Genitourinary medicine (GUM) is an expanding specialty which is primarily related to the treatment and prevention of sexually transmitted infections (STIs). A number of GUM departments also offer other sexual health services such as contraception, sexual dysfunction and health promotion. Services are provided by multidisciplinary teams which include doctors, nurses, health advisers (who carry out partner notification and counselling), receptionists, laboratory staff and secretarial support. evidence-based, practical information on the specialty, covering medico-legal, ethical, and procedural issues. The first section deals with routine management, special situations and clinical and laboratory processes. The second section covers genitourinary conditions in a disease-orientated style, including sexually transmitted diseases and other genitourinary problems. The third section on HIV provides a contemporary epidemiological overview of this infection, basic viral biology and pathogenesis, a disease-orientated description of conditions both directly related and opportunistic, and their management, and data on special situations such as pregnancy. medicine and infectious diseases, the book also appeals to general practitioners and interested medical students.

This volume contains the 1983 second edition of Textbook of Contraceptive Practice. The second edition represented a comprehensive reappraisal of the subject, taking account of the great expansion in information on all aspects of family planning that had occurred since the first edition was published in 1969. It emphasized the historical, social and political, and clinical perspectives of the subject. Advances in oral contraception, in the use of intra-uterine devices and in surgical methods of family planning were considered in relation to consumer choice and their overall risks and benefits. All techniques of contraception, from folk methods to methods of abortion and sterilization, were discussed in detail and evaluated.

In this second edition of Disorders of Thrombosis and Hemostasis in Pregnancy - A Guide to Management the content has been thoroughly updated, with a particular focus on strengthening the management sections to ensure that advice on management represents state of the art.

Why do American couples differ in the number of children they have? To answer this question the first major longitudinal study in American fertility was begun in 1957 with a series of interviews with parents of two children. Family Growth in Metropolitan America (1961) and The Third Child (1963) reported the results of the first two phases of this research project. In this book, in addition to evaluating the longitudinal design of the study, the authors report the results of the third and final interviews, a decade after the first, and attempt to answer such questions as: How well are couples able to predict their own fertility over the years? To what extent does the number of children desired affect the spacing of births? How is fertility affected by peer group relations, by the wife's participation in the labor force, by religion? Originally published in 1971. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

"Selected by" Choice" magazine as an Outstanding Academic Title for 1996""[Marsh and Ronner make for] a highly successful combination in which faultless clinical detail and a broad social and cultural approach are seamlessly woven to produce a very impressive and beautifully written historical work of the first importance." -- Irvine Louden, "Journal of the Social History of Medicine"

In "The Empty Cradle," Margaret Marsh and Wanda Ronner delve into the origins of the many misconceptions surrounding infertility as they explore how medical and cultural beliefs emerged throughout its controversial history. Drawing on a wide variety of sources -- including intimate diaries and letters, patient records, memoirs, medical literature, and popular magazines -- "The Empty Cradle" investigates the social, cultural, scientific, and medical dimensions of infertility over the past three hundred years.

Marsh and Ronner explore reactions -- among both physicians and husbands -- to the emerging scientific evidence that infertility was a condition for which men and women bear equal responsibility. The book concludes that infertility is still a subject affected by myth and misunderstanding. A lively and compelling history of a complex medical and cultural phenomenon, "The Empty Cradle" brings a valuable perspective to current debates about how we should think about and address the experience of infertility in our own time.

"Marsh and Ronner have sought to go beyond the published medical literature to disclose the voices of those most affected by the physiological and cultural condition of infertility... they have restored to the historical record the anguish and the hopes of women whoexperienced infertility." -- Rima D. Apple, "American Historical Review"

"The book's lucid explanations of medical terms and procedures will allow me to recommend it to my infertility patients. I plan to do so, trusting that it will give them a new perspective on their predicament. Knowing that it provided me a new perspective on both infertility and the practice of gynecology, I will also assign it an honored place in my medical library." -- Janet E. Shepherd, M.D., "Journal of the American Medical Association"

" "The Empty Cradle" demonstrates the profound impact of politics as well as culture on the development of medical practice. It is an excellent model for future scholarship on the complex relationship between science and society." -- Elaine Tyler May, "Journal of the History of Medicine and Allied Sciences"

