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In vitro fertilization and other forms of assisted reproduction are
no longer experimental procedures. Indeed, in Denmark in 2004, 4%
of all babies born were conceived by IVF. In the near future, every
kindergarten classroom will quite possibly have at least one IVF
child.
In this fascinating account, two of the world's leading authorities
present a detailed and readable account of assisted reproduction,
describing how this technique is applied to help infertile couples
have a baby. Bart Fauser and Paul Devroey describe the latest
technologies, placing them in their scientific and clinical
settings, outlining such procedures as IVF, sperm injection
techniques, egg donation, fertility preservation, single embryo
transfer, and reproductive surgery. Fauser and Devroey also discuss
fertility treatments in patients who are not infertile (such as
single women or lesbians). One of the great controversies swirling
around assisted reproduction is the furor over "designer babies"
(manipulating genetic material to produce babies with blue eyes or
a high IQ, or of a particular sex), but the authors contend that
the only acceptable aim in "designing" a baby is to insure a safe
pregnancy and delivery. The book also reveals that a key challenge
of fertility research is to perfect a treatment that avoids
multiple pregnancy, a trend that has blighted IVF throughout its
thirty-year history. Fauser and Devroey also discuss the issue of
increasing age-related infertility ("the infertility epidemic") and
the possible use of IVF to meet this challenge and improve birth
rates. The final chapter looks to the future and proposes that the
limits to assisted reproduction will be set more by ethical
considerations than by scientific progress.
Polycystic ovary syndrome (PCOS) is one of the most common
reproductive health problems of women, causing irregular periods
and potential infertility amongst other challenging symptoms.
Effective treatment remains a significant challenge and is largely
achieved through hormonal medication and lifestyle changes. This
third edition covers the aetiology, pathology, impact on fertility
and effective medical and surgical management. The content has been
thoroughly revised in line with updated guidelines and research
developments in the field. A new chapter on the patient's
perspective has been included, bringing valuable insight into the
lived experience of the condition. Mood disorders and the
psychological aspects of PCOS are also covered for the first time.
This is a key reference for all clinicians involved in the care of
patients with PCOS, including gynaecologists, IVF specialists and
reproductive endocrinologists.
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