Practical Problems In Assisted Conception

Practical and effective; this book supports challenging clinical and laboratory issues that the IVF practitioner faces all day, every day.

Utilizing the very latest assisted reproductive technologies, this text provides an introduction to good clinical practice in the investigation and treatment of infertility. There are chapters on clinical assessment of the male and the female, followed by detailed chapters on the clinical procedures that can be put in place to help overcome infertility. Also included is coverage of IVF, GIFT and ZIFT and clinical aspects of PGD, in addition to how to set up a successful IVF Unit.

Part of a new series on reproductive medicine, this book is a complete guide to assisted reproductive technology (ART). Divided into 39 chapters, the book covers all aspects of ART, providing clinicians with a step by step guide through the processes. The text covers ovarian stimulation, embryo transfer, imaging, hormone analysis, endometrial receptivity, surgical procedures and much more. Many different causes of infertility and their management through ART are described in detail. The book presents the latest advances in the field and each chapter includes key points and references for further reading. Clinical photographs, diagrams and tables further enhance the comprehensive text. Other titles in the series include: Practical Guide in Infertility, Practical Guide in Reproductive Surgery and Practical Guide in Andrology and Embryology. Key points Comprehensive guide to assisted reproductive technology Part of new series on reproductive medicine Covers numerous ART procedures for management of infertility Chapters include key points and detailed references for further reading

Assisted reproduction techniques have led to the birth of 8 million babies worldwide Assisted reproduction techniques (ART), in particular in-vitro fertilization and intra-cytoplasmic sperm injection, are the most advanced forms of infertility treatment. They involve numerous counseling, medical, surgical and laboratory-based steps. At each step various problems and complications could be encountered that challenge even the most experienced ART practitioners. Moreover, patients with complex medical disorders may require ART, presenting further challenges. Assisted Reproduction Techniques will stimulate resourceful thinking in the ART practitioner when faced with these challenges. It outlines various management options, the reasoning behind them, and the evidence on which they are based to enable the practitioner to choose the most suitable solution for the needs of each patient. Written by 171 internationally renowned experts, Assisted Reproduction Techniques follows the patient's journey throughout the whole ART process, with chapters on: Counseling and preparation Pituitary suppression and ovarian stimulation Oocyte retrieval Embryo transfer The luteal phase The ART laboratory The male patient The ART pregnancy General and organizational issues Each of the 116 concise chapters includes clinical cases, background, evidence-based practical management options, preventive measures, key-point summaries of the important details and answers to questions patients ask. Assisted Reproduction Techniques first edition has established its place as a “must read” for ART trainees and practitioners alike, and in this second edition all chapters have been updated, with the addition of new ones addressing training issues, organizational and business skills, and social media use in ART.

Assisted Reproduction is a specialty undergoing rapid change as new technologies are introduced and new research challenges previous treatment options. This text examines a selection of controversial topics for both laboratory and clinical practice and tries to place them in perspective, so readers can understand how and why the current state of the question has come about and how future contributions to the debate should be measured. All physicians involved with the technologies concerned will learn from the expert contributions assembled here. CONTENTS: The use of ovarian markers * Use of molecular markers of endometrial receptivity * Use of GnRHa for triggering final oocyte maturation during ovarian stimulation cycles * Use of time-lapse embryo imaging in assisted reproductive technology practice * Use of cryopreservation for all embryos * Preimplantation genetic screening * The use of single embryo transfer * Use of luteal phase support * Measuring safety and efficiency in in vitro fertilization * To flush follicles during egg collection or not * Use of blastocyst culture * Use of mitochondrial donation * Controversies in recurrent implantation failure: From theory to practice * Fibroids: To remove or not? * Limitations of endometrioma surgery in in vitro fertilization: Possibilities of early disease control

This title was first published in 2003. Assisted conception is an area where it often seems that all the ethical and legal issues have been covered and then technology advances and the discussions start all over again. The book is an anthology of papers presented during a project looking at thearaputic research in assisted conception (TRAC). It is divided into three areas addressing research, ethics and law. Each chapter begins with an overview of the issues, with the aim being to present new perspectives rather than covering old ground. The European Convention on Human rights and Biomedicine came into force on December 1, 1999. The Convention allows thearaputic research and research on spare embryos but forbid fundamental research, which may be essential to the safe development of new techniques. This also means that people may become part of an experimental process without their consent. The project brings together clinicians, embryologists, lawyers and ethicists to ascertain whether there might be a risk of infertility patients being exposed to insufficiently tested procedures and to see if there is a need for fundamental research in this area. It also looks at the legislative safeguards that exist and whether a European standard for treatment should be set.

This three volume set is a comprehensive guide to Assisted Reproductive Technology (ART) for clinicians. Volume one begins with an introduction to infertility, describing physiology, endocrinology and infertility in both men and women. The following sections provide in depth discussion on ART, from ovulation induction and intrauterine insemination, to complications, outcomes and ethical issues. The second volume is dedicated to In Vitro Fertilisation (IVF) and related procedures, whilst volume three is an atlas of embryology. This practical manual is an invaluable reference for clinicians specialising in infertility management and includes nearly 1000 full colour photographs, each with a brief description to enhance understanding. Key points Three volume set – complete guide to ART Each volume dedicated to specific topic – Infertility, IVF & Related Procedures, and Atlas of Embryology Includes nearly 1000 photographs with descriptions Invaluable reference for practising clinicians

This volume of essays, together with its companion Conceiving the Embryo: Ethics, Law and Practice in Human Embryology (Martinus Nijhoff, The Hague, 1996, ISBN 90-411-0208-6) is the result of a concerted action in the BIOMED programme of the European Commission, which was coordinated by the Editor. Clinicians, lawyers and philosophers explore the theoretical and practical problems presented by the new technologies in assisted human reproduction in Eastern, Central and Western Europe. The essays reveal considerable dissonance in existing and proposed legislation, both within and between European countries, and examine the rights of parents and children involved in these new procedures.

Ethical dilemmas are more common in assisted reproduction than in any other area of medicine. Providing a framework for discussing and articulating to patients the topical issues in assisted reproduction, this text examines the ever-changing interaction between ethics, society, and scientific advances in the area. This third volume of ethical debates includes chapters on assisted reproduction for parents with HIV and Hep-C, posthumous reproduction and non-Christian religious ethics in relation to assisted reproduction.

This book results from a study by a committee of the Institute of Medicine and the National Research Council's Board on Agriculture. The committee examined the scientific foundations of medically assisted conception and developed an agenda for basic research in reproductive and developmental biology that would contribute to advances in the clinical and agricultural practice of in vitro fertilization and embryo transfer. The volume also discusses some barriers to progress in research and ways of lowering them, and explains the scientific issues important to ethical decision making.