, with the routine adoption of increasingly specialized molecular biological techniques and advanced methods for the manipulation of gametes and embryos. This textbook - inspired by the postgraduate degree program at the University of Oxford - guides students through the multidisciplinary syllabus essential to ART laboratory practice, from basic culture techniques and micromanipulation to laboratory management and quality assurance, and from endocrinology to molecular biology and research methods. Written for all levels of IVF practitioners, reproductive biologists and technologists involved in human reproductive science, it can be used as a reference manual for all IVF labs and as a textbook by undergraduates, advanced students, scientists and professionals involved in gamete, embryo or stem cell biology.

There is great concern regarding the reproductive and health hazards of endocrine disruptors. Research indicates that men are experiencing declining fertility and an increased incidence of prostate cancer, while women are dealing with increased infertility, early menopause, and breast cancer. As new research reveals the previously unknown risks of these endocrine disruptors, it is imperative to update our knowledge of these controversial chemicals. Endocrine Disruptors: Effects on Male and Female Reproductive Systems, Second Edition examines the reproductive and health hazards of endocrine-disrupting environmental chemicals from epidemiology to etiology, concluding with future directions. Divided into two sections, the first part of the book describes the effects of environmental toxicants on the female reproductive system, with an emphasis on the effects and mechanisms of their action on sex differentiation during development, fertility, and breast cancer. The second part addresses the effects of endocrine disruption on the male reproductive system, focusing on male fertility and the development of benign prostate hyperplasia (BPH) and prostate cancer. Leading authorities contribute expert analyses and up-to-date information on a topic that has become a major concern among the scientific community and the general public. This second edition supplies the most current, critical knowledge on the real risks that endocrine disruptors pose to the population.

In recent years increasing numbers of women from wealthy countries have turned to egg donation, egg freezing, and in vitro fertilization to become pregnant, especially later in life. This trend has created new ways of using, exchanging, and understanding oocytes-the reproductive cells specific to women. In The Oocyte Economy Catherine Waldby draws on 130 interviews---with scientists, clinicians, and women who have either donated or frozen their oocytes or received those of another woman---to trace how the history of human oocytes' perceived value intersects with the biological and social life of women. Demonstrating how oocytes have come to be understood as discrete and scarce biomedical objects open to valuation, management, and exchange, Waldby examines the global market for oocytes and the power dynamics between recipients and the often younger and poorer donors. With this exploration of the oocyte economy and its contemporary biopolitical significance, Waldby rethinks the relationship between fertility, gendered experience, and biomedical innovation.

Fertility Fuel is an integrative approach to understanding and overcoming infertility. While most fertility clinics thrive on scary statistics and over-medicalized interventions, it is possible to create your family without fear and desperation. Laying out five steps to get one's body in the best possible state to say YES to fertility, Fertility Fuel examines widely accepted western medicine protocols as well as the integration of adjunct therapies to improve fertility results. It discusses options and possible treatments that may not be on the patient's current radar and helps couples separate facts from scare tactics in their fertility quest. Founded in clinical experience as well as current exposure to modern integrative practices, Fertility Fuel is a patient advocate handbook for helping couples create a family.

With 3000 new references added since the first edition, this book gives the information necessary to produce embryos totally through in vitro techniques. It shows the commercial applications of embryo and oocyte research. Cattle remain at the forefront of many new developments in reproductive technology and what can be done for the cow today will later be applicable to other farm livestock and perhaps humans. This new edition reviews the considerable advances and issues in embryo production technology, based on reports since the first edition in 1994. This is a must have volume for those who own the first edition, and in itself an incredibly informative text.

