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.

Help your patients through the maze of infertility treatments Infertility is suffered by around 1 in 7 couples and can be a source of confusion for both partners, providing high stress on relationships. 25% of cases are explained through male infertility, 50% through female infertility, whilst 25% are generally unexplained. The possible causes and solutions are many and complex. Infertility, one of the first in the new Gynecology in Practice series, assists gynecologists and family practitioners to better care for their patients who have trouble conceiving. The authors provide a strong focus on effective diagnosis and management. Following a review of the factors that affect fertility, Infertility takes a practical approach to: Evaluation of fertility Management and treatment Complications Pre-implantation screening Fertility preservation Gynecology in Practice The Gynecology in Practice series provides clinical 'in the office' or 'at the bedside' guides to effective patient care for gynecologists. The tone is practical, not academic, with authors offering guidance on what might be done and what should be avoided. The books are informed by evidence-based practice and feature: Algorithms and guidelines where they are appropriate ''Tips and Tricks' boxes – hints on improving outcomes 'Caution' warning boxes – hints on avoiding complications 'Science Revisited' – quick reminder of the basic science principles Summaries of key evidence and suggestions for further reading

Offers a comprehensive guide to assisted reproductive technology surveillance, describing its history, global variations, and best practices.

Delivers current knowledge from global experts at the forefront of fertility and ART healthcare The first publication of its kind, this book on fertility and assisted reproductive technology (ART) is a globally focused, authoritative guide to state-of-the-art information about modern fertility and ART healthcare. Written for clinicians, public health officials, women’s health experts, scientists, students, scholars, and other interested individuals, the book encompasses theoretical, research, policy, and clinical practice aspects of fertility and ART healthcare. The book features the diverse contributions of multidisciplinary researchers, scholars, and clinicians from eight countries who explore contemporary health care perspectives regarding individuals and families dealing with infertility and fertility challenges including such advanced technologies as in-vitro fertilization, intrauterine insemination, and oocyte preservation. The book addresses theoretical underpinnings of fertility and ART healthcare including new ways of conceptualizing research and theoretical concepts. Practical aspects involved with administering and treating the many women and men whose lives are affected by fertility challenges are illuminated. Complex policy concerns resulting from the rapid advances in fertility and ART are considered. The health care needs of those seeking fertility evaluation and treatment including access to care locally and globally are examined in depth. The book also includes discussions about novel approaches and emerging populations in fertility and ART healthcare that expand the scope of care. Thought-provoking case examples from contemporary care practices will help the reader to synthesize information. Key Features: Delivers thought provoking ART research and practice issues for health care clinicians, scholars, and scientists Synthesizes evolving theory, research, clinical practice, and public policy concerns Addresses complex considerations within the practice and delivery of fertility and ART services Written by international thought leaders and emerging scholars on the forefront of ART technologies and other issues Includes case study exemplars to stimulate critical thinking and transform discussion about modern fertility and ART care

This text has been written as a practical guide, based on the author’s experience over the last 40 years of daily clinical practice and aiming to place the modern approach to the management of infertility in the context of sound theory and evidence-based therapy. It provides the reader with a comprehensive classification of the causes of infertility, their investigation, and their management. This new edition covers many advances in the understanding and management of infertility and other updates to practice--for example, a greater understanding of the pathophysiology of ovarian aging and ovarian reserve testing; the classification of disorders of ovulation and management of polycystic ovary syndrome; the refinement of regimens for superovulation, improved embryo culture systems, and the use of artificial intelligence for the selection of embryos; assessments for endometrial receptivity and management of recurrent implantation failure; pre-implantation genetic testing (PGT) as a therapeutic tool opening up the possibility for aneuploidy screening; as well as the latest thoughts on nutritional health, periconception care, and the exciting new world of the microbiome.

The new edition of this canonical text on male reproductive medicine will cement the book's market-leading position. Practitioners across many specialties - including urologists, gynecologists, reproductive endocrinologists, medical endocrinologists and many in internal medicine and family practice – will see men with suboptimal fertility and reproductive problems. The book provides an excellent source of timely, well-considered information for those training in this young and rapidly evolving field. While several recent books provide targeted 'cookbooks' for those in a male reproductive laboratory, or quick reference for practising generalists, the modern, comprehensive reference providing both a background for male reproductive medicine as well as clinical practice information based on that foundation has been lacking until now. The book has been extensively revised with a particular focus on modern molecular medicine. Appropriate therapeutic interventions are highlighted throughout.

An authoritative clinical decision-making guide to the assessment and treatment of the infertile patient. Addresses the importance of an accurate and effective patient evaluation of both female and male patients. Includes recurrent pregnancy loss, state-of-the-art reproductive technologies, environmental causes, psychological aspects, the role of alternative medicine in infertility, and more.