By Steven R. Bayer, Michael M. Alper, Alan S. Penzias

In line with the gold-standard tactics and protocols built at Boston IVF, this advisor provides a coherent and dependent method of the infertile couple. The ebook comprises all that gynecologists and REIs have to evaluation and deal with infertility in either men and women. either scientific and laboratory strategies are incorporated. additionally integrated is a bankruptcy on preconception care as suggestions for considering a being pregnant. New chapters for this revised and enlarged variation comprise sections on endometriosis, recurrent being pregnant loss, ethics, and caliber administration.

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Extra resources for Boston IVF Handbook of Infertility: A Practical Guide for Practitioners Who Care for Infertile Couples

Sample text

The solid line is an estimate by the model for all 625 cycles. Reprinted with permission from Wilcox AJ, Weinberg CR, Baird DD. Timing of sexual intercourse in relation to ovulation. N Engl J Med 1995; 23: 1517–21. Copyright © 1995 Massachusetts Medical Society. All rights reserved time and frequency of intercourse to maximize their chances. 12 The investigators followed 221 women who were attempting pregnancy. All women kept track of the days they had intercourse and collected daily urine samples which were then analyzed to determine the day of ovulation.

Genetic testing in men with severe oligospermia is indicated and should be a prerequisite prior to proceeding with IVF and intracytoplasmic sperm injection (ICSI). An abnormal genetic test should trigger a referral to a genetics counselor. Hyperprolactinemia is uncommon in the male but can be associated with impotence. In the male with azoospermia and normal gonadotropins, one must consider either the presence of an obstructed outflow tract or the congenital absence of the vas deferens as the cause.

An abnormal genetic test should trigger a referral to a genetics counselor. Hyperprolactinemia is uncommon in the male but can be associated with impotence. In the male with azoospermia and normal gonadotropins, one must consider either the presence of an obstructed outflow tract or the congenital absence of the vas deferens as the cause. Often the diagnosis can be made on physical examination, but a testicular biopsy with a vasogram may be helpful. While a physical examination and laboratory evaluation are helpful to evaluate the male with abnormal semen parameters, the majority of cases remain unexplained.

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