This text will provide doctors both in training and in practice with useful advice on managing women and men who are having trouble conceiving and couples with infertility and related disorders. Its combination of scientific information and practical advice for tackling problematic cases make this an accessible handy reference in outpatient clinics or in revision for professional exams, as well as a fully referenced information resource. Contents: Glossary of terms * Problems with puberty and its onset * Understanding infertility * Investigations in infertility * Influencing the sperm count * Helping women to ovulate * Damage to the uterus, the fallopian tubes and the ovaries * What to do if nothing wrong can be found and how to answer when a couple asks 'what can we do to improve our fertility?' *Assisted conception * Preserving fertility * Global perspectives on reproductive medicine * Reproductive biology in one other great ape (the gorilla) * Research questions still unanswered - And further reading

Fully revised for this fourth edition, the Oxford Handbook of Obstetrics and Gynaecology fully reflects new developments in the field. Featuring new sections on the outcomes of the MBRRACE report, abnormally adherent and invasive placenta, pregnancies in mothers of advanced age, assisted reproduction, and ovarian cancer screening, it provides a contemporary overview of this complex and important specialty. Written and reviewed by a team of highly experienced clinicians, academics, and trainees, this Handbook is a perfect starting point for preparation for postgraduate exams. Practical advice is presented with key evidence-based guidelines, supported by visual algorithms and top clinical tips. The previous edition was Highly Commended in the Obstetrics and Gynaecology category of the BMA Book Awards. The indispensable, concise, and practical guide to all aspects of obstetric and gynaecological medical care, diagnosis, and management, this fourth edition continues to be the must-have resource for all specialist trainees, junior doctors, and students, as well as a valuable aide memoire for experienced clinicians.

This textbook presents essential and accessible information about human embryology including practical information on human health issues and recent advances in human reproductive technology. Starting with biological basics of cell anatomy and fertilization, the author moves through the development of specific organs and systems, before addressing social issues associated with embryology. Each chapter includes specific objectives, general background, study questions, and questions to inspire critical thinking. Human Life Before Birth also contains two appendices and a full glossary of terms covered in the text. Clinicians and researchers in this field will find this volume indispensable. Key selling features: Explores all the developmental and embryological events that occur in human emryonic and fetal life Reviews basic cell biology, genetics, and reproduction focusing entirely on humans Summarizes the development of various anatomical systems Examines common birth defects and sexually transmitted diseases including emerging concerns such as Zika Documents assisted fertilization technologies and various cultural aspects of reproduction

Embryology has evolved from myth in early cultures, who knew little about the details of conception and pregnancy, to the height of modern scientific knowledge. Thomas Weihs argues persuasively that new scientific understanding of embryology could engender a new mythology, and that, in fact, science and myth are complementary aspects of the study of new life. He explores the correspondence between the creation story in Genesis, and other creation myths, with the development of the human embryo, and also discusses how the intuitive heart-felt values we associate with pregnancy and birth can be reconciled with the science of our age.

In the 1960s thousands of poor women of color on the (post)colonial French island of Reunion had their pregnancies forcefully terminated by white doctors; the doctors operated under the pretext of performing benign surgeries, for which they sought government compensation. When the scandal broke in 1970, the doctors claimed to have been encouraged to perform these abortions by French politicians who sought to curtail reproduction on the island, even though abortion was illegal in France. In The Wombs of Women-first published in French and appearing here in English for the first time-Francoise Verges traces the long history of colonial state intervention in black women's wombs during the slave trade and postslavery imperialism as well as in current birth control politics. She examines the women's liberation movement in France in the 1960s and 1970s, showing that by choosing to ignore the history of the racialization of women's wombs, French feminists inevitably ended up defending the rights of white women at the expense of women of color. Ultimately, Verges demonstrates how the forced abortions on Reunion were manifestations of the legacies of the racialized violence of slavery and colonialism.

