Fertility specialists are constantly looking for ways to improve the chances of pregnancy through IVF or other assisted reproductive techniques (ART). ‘Adjuvant’ or ‘add-on’ therapies are procedures or medications which are added to IVF treatment to try and improve the chances of success. This book is a practical guide to the use of adjuvants in infertility for clinicians and trainees. Divided into ten sections, the text begins with an overview of the rational for additional therapy in IVF. The next section examines different types of adjuvant therapy and their pros and cons. Topics include medical nutrition therapy, neutraceuticals, antioxidants, micronutrients, and reactive oxygen species. Each of the following sections covers adjuvant use for improving a specific fertility issue – PCOS, ovarian reserve, uterine blood flow, endometrial receptivity, embryo implantation, and male subfertility. The final sections discuss the impact of thyroid autoimmunity on the outcome of ART, and the use of surgery as an adjuvant in infertility. Key points Practical guide to the use of adjuvants in infertility Covers various types of adjuvant and their use for different fertility issues Includes discussion on surgery as an adjuvant Highly illustrated with clinical photographs and diagrams

The alien world of medieval Europe lives again, transformed by the physics of the future, by a winner of the Heinlein Award Over the centuries, one small town in Germany has disappeared and never been resettled. Tom, a historian, and his theoretical physicist girlfriend Sharon, become interested. By all logic, the town should have survived. What's so special about Eifelheim? Father Dietrich is the village priest of Eifelheim, in the year 1348, when the Black Death is gathering strength but is still not nearby. Dietrich is an educated man, and to his astonishment becomes the first contact person between humanity and an alien race from a distant star, when their ship crashes in the nearby forest. It is a time of wonders, in the shadow of the plague. Flynn gives us the full richness and strangeness of medieval life, as well as some terrific aliens. Tom and Sharon, and Father Deitrich have a strange destiny of tragedy and triumph in Eifelheim, the brilliant science fiction novel by Michael Flynn. At the Publisher's request, this title is being sold without Digital Rights Management Software (DRM) applied.

Ovarian Stimulation Protocols is a concise handbook that aims to deliver everything the reader needs to know for performing a risk-free ovarian stimulation for assisted reproductive technique (ART) and get a favorable outcome. Review of crucial issues such as the significance of monitoring ovarian stimulation, advantages and disadvantages of ovarian hyperstimulation versus minimal stimulation, and the use of various drug regimens and stimulation protocols for various patient sub-sets, will help clinicians in selecting the better or more appropriate protocols. The contributors of this book have leading scientific and clinical backgrounds, with years of experience to support their views. The book serves as a handy practical guide, targeting and settling clinical dilemma that ART practitioners commonly experience in their clinics, while providing a window to the newer developments. ​

This volume is a state-of-the-art guide to the diagnostic workup of infertile couples and the variety of contemporary treatment options. Topics covered include endoscopic and sonographic tubal evaluation; the place of tubal surgery in the era of assisted reproductive technologies; psychological factors in infertility; reasons for hormonal disturbances causing anovulation; infertility caused by obesity; and methods for optimizing the luteal phase and the preimplantation period. An extensive section on assisted reproductive technologies covers patient selection, technical procedures, and troubleshooting. Coverage also includes management of male infertility--from moderate oligoasthenoteratozoospermia to complete azoospermia--and surgical and nonsurgical methods for sperm retrieval.

This book aims to promote awareness of and highlight the screening modalities and various treatment options available for the management of cervical pre-invasive lesions. Cervical cancer is the leading cause of malignancy among women worldwide, and deaths due to cervical cancer represent a global health problem. Yet the risk of cervical malignancy can be decreased substantially if the premalignant conditions of the cervix are recognized and treated in a timely manner. Colposcopy is the gold standard for the diagnosis of cervical dysplasia. Accordingly, the book details the fundamentals of colposcopy and colposcopic assessment of the normal and abnormal cervix. With preventive oncology taking front stage, colposcopy has become one of the most important diagnostic tools available. With chapters contributed by respected experts in this field, the book offers vital insights into colposcopy and an essential guide to comprehensive strategies for the early detection of cervical cancer. The main text is complemented by ample illustrations for clarity and a better understanding of the subject. Case discussions on various clinical scenarios will further ensure good clinical practices, which will in turn translate into reduced risk of cervical cancer.

The Techniques of IVF Made Easy covers each step of IVF technology, endocrinology, embryology and ultrasonography in a simple, systematic and practical way.Also includes a DVD-ROM covering the process of In-Vitro Fertilisation from preparation of equipment to embryo transfer, in seventeen steps. This latest addition to the ‘Made Easy’ series is also enhanced by 44 full colour images and illustrations throughout the book.

EUROPEAN PRACTICE IN GYNAECOLOGY AND OBSTETRICT is a series of books conceived and endorsed by the European Board and College of Obstetrics and Gynaecology (EBCOG). Its aim is to provide up-to-date, evidence-based information that represents the consensus of opinion among leading European experts in the field, as part of the overall aim of standardising training and practice in order to ensure quality care and facilitate exchange among physicians in all parts of Europe and the rest of the world.