Unexplained Infertility

by Taylor, Patrick J.; Collins, John A.

• ISBN13: 9780192622907
• ISBN10: 0192622900
• Format: Hardcover
• Copyright: 1993-01-14
• Publisher: Oxford University Press

Summary

Infertility is still a significant problem, despite impressive recent advances in diagnosis and therapy. Infertility for which no cause can be found poses particular problems for both the affected person(s) and the clinician. This book presents a critical and practical approach to the diagnosis and management of unexplained infertility. It first considers reproductive physiology and pathology, and then draws on these sections to describe and critically appraise the investigations used to exclude known causes. Having proposed a working definition of unexplained infertility on the basis of these investigations, the authors consider the management of the condition. They discuss the prognosis for untreated person(s), and evaluate the role of the new reproductive techniques. They particularly emphasize the emotional needs of those affected. This clear and comprehensive text will be of value to obstetricians, gynecologists, and any professional involved in the care of infertile couples.

Table of Contents

Introduction

Overview of the prevalence of unexplained infertility and the investigationsnecessary to make the diagnosis

The physiology and investigation of ovulation and endometrial preparation forimplantation

The production of spermatozoa and their transportation in the male genitaltract

Physiology and investigation of sperm and oocyte transport in the female

Fertilization and early embryonic development

Endometriosis

Immunological phenomena

Infective agents

Uterine factors

A final working clinical definition of unexplained infertility and theinvestigations necessary to establish the diagnosis

The prognosis for couples with unexplained infertility

The emotional needs of the infertile couple

Empirical treatments for unexplained infertility

An evaluation of empirical treatment of unexplained infertility

The management of unexplained infertility

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