This book contributes in an important way to the psychoanalytic understanding and impact of Assisted Reproductive Technology on a majority of patients who have difficulties starting new families. Recent advances in reproductive technology and the increased use of techniques based upon it have created a need for psychoanalytic thinking and understanding of the psychological implications of Assisted reproductive procedures, in-vitro fertilization and other similar procedures.The recent and rapid advances in medical technologies confront us with a mandate in our clinical work to understand their complex impact on women, men, and children. However, attention to the intra psychic conflicts, traumatic experience of the use of such techniques has not been addressed in psychoanalytic literature. The developmental trauma and intra psychic conflicts of individuals using reproductive technologies are ubiquitous, yet it has been neglected as a topic of special interest in our clinical work.The centerpiece of these collective chapters deal with psychic trauma of infertility, the compulsion to repeat through persistent repeated use of assisted reproductive technology, anxiety about motherhood, and finally the lives of children who are born and do not know from where they came.These poignant topics deal with family complexes and the Oedipal circle, repetition compulsion, trials and failures, anxiety related to motherhood, egg and sperm donors, parental identity formation, infertility, trauma, and discussion of a contemporary film depicting the challenging and newly defined family structure.

Scientists investigating germ cells have, over the past 15 years, originated discoveries and innovations that give us valuable insights into the mechanisms that regulate not just stem cell function, but human development in its widest sense. With contributions from some of the leading researchers in the field, Male Germline Stem Cells: Developmental and Regenerative Potential assesses the implications of these discoveries for understanding the fundamental biology of germline stem cells as well as their potential for human stem cell-based therapies. This monograph covers many of the fundamental issues now being explored by today's generation of stem cell researchers, including the field's potential for regenerative medicine. Ranging from an assessment of the pluripotency of primordial germ cells and their possible applications in treating testicular cancer, to the recovery of once-mordant fertilization-competent sperm, this volume has it all. It is a reference point for any scientist involved in related research as well as being a timely summation of what could prove to be a hugely exciting and very fruitful area of inquiry.

Human oocyte cryopreservation has undergone rapid growth, with technical improvement and increasing clinical application over the last ten years. Storing eggs is ethical and gives many young women their most realistic chance of conception. Cryopreservation, however, is still considered by many as an experimental technique and conflicting reports are published as to its efficacy. For these reasons, it is necessary to give reproductive researchers and practitioners comprehensive and systematic information about the field. This book describes and analyses the history of human oocyte freezing, the main steps of technical evolution, and the pros and cons of different techniques. In addition, the clinical applications, long-term outcome, efficiency and safety of oocyte cryopreservation are detailed. The Handbook of Human Oocyte Cryopreservation gives a complete picture of the field today and is a valuable text for embryologists, cryobiologists, reproductive medicine practitioners and anyone involved in researching and implementing the technique.

Understand the rapidly growing complexities of obstetric hematology and high-risk pregnancy management, with experts in the field. Now in its second edition, this comprehensive and essential guide focuses on providing the best support for patients and clinical staff, to prevent serious complications in pregnancy and the post-partum period for both mother and baby. Wide-ranging and detailed, the guide offers discussions on basic principles of best care, through to tackling lesser-known hematological conditions, such as cytopenias and hemoglobinopathies. Updated with color illustrations, cutting-edge research, accurate blood film reproductions, and practical case studies, the revised edition places invaluable advice into everyday context. This unique resource is essential reading for trainees and practitioners in obstetrics, anesthesia, and hematology, as well as midwives, nurses, and laboratory staff. Clarifying difficult procedures for disease prevention, the guide ensures safety when the stakes are high. Reflecting current evidence-based guidelines, the updated volume is key to improving pregnancy outcomes worldwide.

'Reproflexology' - the study and treatment of male and female reproductive and fertility conditions using reflexology - is aspecialist therapy that has been pioneered and carefully developed by Barbara Scott over 20 years. The therapy can be applied either as a stand-alone treatment to support natural conception or alongside fertility treatment. This is the first book to be published on treating fertility issues using reflexology.Reproductive reflexology can be a minefield with much conflicting advice being given about what practitioners can and cannot do. Because of this many practitioners choose not to work with clients who are having fertility issues. In this book Barbara Scott gives clear guidance on how to gain information from clients, how to interpret that information, how to plan treatment and what reproflexology techniques to use. This will give practitioners the knowledge and confidence to work with clients who have a wide range of reproductive conditions and who are trying to conceive.

