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A comprehensive and practical account of how to set up and run a successful IUI and ovulation induction program.
Intra-uterine insemination (IUI) is a widely used fertility treatment for couples with unexplained and male subfertility. Although it is less invasive and less expensive than l other treatment options such as in vitro fertilization, several factors affect its outcome. In addition, IUI remains controversial due to concerns about some of the possible aspects of treatment, including side-effects such multiple pregnancies. This comprehensive evidence-based book from an international IUI expert team explores all of these topics and provides clear guidelines for daily practice.
Intrauterine insemination (IUI), also known as artificial insemination, is a fertility treatment that uses a catheter to place washed sperm directly into the uterus. Its aim is to increase the number of sperm reaching the fallopian tubes and subsequently increase the chances of fertilisation (American Pregnancy Association). The second edition of Intrauterine Insemination brings physicians and trainees fully up to date with the latest developments in the technique. Divided into 48 chapters, this comprehensive guide covers every aspect of the procedure, from patient selection and clinical assessment of couples, to ovarian induction, predictors of ovarian response, modulation of sperm motility, and sperm banking. The final sections describe data management issues, sex pre-selection, and regulation of assisted reproductive technologies. Key points New edition presenting latest developments in IUI Covers all aspects of the procedure Includes more than 150 images, illustrations and tables Previous edition published in 2005
Andrology, a counterpart to gynecology, deals with the study of the male reproductive organs. Clinical andrology has been neglected primarily because of the lack of relevant, accurate laboratory methods for functional analysis, but in the last decade substantial progress has been made in the understanding of male reproductive biology. This progress has resulted from modern tech niques and instrumentation in microanatomy, immunology, neurophysiology, pathology, genetics, endocrinology, biochemistry, biophysics, urology and surgery. These studies are scattered in such a wide spectrum of journals that andrologists can hardly keep abreast of the advances. There have been numerous textbooks on the testes, male accessory organs and semen but the clinical aspects of andrology have not received similar emphasis. Since literature concerning clinical andrology is extensive and widely scattered in many different publica tions, we hope that a useful purpose will be served by summarizing the more pertinent material in a series of volumes which can be made readily available to students of andrology. It was decided that a series of specialized monographs should be devoted to clinics in andrology. These ten volumes of the series are an attempt to coordinate anatomical, physiological, biochemical, endocrinological, pharmacological and immunological aspects of the spermatozoa, testes, epi didymis and other accessory genital organs. Little is known about the effect of diet, diseases, environmental factors and drugs on male reproduction. The interest in developing new male contraceptive methods will stimulate research in andrology.
The leading single-source book in women's health care, reproductive medicine, and pelvic surgery A Doody's Core Title! Thorough review of all of obstetrics & gynecology Covers more than 1,000 diseases and disorders The latest screening and management guidelines More than 450 clear clinical photos and illustrations in two colors Formatted to facilitate quick retrieval of information Concise, current coverage of treatments for common gynecologic infections Extensively revised throughout Covers underlying pathophysiology when relevant to diagnosis and treatment Helpful references to classic and important new sources
An Introduction to Male Reproductive Medicine is written specifically for readers seeking entry into this fast-moving, complex specialty with a solid understanding of the subject. The first chapters cover the anatomy and physiology, clinical evaluation, surgery, medicine, genetics and laboratory testing involved in the current evaluation and treatment of the infertile male, and the final chapter describes the interaction of the field with female reproductive medicine. Throughout the book, references are directly made to the fourth edition of the major text in the specialty, Infertility in the Male, edited by Larry Lipshultz, Stuart Howards and Craig Niederberger, allowing readers to expand their understanding of specific areas where desired. Each chapter is written by a well-renowned expert in an easy to follow, informal style, making the text ideal for students, residents and general physicians who are seeking to increase their general knowledge of the field.
This book is a step by step guide to intrauterine insemination (IUI). Divided into seven sections, the first provides an overview of IUI and general aspects of preparation for the procedure. The following sections discuss andrology, ovulation, IUI in special circumstances, for example with polycystic ovary syndrome (PCOS) and Human Immunodeficiency Virus (HIV); procedures and results. The final chapter examines future challenges for IUI. With more than 100 images and illustrations, this book is a practical, step by step guide for practising gynaecologists, as well as postgraduate students.
This state-of-the-art laboratory manual includes 20 clinical protocols used daily for the investigation of the infertile male, presented with easy to understand, step-by-step methodology. The protocols are arranged from routine to advanced laboratory procedures common to clinical practice, including computer-assisted semen analysis, sperm preparation for IUI by density gradient and swim-up, sperm cryopreservation, and sperm DNA fragmentation test by TUNEL method, among others. The methodology in each protocol follows best practice guidelines made clearer by professionally hand-drawn illustrations covering most of the important steps and equipment. The authors, hailing from the world-renowned Andrology Center at Cleveland Clinic, have over 50 years of combined first-hand experience in managing very busy diagnostic and research facilities in male infertility and andrology. The book will be an indispensable resource for thousands of laboratory technologists, clinicians and reproductive professionals (andrologists, embryologist, etc.) engaged in the diagnosis and management of infertile men around the world.
Intrauterine insemination and ovulation induction is effective first-line treatment for infertility in many straightforward cases and is preferred by many clinicians because they are less invasive than in-vitro fertilization and its variants. This is a comprehensive account of how to set up and run a successful IUI program. The book addresses the practical aspects of treatments that will produce optimum results in terms of pregnancy outcome and safety, as well as the pharmacological and physiological reasons for their use. Chapters on how to prevent complications of ovulation induction such as multiple births and ovarian hyperstimulation syndrome are included, as well as how to diagnose infertility in both sexes. Laboratory procedures for sperm preparation are described in detail. Worldwide resources for obtaining donor sperm and legal issues that surround the management of patients are included. This manual is of interest to reproductive medicine specialists, general practitioners and general obstetrician gynecologists.