Reproductive Surgery In Assisted Conception

​​To many patients and indeed health care professionals, IVF is the ultimate treatment for infertility. However in many cases IVF is not feasible and may not be indicated. IVF remains a largely inefficient procedure that often does not succeed in a achieving a pregnancy. There remains a strong place for other fertility interventions, many of them surgical in nature. Surgical interventions can be used as a stand-alone fertility treatment or as an adjuvant treatment used in conjunction with other assisted conception treatments. Despite the continuing use of such techniques by reproductive surgeons, there remains a clear gap in the literature regarding resources to supplement formal training in the field or to provide a reference for established and aspiring practitioners.

Surgery, Assisted Reproductive Technologies and Infertility describes the intersection of assisted reproductive technologies (ART) and surgery in the diagnosis and treatment of a variety of clinical disorders in reproduction. Unlike many texts currently available, this book provides a road map for management well beyond the how-to for a given problem. It brings you a cogent explanation about the when and why of management. The author balances decision trees and management paradigms with equal weight to surgery and ART as complementary procedures to enhance reproductive potential. He carefully explains options incorporating diagnostic studies into the paradigm that include conventional radiography (eg, hysterosalpingography), two- and three-dimensional ultrasound imaging and MRI analysis. The text includes clear discussion of the rationale for selecting one technique over another and the supporting role for surgery as a prelude to ART or as an appropriate first line management. The text is centered on dividing evaluations in infertility into the tandem topics of structure and function. All chapters include data from studies directed at the assessment of structure using two- or three-dimensional ultrasound and the assessment of function using the technology of the emerging field of functional genomics. The introductory chapters cover embryology and anatomy of the female reproductive tract, evidence-based medicine in reproductive medicine and diagnostic studies that include imaging studies and the emerging field of microarray analysis and the insight gained from this technology. Each clinical chapter describes specific anatomic abnormalities and an approach emphasizing contemporary diagnostics and therapeutics. Every chapter begins with a historical perspective followed by discussions of state-of-the-art diagnostic studies, etiology, surgical management and guidelines for arriving at an outcomes driven decision regarding the intersection of surgery and ART. The discussion is supported by over 300 images and drawings illustrating each abnormality and surgical procedure. All recommendations are data and outcomes based. This approach minimizes anecdotal data, intuition or clinical hearsay. The text emphasizes an evidence-based approach and presents outcomes to support suggested plans of management. The most clinically and cost effective technology is matched to the clinical setting. Bottom line recommendations are written in a clear and concise bullet presentation at the conclusion of each chapter to help you meet the challenge of clinical infertility practice.

Part of a new series on reproductive medicine, this book is a complete guide to reproductive surgery. Beginning with an overview of the role and techniques of diagnostic laparoscopy, the following chapters cover numerous surgical procedures for the management of infertility. 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 Assisted Reproductive Technology and Practical Guide in Andrology and Embryology. Key points Comprehensive guide to reproductive surgery techniques Part of new series on reproductive medicine Covers numerous procedures for management of infertility Chapters include key points and detailed references for further reading

Engage with practical and active solutions to day-to-day issues of reproductive medicine and the use of artificial reproductive techniques (ART), occurring in clinical and laboratory environments. Authored by leading experts in the field, this user-friendly guide is invaluable for any IVF practitioner and embryologist, facing everyday hands-on issues, through to high-pressure laboratory problems, efficiency ratings and ensuring cost-effective delivery of care. With the strict governance of regulatory bodies worldwide, the success of any fertility centre depends on successful problem solving, all day every day. Based on a wealth of experience, identify commonly occurring problems, and fresh perspectives of problem-solving, with 'must-have' protocols, patient information sheets and suggested equipment. This go-to companion tackles operational, organisational, clinical and laboratory issues to financial and clinical governance, with a focus on quick and effective solutions for the busy practitioner.

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

This cutting-edge text for surgeons specializing in Reproductive Medicine details how the latest minimally invasive developments impact on operations in their repertoire. Illustrated with color photographs and surgical videos, this will be an essential reference in a fast-moving field.

A handbook developed with the Society of Reproductive Surgeons, delivering guidance to surgical procedures for female and male infertility.