Infertility affects an estimated 50 million women worldwide and has a wide range of causes including eating disorders, smoking, chemotherapy, diseases such as STIs, as well as genetic factors and malformations. The preliminary assessment and diagnosis involves a potentially broad array of lab and imaging tests, physical examination and potentially genetic tests, after which a management plan is selected depending on the woman’s age, the cause(s) and duration of the infertility. Female Infertility: Core Principles and Clinical Management provides clinicians with a comprehensive understanding of how best to overcome infertility using the various treatment options now available. The book opens with an introduction to the anatomy and physiology of the female reproductive system before describing the assessment and investigative tools used in primary and secondary healthcare settings. Subsequent chapters describe how to secure optimum functionality of the ovaries, the measurement of ovarian reserves, stimulation protocols and the process of oogenesis and oocyte collection. Given their potential adverse impact on the quality of oocytes and implantation, dedicated chapters focus on the treatment of polycystic ovarian syndrome and endometriosis. Concluding chapters address fast moving and future technologies, including the use of pluripotent stem cells for treating different medical conditions; the management of mitochondrial disease and the transplantation of cryopreserved ovaries. Highly illustrated and written by a team of international experts in the field, Female Infertility: Core Principles and Clinical Management serves as an essential resource for all clinicians, nurses and clinical scientists who specialise in reproductive medicine, gynecology, oncology, infertility and embryology.

Senior investigators internationally have here collaborated to produce an international reference work. Each contributor provides critical and thought provoking concepts and ideas based on the latest developments in their field. The result is a must read and timely reference work for investigators who are interested in how spermatogenesis is currently understood and which are the most promising avenues for future research; an Introduction sets the context for the chapter and points out the relevance of the research for basic research scientists and clinicians.

Praxisnahe Anleitung zur optimalen Beratung und Betreuung von Kinderwunschpaaren, dafur steht das in dieser 3. Auflage erweiterte Autorenteam aus ausgewiesenen Spezialisten. Durchgehend aktualisiert fuhrt das Buch seine Leser durch alle relevanten Themen und alles Wissenswerte zur Kinderwunschsprechstunde: - Grundlagen zu Physiologie und Familienplanung - Darstellung verschiedener Gegebenheiten in Fallbeispielen - Konkrete Praxistipps zu Beratung, Diagnostik und Therapie - Herangehensweise an unterschiedliche Ausgangssituationen Neue Kapitel erganzen die bewahrte Zusammenstellung der Inhalte: - Fertilitatsprophylaxe bei malignen Erkrankungen - Rechtliche Aspekte der Kinderwunschbehandlung

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.

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.

This unique source of reference provides a comprehensive guide to the adverse side-effects of many commonly prescribed drugs on fertility and sexual health. More than 150 drugs are listed in this compilation, and the evidence linking them with infertility and sexual dysfunction is carefully reviewed. The volume is designed to provide a rapid source of reference to alert doctors and pharmacists to these hazardous side-effects. The volume also includes an introductory account of the reproductive process and a review of the mechanisms by which these drugs can interfere or inhibit reproduction. Another important theme of the volume is the effect of social and recreational drugs and environmental agents on reproductive health.

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.

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.

This highly effective programme for women struggling to become pregnant draws on the proven, centuries-old techniques of traditional Chinese medicine to cure infertility. Dr Lewis explains in clear, accessible prose how any woman can identify the imbalances in her body - and how these imbalances can then be treated with a simple plan that entails lifestyle changes, diet, herbs and acupressure. On its own or in conjunction with traditional Western medical treatments, THE INFERTILITY CURE offers women hope - and what they desire most: a healthy baby. 'Lewis simplifies many complex concepts, such as the theory that there are four vital substances in the body (Yin, Yang, Qi, and Blood) and that they're likely to be suffering from imbalance caused by energy excess, deficiency, or stagnation' - Publishers Weekly

