Clinical Medicine

Download e-book for iPad: The Subfertility Handbook: A Clinician's Guide by Gab Kovacs

By Gab Kovacs

ISBN-10: 0521560160

ISBN-13: 9780521560160

This useful and useful guide could be a vital source for all clinicians facing difficulties of subfertility. It offers a finished method of infertility from the preliminary historical past to diagnostic suggestions of ultrasound, diagnostic surgical procedure, in addition to all sorts of remedy, together with ovulation induction, infertility surgical procedure, andrology, donor insemination and reproductive applied sciences. The authors are skilled participants of the Monash University-affiliated Reproductive medication Clinic--one of the world's pioneering facilities in IVF know-how. The authors have distilled a wealth of workmanship and "hands on" event during this quarter to supply a useful consultant for all these considering the remedy of infertility.

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There is no doubt that subfertility frequently occurs in both partners and the effects tend, on the basis of a number of studies, to be synergistic rather than additive. Therefore both partners in any couple with subfertility must be assessed fully and a strategy of investigation and management planned that takes account of them both. Thus the assessment of the male should occur in parallel with the assessment outlined in Chapter 3 for the female partner. With the recent exciting developments in assisted reproductive technologies, particularly as applied to male subfertility (as outlined in Chapter 10), there is a temptation to take a minimalistic approach to the assessment of the male partner and to rely simply on the semen analysis followed by a decision as to whether to proceed to in-vitro fertilization, perhaps with sperm microinjection.

Infertility history The discussion of a patient's infertility should be carried out after more general issues have been explored, so that the patient feels at ease and is less likely to overlook issues that may be significant. The history should cover the following points. 1. Duration of infertility (relate to the age of the patient). 2. Previous pregnancies - include for each pregnancy: time taken to conceive duration of pregnancy abortion (spontaneous/induced) outcome-delivery (vaginal/abdominal).

Mood disorders, psychiatric symptoms and distress in women presenting for infertility evaluation. Fertility and Sterility 52: 425-32. G. and Wood, C. 1995a. Experience with a new microlaparoscope 2 mm in external diameter. Australia and New Zealand Journal of Obstetrics and Gynecology 35 :202-4. G. and Wood, C. 1995b. Predictive value of falloposcopy. References Gynecology Obstetrique - Numero Special Congres Vichy - IFFS 1995. Experts Conference - Satellite Symposium. Tuboperitoneal Infertility and Ectopic Pregnancy.

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The Subfertility Handbook: A Clinician's Guide by Gab Kovacs

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