Download e-book for kindle: Boston IVF Handbook of Infertility: A Practical Guide for by Steven R. Bayer, Michael M. Alper, Alan S. Penzias
By Steven R. Bayer, Michael M. Alper, Alan S. Penzias
According to the gold-standard systems and protocols built at Boston IVF, this advisor offers a coherent and established method of the infertile couple. The ebook comprises all that gynecologists and REIs have to assessment and deal with infertility in either men and women. either medical and laboratory ideas are incorporated. additionally integrated is a bankruptcy on preconception care as advice for considering a being pregnant. New chapters for this revised and enlarged version contain 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
3 The conception rates for 129 menstrual cycles were recorded when intercourse occurred on a single day. The day of ovulation is day 0. No pregnancies resulted when intercourse took place 7 or more days prior to ovulation or after ovulation. 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.
The antimitotic activity of colchicine, a medication prescribed for gout, can also decrease sperm production. Some medications that are used to treat hypertension and mood disorders have sympathetic or parasympathetic actions that can interfere with erectile function and/or ejaculation. 2 A standard part of the semen analysis is an assessment of the morphology or shape of the sperm. Note: a spermatozoon with normal morphology (A), and spermatozoa with abnormal morphology including one with a mid-piece defect (B) and one with two tails (C) azoospermia, which are reversible.
The initial consultation is an extremely important encounter and an adequate amount of time (30–60 min) should be spent with the couple. There are several objectives of the initial interview, which are described below. Determine the necessity of an evaluation The first step is to make sure that an evaluation is indicated. The physician must determine whether the couple has had well timed intercourse and whether they have been trying for a sufficient duration of time. ). qxd 12/21/2006 6:44 PM Page 26 HANDBOOK OF INFERTILITY about 75% of couples will achieve pregnancy after 6 months of unprotected intercourse and this only increases to 85% by 12 months.
Boston IVF Handbook of Infertility: A Practical Guide for Practitioners Who Care for Infertile Couples by Steven R. Bayer, Michael M. Alper, Alan S. Penzias