Written by world-leading fertility experts and edited by mums who have undertaken multiple cycles of IVF and know what it takes to succeed, this guide advises you on the entire IVF process and how to maximise your chances of success . All IVF topics are covered, from how to choose your fertility clinic, to understanding the stages of an IVF cycle, to how to prepare yourself physically and emotionally for the treatment. * Looks at how to optimise your nutrition and how to improve egg and sperm quality * Examines the growing trends of egg freezing and donor-assisted IVF * Shares real-life stories of a variety of IVF journeys and their inspiring outcomes * Includes key contributions from the Human Fertilisation and Embryology Authority (HFEA), the UK's independent regulator for fertility treatment and research IVF: All You Need to Know is an essential handbook for couples and individuals who are considering IVF, who want to find out what's involved, and who want to be as well prepared as they can be. It is also for those who may have already tried IVF, have experienced failed cycles and want to boost their chances of success next time around.

One in six couples have problems conceiving and many more suffer the pain of miscarriage, which FIT FOR FERTILITY also addresses. Much of the advice they're given is misleading or negative and IVF is often presented as the only option. In fact, it's been shown that an integrated approach to fertility treatment achieved the same success rates as IVF, without medical intervention, worry and expense. This is Michael's approach and is based on his hugely successful Fit for Fertility programme that combines changes to lifestyle, good nutrition and complementary therapies. FIT FOR FERTILITY will allow the reader to self diagnose and tailor their programme according to their needs. It is infused with Michael's up-beat philosophy and builds on his inspiring work to promise a genuine chance of success.

Random Families is about the unprecedented families that have grown up at the intersection of new reproductive technologies, social media, and the human desire for belonging. Children of the same donor and their families, with the help of the internet, can now locate each other and make contact. Based on over 350 interviews with children (ages 10-28), their parents and related donors from all over the U.S., Random Families chronicles the chain of choices that couples and single mothers make from what donor to use to how to participate (or not) in donor sibling networks. Children reveal their understanding of a donor, the donor's spot on the family tree and the meaning of their donor siblings. Through rich first-person accounts of network membership, the book illustrates how these extraordinary relationships-woven from bits of online information and shared genetic ties-are transformed into new possibilities for kinship. Random Families offers down-to-earth stories from real families to highlight just how truly distinctive these contemporary new forms of family are.

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

Mind Over Bladder is a trusted and informative guidebook for bladder control, written with respect and humor by a nationally known urogynecologist, revised and expanded for the 21st century woman. Urinary Incontinence plagues millions of women worldwide, vastly more women than men. The reasons for this are many, including we have children, go through menopause and our anatomy is pretty different. Since these issues affect approximately 30-40% or greater of all women, can include issues with prolapsing organs (bladder, uterus, rectum) and can limit a woman's freedom and ability to live a full and active life, an actual guidebook seemed not only necessary but overdue. Mind Over Bladder answers this need. Informative, respectful and written with humor by a leading urogynecologist, Mind Over Bladder asks and answers the question of "What is incontinence and what can I do about it?". This unique approach begins at the beginning takes women through basic bladder and pelvic plumbing to getting a diagnosis and formulating a treatment plan. Mind Over Bladder arms women with information and practical solutions to help lead better, drier and happier lives.

The Reproductive System at a Glance is a comprehensive guide to normal reproductive biology and associated pathophysiology in both sexes. Concise, easy to read, and clearly structured, the double-page spreads progress from basic science to clinical abnormalities, and covers endocrine production and action, within one short volume. Chapters on disorders summarise epidemiology, pathophysiology, diagnosis and treatment. This new edition of The Reproductive System at a Glance: Is fully revised and updated throughout to reflect recent developments in practice Now features histological and pathological slides to complement the at a glance style explanatory illustrations Now features radiologic studies to supplement the text in selected chapters Contains more detailed coverage of maternal adaptations to pregnancy Includes a companion website at www.ataglanceseries.com/reproduction featuring self-assessment multiple choice questions, bonus single answer questions and flashcards The Reproductive System at a Glance is an ideal guide for students studying both endocrine and reproductive subjects, and teaches the foundation concepts for the obstetrics and gynaecology rotation, helping health professionals and students achieve a broad and practical understanding of the topic.