Understanding fertility / Gab Kovacs, Monash University Medical School .

Format:

Book

Author/Creator:

Kovacs, Gabor, 1947 April 6- author.

Series:

Understanding life series.

Understanding life

Language:

English

Subjects (All):

Fertility.

Fertility, Human.

Pregnancy.

Physical Description:

1 online resource (xviii, 144 pages) : digital, PDF file(s).

Edition:

1st ed.

Place of Publication:

Cambridge, United Kingdom ; New York, NY : Cambridge University Press, 2022.

Summary:

Infertility can have devastating physical, emotional and financial effects on people affected. It is a common problem, but can be hard to talk about, and hard to understand. In this concise book, Dr Kovacs, a reproductive gynaecologist who has spent the past 40 years working with patients facing fertility problems, focuses on and unpicks key misconceptions. In his clear explanations, he covers the basic physiology of conceiving, and describes the areas that have to be explored for those who have not yet been able to conceive. Specific chapters cover the three major problem areas: lack of releasing eggs, sperm problems, and abnormalities of the female passages. Treatment options are discussed for each of these areas, including technical details and a brief readable overview of their history. The many ways of parenting which are now available are also detailed. This is a recommended read for couples wanting to conceive, their friends and families, and anyone who wants to understand fertility.

Contents:

Cover

Half-title

Series information

Title page

Copyright information

Reviews

Dedication

Contents

Foreword

Preface

1 How Conception Occurs and Why Pregnancy Does Not Always Happen

Basic Fertility Factors

How Do We Know If Adequate Sperm Are Being Ejaculated?

The correct number of normal sperm

In the correct place

At the right time

Eggs Have to Be Produced: The Basics of Ovulation

Fertilisation

The Passages (Uterus and Tubes) Have to Be Open and Normal

Implantation

Age and Conceiving

When and How to Get Help

A Systematic Approach to Investigations and Treatment

2 Is the Male Partner Fertile? Can His Sperm be Improved? What Options Are Available?

How Are Sperm Made?

What Is a Potentially Fertile Sperm Count?

Clinical Assessment

Which Hormones Should Be Measured?

Genetic Tests

What Causes a Subnormal Semen Quality?

Can a Subnormal Sperm Count Be Treated?

Artificial Insemination with Partner's Semen

How Does IVF Technology Help?

Sperm Donation

How Does Sperm Donation Work?

Terminology

Who Can Donate Sperm?

How Are Donors Screened?

Counselling and Legal Status

Reimbursement

How Is the Sperm Matched?

The Insemination

Outcomes

3 Physiology of the Menstrual Cycle and Anovulation Treatment

Hormonal Control of Ovulation

Development of the Ovarian (Graafian) Follicle

The Effect of Oestrogen and Progesterone on the Endometrium

The Effect of Oestrogen and Progesterone on Cervical Secretions (Mucus)

The Corpus Luteum and Pregnancy

Is the Woman Ovulating?

The Role of Luteinising Hormone

Anti-Müllerian Hormone

Inducing Ovulation

Before Starting

Elevated Prolactin

If Prolactin Is Normal, First Exclude Ovarian Failure

Ovulation Induction with Tablets

Other Oral Medications.

OI Using FSH Injections

Polycystic Ovary Syndrome

Summary

4 Are My Uterus or My Tubes Stopping Me Getting Pregnant?

History

Examination

Imaging

X-ray

Ultrasound

Laparoscopy and Hysteroscopy

Open but Malfunctioning Tubes

Endometriosis

Surgical Treatment

Other Solutions

Myths

5 Unexplained (Idiopathic) Infertility

Definition

Causes

Transport

Artificial Insemination

Fertilisation and Normal Development

The Role of IVF in Unexplained Subfertility

Other Problems: Endometriosis

6 What Is IVF and What Does It Entail?

Step One: Controlled Ovarian Hyperstimulation

Step Two: Monitoring

Step Three: Oocyte Collection

Step Four: Laboratory Procedures of Fertilisation (With Possible ICSI) and Embryo Culture

Step Five: Embryo Transfer

Step Six: Embryo Freezing

Preimplantation Genetic Diagnosis and Embryo Biopsy

Add-Ons to Improve Outcome

Assisted Hatching

Immunological Tests and Treatment

Intracytoplasmic Morphologically Selected Sperm Injection

Physiological Intracytoplasmic Sperm Injection

Intrauterine Culture

Preimplantation Genetic Testing for Normal Chromosome Content

Endometrial Scratching

Adding Embryo Glue to the Culture Medium

Freezing All Suitable Embryos, Avoiding Fresh Embryo Transfers ('Freeze-Only' Cycles)''

Time-Lapse Imaging While in Culture

Sperm DNA Damage Tests

In Vitro Maturation

Success Rates

7 Fertility Preservation and Other Reproductive Options

Sperm Cryopreservation

Oocyte Freezing

Egg Banking

Embryo Freezing

Ovarian Tissue Freezing

Egg Donation

Embryo Donation

Surrogacy

Lesbian and Single Mothers

Gay Fathers

8 Mind over Matter?

Can Anxiety Cause Infertility?

Being Subfertile Is a 'Loss': the Grief Reaction.

The Different Types of Counselling

Coping with Stress

Will a Holiday Help?

Support Groups

During IVF Treatment

Coping with Unsuccesful Cycles

Can Counselling Help?

Living Without Children: Being 'Child Free'

Concluding Remarks

Summary of Common Misunderstandings

Glossary

References

Figure Credits

Index.

Notes:

Title from publisher's bibliographic system (viewed on 30 Aug 2022).

ISBN:

1-009-06227-1

1-009-05339-6

OCLC:

1292531372