Current reproductive endocrinology:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2000
|
| Schriftenreihe: | Obstetrics and gynecology clinics of North America
27,3 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XII S., S. 473 - 682 Ill., graph. Darst. |
Internformat
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| 245 | 1 | 0 | |a Current reproductive endocrinology |c Alan S. Penzias guest ed. |
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Datensatz im Suchindex
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CURRENT REPRODUCTIVE ENDOCRINOLOGY
CONTENTS
Preface xi
Alan S. Penzias
Infertility: Contemporary Office Based Evaluation and
Treatment 473
Alan S. Penzias
Infertility is a common but treatable condition. Diagnostic tests,
including tests that couples can perform at home, tests that all
couples need (semen analysis and hysterosalpingogram), and
other office based tests, help the clinician determine the best
treatment option. Currently, intrauterine insemination and ovula
tion induction are the more popular treatment options.
Contemporary Approach to the Male Infertility
Evaluation 487
Aaron Spitz, Edward D. Kim, and Larry I. Lipshultz
Evaluation of infertile couples has revealed that male factor infer¬
tility contributes to the problem in up to 50% of cases. Evaluation
of the male infertility patient may include endocrine studies,
sophisticated semen testing, and select radiographic studies. Re¬
versible and life threatening causes of male infertility should be
identified before proceeding directly to assisted reproductive
technology. For cases with irreversible causes, a proper evaluation
can identify patients who may be treated with the breakthrough
method of intracytoplasmic sperm injection. Many men who were
previously thought to be infertile may now initiate their own
biologic pregnancies. This article emphasizes the essentials of
the contemporary approach to evaluating the male factor in an
infertile couple.
OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA
VOLUME 27 • NUMBER 3 • SEPTEMBER 2000 V
Advances in Assisted Reproductive Technologies 517
Kim L. Thornton
Over the past 25 years, there have been numerous advances in
the field of assisted reproductive technology (ART). This articles
reviews the innovations that have dramatically influenced the
practice of ART. Particular attention is given to improvements in
stimulation regimens with the introduction of the gonadotropin
releasing hormone agonists.
The Interpretation and Use of Statistics in Assisted
Reproductive Technologies 529
R. Douglas Powers and Peter M. Martin
This article clarifies the use of statistics to describe the success of
infertility treatments, with specific emphasis on assisted repro¬
ductive technology. A discussion of the January 2000 Society for
Assisted Reproductive Technology/Centers for Disease Control
report for procedures performed in 1997 is included. Limitations
on the use of statistical analysis and the problem of multiple
gestation are addressed. A glossary of terms is included for refer¬
ence.
Contemporary Issues for Spontaneous Abortion:
Does Recurrent Abortion Exist? 541
Richard H. Reindollar
In the past, clinicians have counted the number of spontaneous
abortions among couples in an attempt to determine who should
be evaluated for recurrent abortion. A better approach is to exam¬
ine the environment in which pregnancy has occurred or been
planned. This article discusses the previously held etiologies re¬
garding spontaneous abortion. Evidence for and against these
causes is presented, and the causes are included in contemporary
evaluation and treatment paradigms.
Essential Genetics for the Obstetrician/Gynecologist 555
Lawrence C. Layman
The science of genetics has become increasingly important in the
practice of medicine. This article reviews the practical, clinical
aspects of genetics relevant to obstetrics and gynecology. The
basic fundamentals of molecular biology techniques currently
used in DNA diagnostic tests are discussed.
New Treatments of Hyperandrogenism and Hirsutism 567
Doreen L. Hock and David B. Seifer
Approximately 5% to 8% of the female population demonstrates
some form of hirsutism, the presence of prominent facial and
vi CONTENTS
body hair caused by excessive androgen effect. Treatment meth¬
ods are classified into three categories: (1) hormonal suppression
consisting of medical therapy to decrease androgen production,
(2) the administration of antiandrogens to block the androgen
effect at the hair follicle, and (3) physical methods of hair removal.
Most patients require a combination of medical and physical ther
apy
Insulin Lowering Medications in Polycystic
Ovary Syndrome 583
Ann E. Taylor
Polycystic ovary syndrome (PCOS), one of the most common
clinical abnormalities, is associated with infertility, obesity, and
metabolic dysfunction. A significant proportion of obese and lean
women with PCOS have greater insulin resistance than is ex¬
pected. Resistance is accompanied by a defect in insulin secretion,
and recent studies have documented a dramatically high rate of
diabetes mellitus and impaired glucose tolerance in this popula¬
tion of women. Medications that reduce serum insulin levels have
been administered to women with PCOS to study the role of
hyperinsulinemia in the pathophysiology and treatment of PCOS.
