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Infertility is a widespread condition with significant consequences on both individual and societal levels. It has a prevalence of 9-18% of the general population, a rate that is seen in similar levels in different countries and continents. While significant progress has already been made in understanding the etiologies, pathogenesis, and management of a variety of conditions that can affect both male and female infertility at various levels, infertility remains a challenging problem for physicians and society. Even in advanced centers, the success rate of infertility treatments lingers at about 60%, and we believe that with more research we can tackle the most difficult situations. Although our understanding of embryo development and selection has greatly improved, knowledge of uterine and endometrial function and dysfunction is still insufficient. We welcome basic and translational research contributions that focus on the advancement of the field of uterine and endometrial physiology and pathology, aiming to address current challenges and unsolved issues. We welcome basic and translational studies on diagnosis and potential therapeutic management of a variety of issues affecting female reproduction at the level of the uterus, such as but not limited to: • endometriosis and adenomyosis, • immunology of endometrium, • endometritis, • implantation failure, • unexplained infertility, • studies on endometrial function/dysfunction, endometrial receptivity, uterine microbiota; • studies that focus on possible implementation and advancement of personalized medicine in management of uterine disorders of reproduction.
Written by leading international specialists, this book provides a comprehensive, state-of-the-art overview of endocrine-based female reproductive disorders. Particularly focusing on the Hypothalamus – Pituitary – Ovary (HPO) axis as the main driver of reproduction in women, it discusses amenorrhea; chronic anovulation and polycystic ovary syndrome as the most common dysfunctions of the HPO axis; endocrine diseases as possible impacts on the HPO axis; uterine disorders related to estrogen/progesterone; and the impact of endometriosis and uterine fibroids on reproduction. It also addresses infertility and menopause as hormone-related disorders in women and endocrine changes during pregnancy and lactation, and in breast disorders. The book is intended as a major reference for endocrinologists, gynecologists, and obstetricians, as well as basic and clinical scientists. It is published as part of the SpringerReference program, which provides access to live editions constantly updated through a dynamic peer-review publishing process.
This report considers the biological and behavioral mechanisms that may underlie the pathogenicity of tobacco smoke. Many Surgeon General's reports have considered research findings on mechanisms in assessing the biological plausibility of associations observed in epidemiologic studies. Mechanisms of disease are important because they may provide plausibility, which is one of the guideline criteria for assessing evidence on causation. This report specifically reviews the evidence on the potential mechanisms by which smoking causes diseases and considers whether a mechanism is likely to be operative in the production of human disease by tobacco smoke. This evidence is relevant to understanding how smoking causes disease, to identifying those who may be particularly susceptible, and to assessing the potential risks of tobacco products.
The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
Written with the busy practice in mind, this book delivers clinically focused, evidence-based gynecology guidance in a quick-reference format. It explores etiology, screening, tests, diagnosis, and treatment for a full range of gynecologic health issues. The coverage includes the full range of gynecologic malignancies, reproductive endocrinology and infertility, infectious diseases, urogynecologic problems, gynecologic concerns in children and adolescents, and surgical interventions including minimally invasive surgical procedures. Information is easy to find and absorb owing to the extensive use of full-color diagrams, algorithms, and illustrations. The new edition has been expanded to include aspects of gynecology important in international and resource-poor settings.
This book provides andrologists and other practitioners with reliable, up-to-date information on all aspects of male infertility and is designed to assist in the clinical management of patients. Clear guidance is offered on classification of infertility, sperm analysis interpretation and diagnosis. The full range of types and causes of male infertility are then discussed in depth. Particular attention is devoted to poorly understood conditions such as unexplained couple infertility and idiopathic male infertility, but the roles of diverse disorders, health and lifestyle factors and environmental pollution are also fully explored. Research considered stimulating for the reader is highlighted, reflecting the fascinating and controversial nature of the field. International treatment guidelines are presented and the role of diet and dietary supplements is discussed in view of their increasing importance. Clinicians will find that the book’s straightforward approach ensures that it can be easily and rapidly consulted.
Now in an updated edition, this is the most comprehensive book on modern ultrasound imaging in assisted reproductive technology (ART) and reproductive medicine. Fully revised and expanded, it covers emerging technologies possible with the improvement in ultrasound equipment. 3-D monitoring of ovarian follicles, bidirectional vibrant color and Doppler, and improved 3-D and 4-D imaging of reproductive structures are discussed. MRI-guided ultrasound procedures are covered, and comparisons of 3-D imaging with MRI imaging for uterine anomalies is reviewed with an emphasis on the advantages of 3-D performed in the gynecologist’s office, and as a less expensive modality. The overall approach of the original edition is maintained, starting with ultrasound safety and technique and diagnosis of the ovary, uterus and fallopian tubes (both normal and pathologic), followed by both male and female infertility and ART treatments and procedures. Ultrasound monitoring of follicular development, the endometrium, and as an aid in embryo transfer to maximize IVF success rates are reviewed. Topics new to this edition include updated information on the diagnosis of benign and malignant adnexal masses, 3-D follicle monitoring, and the diagnosis of adenomyosis and endometriosis, including deep inseminated endometriosis. Additionally, the evaluation of endometrial receptivity, the use of contrasts for fallopian tube patency, controversies regarding septate uterus versus arcurate uterus with the use of 3-D ultrasound, and 3-D ultrasound with saline infusion sonogram and early pregnancy ultrasound are all discussed. An excellent resource for reproductive medicine and ART specialists, gynecologists and ultrasonographers alike, Ultrasound Imaging in Reproductive Medicine, Second Edition covers all that clinicians need to know about the role of ultrasound, from the first time a woman comes into the clinic for treatment, including ART, to early pregnancy monitoring. See better, do ART better.