The practice of clinical reproductive medicine has practice in the era of managed care and coordinat gradually moved from its initial 1980-90 hospital ing ancillary offsite medical personnel. base to its present (circa 2001) office site of oper The objective of this text is to assist in this ongo ation. With this transition have been improvements ing endeavor by presenting in a clear, concise man in efficiency of practice often in response to ner many of the topics relevant to contemporary increased pressure to provide the most patient sat office-based infertility practice. The initial half of isfaction. An added challenge of office-based prac this text addresses topics which focus upon general tice has been taking on many of the responsibili concepts of infertility evaluation and practice. The ties of what had been traditionally the hospital's latter half is a practical approach to the execution domain. Some of these new responsibilities have of specific office-based infertility procedures. We included the ordering of operative supplies and hope this book will assist all medical personnel who equipment, the establishment of quality control dedicate their clinical effort in achieving what is programs, construction and maintenance of special most coveted by our patients, the birth of a healthy laboratory spaces, redesigning efficient methods of newborn. DAVID B. SEIFER, M. D. UMDNJ-Robert Wood Johnson Medical School ROBERT L. COLLINS, M. D. The Reproductive Center, Youngstown, Ohio October 2001 vii Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii . . . . . . . . . . . . . . . . . Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi . . . . . . . . . . . . . . . . . 1 Evaluation of the Female for Infertility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Bryan D."

Ovulation Induction gives an integrated view of basic ovarian physiology, pathophysiology, and the clinical management of ovulatory disorders. It provides core information upon which specialists can base clinical decisions. The most important feature is the inclusion of newer agents now available for ovulation induction. Newer clinical applications for older medications as well as various treatment combinations (including GnRH analogs) are thoroughly discussed. There is a frank discussion of risks, side effects, and the expense related to ovulation inducing agents. Many of the results in this book have never before been published in book form. Topics examined include the neuroendocrine regulation of the menstrual cycle, ovarian physiology and in vitro fertilization, the diagnosis of ovulation and the role of ultrasound in monitoring the follicular response, the use of clomiphene citrate for ovulation induction, and the role of bromocriptine and related compounds for ovulation induction in hyperprolactinemia.

Office-Based Infertility Practice is an invaluable resource to all physicians treating infertile couples. The text emphasizes the practice of infertility in the office setting, reflecting the current trend away from the hospital into the outpatient environment. The most current and advanced therapies available are discussed by recognized experts in the field. The first half of the book is devoted to the evaluation and work-up of the infertile couple, including evaluation of the male, female, age-related infertility factors, and the roles of ultrasound, endometrium saline sonography, falloposcopy and diagnostic laparoscopy and hysteroscopy. The second half of the book presents the treatment and operative procedures for the infertile couple, including ovulation induction, IUI, tubal cannulation, treatment of cervical stenosis, the use of office laparoscopy and therapeutic hysteroscopy, male treatment as support for IVF, vas reversals, and testicular biopsy, as well as routine IVF, intratubal gamete transfer, and micromanipulation. With over 60 illustrations, this book is a must for all infertility specialists, obstetrician-gynecologists, fellows, and residents. Its practical, comprehensive approach will be of daily use to the office practitioner treating women of reproductive age.

"We must have allies in the Settled Domains," Cassia says to Bart. That means convincing members of the nobility that the Slavers Guild cannot be trusted, and the notorious Blue Pistol is no threat to their rule. To that end, they kidnap Cornelia, the daughter of one Duke. They show her that her father is treating her like a trinket given to curry favor. Will she get the chance to prove her value to cause of ending slavery? They also send a merchant and a wizard to the realm of Duke Avitus. These newcomers bring a message of freedom. Will Avitus listen to their message, and risk the anger of the Guild?

John Ewert is one of a handful of survivors of a mysterious plague that kills off most of humanity. Strangely, the plague leaves those survivors with magical powers. One group of survivors gather around a man named Gabe in Ames, Iowa. They believe The End Times are at hand, and they will be the heroes of Revelations. Others follow a woman named Lucy to Dallas. She tells them they're going to fight and win the final battle of the haves against the have-nots. As what seems to be the last of humanity goes to war, John wonders, "Is this the apocalypse, or just an incredible simulation?"

Teenager Lisa Herbert lives in the small town of Mountain View on the planet Fairfield. The "Savage Rain" decades earlier shut down the hyperspace gate and isolated her world. A casual remark from her sister gets Lisa to ask a simple question: "If life was better before the 'Savage Rain, ' why couldn't it be better again?" That question starts Lisa on a journey. She reactivates Fairfield's H-gate and travels to three worlds. Each planet offers her a chance to improve life by hard work, by trade, or by making friends. She relies on her brains, her compassion, and a little sneakiness to solve the problems she faces. Lisa's Way presents a heroine more interested in reasoning than fighting, and more concerned with doing good than looking good. "The novel's emphasis on character rather than technology combined with it's almost agrarian sensibilities make it a great one for fantasy fans who thought they could never enjoy science fiction. By the same token, this is a particularly good novel for teens and young adults looking for something that's not another Harry Potter clone." - David Lee Summers, Tales of the Talisman