Offering expert, practical guidance through the decision-making process,Differential Diagnoses in Surgical Pathology: Gynecologic Tract, Second Edition, by Drs. Russell Vang, Anna Yemelyanova, and Jeffrey D. Seidman, helps you systematically solve tough diagnostic challenges in gynecologic pathology and arrive at a correct diagnosis between commonly confused entities. In this fully revised edition, lesions are presented side by side for easy comparison, with clinical and pathological findings in short outline format followed by several full-color images. In addition to illustrating and discussing the classical features of these entities, the authors emphasize atypical features that can complicate diagnoses.  Provides side-by-side comparisons for each major differential diagnosis—more than 170 in all— helping you distinguish between commonly confused lesions of the gynecologic tract  Contains more than 1,500 full-color photographs that depict the features of each entity and cover all major differential diagnoses in this challenging area  Offers up-to-date coverage of the vulva and vagina, cervix, endometrial epithelial lesions, uterine pure mesenchymal and mixed epithelial-mesenchymal lesions, the ovary, peritoneum/omentum, fallopian tube and paratubal region, and gestational trophoblastic disease  Ideal for practicing pathologists, pathologists in training, residents, and medical students    Enrich Your eBook Reading Experience  Read directly on your preferred device(s), such as computer, tablet, or smartphone.  Easily convert to audiobook, powering your content with natural language text-to-speech. 

Fertility Awareness is key to understanding sexual and reproductive health at all life stages. It can be used to either plan or avoid pregnancy. Fertility Awareness Methods (FAMs) are highly effective when motivated couples are taught by trained practitioners. These methods are in demand for ecological, medical, cultural, religious and moral reasons. The ability to control fertility naturally is a lifestyle choice. The Complete Guide to Fertility Awareness provides the science and methodology suitable for health professionals and a general audience. It covers reproductive physiology and the fertility indicators: temperature, cervical secretions and cycle length calculations. It explores ways to optimise conception and to manage conception delays. Case studies and self-assessment exercises are included throughout. The book addresses the scientific credibility of new technologies including fertility apps, home test kits, monitors and devices. The Complete Guide to Fertility Awareness offers: evidence-based information for general practitioners, practice nurses, school nurses, midwives, sexual health doctors and nurses a unique perspective on subfertility for gynaecologists and fertility nurses an authoritative source of reference for medical, nursing and midwifery students a straightforward and practical reference for new and experienced FAM users the core text for the FertilityUK Advanced Skills Course in Fertility Awareness

For many years, the focus of fertility research and treatment has been the female. In reality, at least half of all infertility cases have a male factor as a major or contributing cause. Recent advances in the diagnosis and treatment of male infertility have enabled pregnancies in cases where the male partner was previously considered to be untreatable or even sterile. With contributions from world- renowned experts, this comprehensive overview of male infertility covers anatomy, evaluation, treatment and prevention. The elucidation of the molecular genetics underpinning spermatogenesis and the development of new sperm function tests have increased our understanding of male infertility and led to new treatments which are discussed and evaluated. This volume presents the latest scientific developments in a clinically useful and practical format. The book is packaged with a high-quality surgical atlas on CD- ROM. This text will be valuable for urologists and reproductive endocrinologists at all levels.

The most common abnormal growth of the female reproductive system, fibroids, are thought to affect the majority of women at some point during their reproductive years. This text from leading fibroid experts looks at the latest evidence on how the problem impinges on reproduction and the most up-to-date management and treatment options available to help patients with fibroids hoping to conceive. Print versions of this book also include access to the eBook version with links to procedural videos.

Although there are far more opportunities for LGBTQ people to become parents than there were before the 1990s, attention to the reproductive challenges LGBTQ families face has not kept pace. Reproductive Losses considers LGBTQ people's experiences with miscarriage, stillbirth, failed adoptions, infertility, and sterility. Drawing on Craven's training as a feminist anthropologist and her experiences as a queer parent who has experienced loss, Reproductive Losses includes detailed stories drawn from over fifty interviews with LGBTQ people (including those who carried pregnancies, non-gestational and adoptive parents, and families from a broad range of racial/ethnic, socio-economic, and religious backgrounds) to consider how they experience loss, grief, and mourning. The book includes productive suggestions and personal narratives of resiliency, commemorative strategies, and communal support, while also acknowledging the adversity many LGBTQ people face as they attempt to form families and the heteronormativity of support resources for those who have experienced reproductive loss. This is essential reading for scholars and professionals interested in LGBTQ health and family, and for individuals in LGBTQ communities who have experienced loss and those who support them. See additional material on the companion website: www.lgbtqreproductiveloss.org/