This article presents the evidence for hyperinsulinemia and insu¬
lin resistance in women and reviews the therapeutic reponse to
insulin lowering agents. Recommendations are made for further
research and the use of new agents in the treatment of PCOS.
Advances in Contraception 597
Ann J. Davis
Many safe and effective contraceptive methods are currently
available, and a stream of new products is being introduced to
the market. This article presents the histories, descriptions, and
future trends for oral contraceptive pills, hormonal implants and
injections, and intrauterine devices. Other methods discussed in¬
clude barrier methods, spermicides, and emergency contracep¬
tion, and permanent sterilization.
Hormone Replacement for the New Millennium 611
Margery Gass and Robert Rebar
The field of hormone replacement therapy continues to evolve.
Guidelines and dosing regimens change in response to new data
and treatment options. It is important for the clinician to remain
informed to be able to interpret new findings for the patient.
Premenstrual Syndrome: Advances in Diagnosis and
Treatment 625
Bruce Kessel
The diagnosis and treatment of premenstrual syndrome (PMS)
has advanced significantly in the past decade, in particular, for
CONTENTS vii
premenstrual dysphoric disorder (PDD), a severe form of PMS
with strict diagnostic criteria. Although the underlying patho
physiology remains unclear, increasing evidence supports an al¬
teration in sensitivity of central nervous system neurotransmit
ters, particularly serotonergic transmitters, to fluctuating levels of
ovarian sex steroids. Successful therapy for PDD is achieved
with serotonergically active drugs, such as the selective serotonin
reuptake inhibitors. Increased attention is being placed on inter¬
mittent luteal phase administration of these drugs.
Update on the Medical Treatment of Endometriosis 641
Debra A. Minjarez and William D. Schlaff
Endometriosis is a complex disorder affecting the quality of life
of many women in the reproductive age group. Treatment modal¬
ities focus on relief of symptoms. Selecting the optimal therapy
for patients requires assessing each patient's symptoms and re¬
productive needs.
Update on the Medical Treatment of Ectopic Pregnancy 653
Kurt Barnhart, Melissa Esposito, and Christos Coutifaris
Medical treatment of ectopic pregnancy with methotrexate has
been shown to be effective and safe in appropriate patients. When
considering medical management, the definitive diagnosis of an
ectopic pregnancy and the assurance that the patient is a candi¬
date are of paramount concern. An understanding of the mechan
sim of action and pharmacokinetics of methotrexate allows the
clinician to better inform patients, recognize and treat side effects,
and be cognizant when treatment is unseccessful. Two common
protocols, the "multi dose" and the "single dose" protocols, have
excellent success rates; however, neither one of these is com¬
pletely effective. The "multi dose" protocol appears to have a
higher success rate than the "single dose" protocol.
New Approaches to Management of Fibroids 669
David L. Olive
A number of new treatments are available for management of
leiomyomas, including supracervical hysterectomy, laparoscopic
myomectomy, myolysis, and uterine artery embolization. All of
these techniques can be performed as minimally invasive proce¬
dures. Little is known about long term outcome for these treat¬
ment modalities.
Index 677
Subscription Information Inside backcover
Viii CONTENTS |
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| spelling | Current reproductive endocrinology Alan S. Penzias guest ed. Philadelphia [u.a.] Saunders 2000 XII S., S. 473 - 682 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Obstetrics and gynecology clinics of North America 27,3 Geschlechtsorgan (DE-588)4020555-1 gnd rswk-swf Endokrinopathie (DE-588)4113435-7 gnd rswk-swf Krankheit (DE-588)4032844-2 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Geschlechtsorgan (DE-588)4020555-1 s Krankheit (DE-588)4032844-2 s Endokrinopathie (DE-588)4113435-7 s DE-604 Penzias, Alan S. Sonstige oth Obstetrics and gynecology clinics of North America 27,3 (DE-604)BV000617486 27,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009082019&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Current reproductive endocrinology Obstetrics and gynecology clinics of North America Geschlechtsorgan (DE-588)4020555-1 gnd Endokrinopathie (DE-588)4113435-7 gnd Krankheit (DE-588)4032844-2 gnd |
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| title | Current reproductive endocrinology |
| title_auth | Current reproductive endocrinology |
| title_exact_search | Current reproductive endocrinology |
| title_full | Current reproductive endocrinology Alan S. Penzias guest ed. |
| title_fullStr | Current reproductive endocrinology Alan S. Penzias guest ed. |
| title_full_unstemmed | Current reproductive endocrinology Alan S. Penzias guest ed. |
| title_short | Current reproductive endocrinology |
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| topic_facet | Geschlechtsorgan Endokrinopathie Krankheit Aufsatzsammlung |
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