VOLUME 1: INFERTILITY SECTION 1: ANATOMY AND PHYSIOLOGY 1. Anatomy of the Reproductive System 2. Regulation and Physiology of Menstrual Cycle 3. Oogenesis and Folliculogenesis 4. Spermatogenesis 5. Fertilization and Embryogenesis 6. Implantation 7. Embryo Endometrial Crosstalk and Endometrial Receptivity SECTION 2: REPRODUCTIVE ENDOCRINOLOGY 8. Synthesis and Metabolism of Steroid Hormones 9. Puberty and Aberrations 10. Amenorrhea 11. Endocrine Disorders Affecting Reproduction 12. Hirsutism 13. Luteal Phase Defect 14. Anovulation 15. Declining Fertility SECTION 3: COMBINED TOPICS 16. Evaluation of Infertility 17. Immunology and Infertility 18. Cytogenetics and Subfertility 19. Obesity and Infertility 20. Unexplained Infertility 21. Fertility Preservation 22. Counseling in Infertility 23. Assisted Reproductive Technology in Patients with Chronic Medical Disorders SECTION 4: MALE INFERTILITY 24. Etiopathogenesis of Male Infertility 25. Clinical and Endocrinological Evaluation of Infertile Male 26. Sexual Dysfunction in Male Infertility 27. Ultrasound in Male Infertility 28. Medical Management of Male Infertility 29. Azoospermia: Evaluation and Management 30. Varicocele and Infertility 31. Spinal Cord Injuries and Male Infertility 32. Algorithms for Genetic Evaluation of Infertile Males SECTION 5: FEMALE FACTOR INFERTILITY 33. Uterine Factors in Infertility 34. Tubal Factors in Infertility 35. Infections and Infertility 36. Tuberculosis and Infertility 37. Sonoendocrinology and Cycle Monitoring Assisted Reproduction Technology 38. Transvaginal Ultrasound and Doppler in Infertility 39. Polycystic Ovary Syndrome 40. Assessment of Ovarian Reserve 41. Endometriosis 42. Endoscopy in Infertility 43. Reconstructive Surgeries Enhancing Fertility SECTION 6: INTRAUTERINE INSEMINATION 44. Intrauterine Insemination 45. Optimizing Success in Intrauterine Insemination SECTION 7: OVARIAN STIMULATION 46. Drugs for Ovarian Stimulation 47. Ovulation Induction and Ovarian Stimulation Protocols 48. Role of Adjuvants in Ovarian Stimulation 49. Gonadotropinreleasing Hormone Analogs 50. Monitoring of Ovarian Stimulation 51. Ovulation Trigger 52. Individualized Controlled Ovarian Stimulation 53. In Vitro Fertilization Lite 54. Role of Luteinizing Hormone in Ovarian Stimulation 55. Anesthesia in Assisted Reproductive Techniques 56. Oocyte Retrieval. 57. Embryo Transfer 58. Troubleshooting in Assisted Reproductive Technology 59. Luteal Phase Support SECTION 8: DILEMMA IN ART 60. Poor Responder 61. Recurrent Implantation Failure 62. Empty Follicle Syndrome 63. Role of Aneuploidy Screening in Preimplantation Embryos 64. Preimplantation Genetic Testing of Embryos 65. Epigenetics and Assisted Reproductive Technology SECTION 9: COMPLICATIONS IN ART 66. Ovarian Hyperstimulation Syndrome 67. Ectopic Pregnancy 68. Multipleorder Births SECTION 10: THIRD PARTY REPRODUCTION 69. Oocyte and Sperm Donation 70. Surrogacy in Assisted Reproductive Technology 71. Assisted Reproductive Technology Guidelines 72. Adoption 73. LGBTQ and Fertility 74. Transgender Population and Fertility SECTION 11: OUTCOME FOLLOWING ASSISTED REPRODUCTIVE TECHNIQUE 75. Maternal and Fetal Outcomes Following Assisted Reproductive Technique 76. Early Pregnancy Scan 77. Recurrent Pregnancy Loss: From Diagnostic Dilemmas to Clinical Decisions SECTION 12: RECENT ADVANCES 78. Bioengineered Human Endometrium In Vitro. 79. Recent Trends in A...

This book discusses the common principles of morality and ethics derived from divinely endowed intuitive reason through the creation of al-fitr' a (nature) and human intellect (al-‘aql). Biomedical topics are presented and ethical issues related to topics such as genetic testing, assisted reproduction and organ transplantation are discussed. Whereas these natural sources are God’s special gifts to human beings, God’s revelation as given to the prophets is the supernatural source of divine guidance through which human communities have been guided at all times through history. The second part of the book concentrates on the objectives of Islamic religious practice – the maqa' sid – which include: Preservation of Faith, Preservation of Life, Preservation of Mind (intellect and reason), Preservation of Progeny (al-nasl) and Preservation of Property. Lastly, the third part of the book discusses selected topical issues, including abortion, assisted reproduction devices, genetics, organ transplantation, brain death and end-of-life aspects. For each topic, the current medical evidence is followed by a detailed discussion of the ethical issues involved.

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