This book is a concise guide to the diagnosis and management of reproductive health issues in adolescents that may lead to future fertility problems. Beginning with an overview of female adolescence and reproductive development, the following chapters cover different disorders including PCOS (polycystic ovary syndrome), endometriosis, anaemia, menstrual abnormalities, teenage pregnancy and abortion, STIs and more. Each section provides step by step guidance from history taking, signs and symptoms, and clinical examination, to diagnosis and therapy. A complete chapter covers the 2012 POCSO (Protection of Children from Sexual Offences) Act. Key points Concise guide to reproductive health issues in adolescents, subsequently leading to fertility problems Discusses investigation, diagnosis and management of numerous disorders Covers POCSO Act 2012 Includes clinical images and figures to assist learning

Fertility specialists are constantly looking for ways to improve the chances of pregnancy through IVF or other assisted reproductive techniques (ART). 'Adjuvant' or 'add-on' therapies are procedures or medications which are added to IVF treatment to try and improve the chances of success. This book is a practical guide to the use of adjuvants in infertility for clinicians and trainees. Divided into ten sections, the text begins with an overview of the rational for additional therapy in IVF. The next section examines different types of adjuvant therapy and their pros and cons. Topics include medical nutrition therapy, neutraceuticals, antioxidants, micronutrients, and reactive oxygen species. Each of the following sections covers adjuvant use for improving a specific fertility issue - PCOS, ovarian reserve, uterine blood flow, endometrial receptivity, embryo implantation, and male subfertility. The final sections discuss the impact of thyroid autoimmunity on the outcome of ART, and the use of surgery as an adjuvant in infertility. Key points Practical guide to the use of adjuvants in infertility Covers various types of adjuvant and their use for different fertility issues Includes discussion on surgery as an adjuvant Highly illustrated with clinical photographs and diagrams

This practical handbook aims to improve a clinician's knowledge by putting forth the latest advances in the understanding of recurrent pregnancy loss and the management options. The various chapters have been authored by dedicated academicians and clinicians. Recent modalities of management, such as PGD, assisted reproductive technologies and immunotherapy have been covered. The book will also help the clinician to cater to the emotional needs of the distressed couple as chapter on 'setting up a RPL clinic' and 'tender loving care' have been included. Different chapters on genetic causes, the impact of cervical factor, the effects of antiphospholipid antibodies, male factor and infections on recurrent pregnancy losses are presented. A separate chapter on the endocrinological perspective in recurrent pregnancy losses has been included. Investigative modalities proposed for the management of recurrent pregnancy losses such as ultrasound and hysteroscopy have also been dealt with in detail. Proposed treatment options for this condition such as progesterone therapy and heparin treatment have been discussed in this book. Newer management options which are picking up pace like preimplantation genetic diagnosis (PGD) and immunotherapy have been separately dealt with. The option of assisted conception techniques to help couples has also found mention in a separate chapter. Special chapters on setting up of an exclusive RPL clinic and tender loving care (TLC) are included as the emotional health of the sorrowing couple is equally important.

This handbook is a humble attempt to bring together a diverse range of authors ranging from general gynecologists to basic infertility practitioners and fertility physicians practicing assisted reproductive technology (ART) to contribute their knowledge, experience and expertise on all the available drugs and formulations being used in fertility practice today. We hope this book will serve as a ready reckoner and a single go-to reference for the dosages, duration and practical applications for therapeutic alternatives in various clinical scenarios. The aim of this book is to highlight the utility of the available drug treatment options available to us in the practical management of fertility issues. Contribution from various experts ranging from general gynecologists to basic infertility practitioners and fertility physicians practicing ART. Helps to keep abreast of the latest developments in this field. Provides valuable tips and pointers which you can be implemented in day-to-day practice.

This book has been launched to commemorate the 24th Annual Conference of Indian Society for Assisted Reproduction. It is a unique effort to gather experiences from experts from all over the world - all of whom are authorities in their respective field, to provide concise and updated information and integrated management approach to deal with different situations.