Medical and surgical management of common fertility issues:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, PA
Elsevier
2012
|
| Schriftenreihe: | Obstetrics and gynecology clinics of North America
39,4 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index |
| Beschreibung: | XIV S., S. 453 - 594 Ill., graph. Darst. 24 cm |
| ISBN: | 9781455749010 145574901X |
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| 245 | 1 | 0 | |a Medical and surgical management of common fertility issues |c ed. G. Wright Bates |
| 264 | 1 | |a Philadelphia, PA |b Elsevier |c 2012 | |
| 300 | |a XIV S., S. 453 - 594 |b Ill., graph. Darst. |c 24 cm | ||
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| 490 | 1 | |a Obstetrics and gynecology clinics of North America |v 39,4 | |
| 490 | 0 | |a Clinics review articles | |
| 500 | |a Includes bibliographical references and index | ||
| 650 | 4 | |a Infertility, Female | |
| 650 | 4 | |a Infertility, Female / Treatment | |
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Datensatz im Suchindex
| _version_ | 1804149995904958464 |
|---|---|
| adam_text | Titel: Medical and surgical management of common fertility issues
Autor: Bates, G. Wright
Jahr: 2012
Medical and Surgical Management of Common Fertility Issues
Contents
Foreword xi
Willi am F. Rayburn
Preface xiii
G. Wright Bates Jr
Infertility Evaluation 453
Janet F. McLaren
Infertility is a common condition, affecting 15% of couples trying to con-
ceive. The infertility evaluation includes an assessment of both the female
and the male partner to discern the factors contributing to their difficulty in
conceiving. The basic evaluation includes a careful history of both part-
ners, physical examination of the female partner, investigation of ovulatory
function and tubal status, and semen analysis. A more detailed investiga-
tion is performed as dictated by individual factors.
Optimizing Natural Fertility: The Role of Lifestyle Modification 465
Mamie McLean and Melissa F. Wellons
Preconception counseling provides an opportunity for health care pro-
viders to promote maternal and neonatal health, and to make recommen-
dations regarding the optimization of natural fertility. While educating
patients on the negative impact of maternal obesity on fertility and mater-
nal and neonatal health; many health care providers recommend weight
loss to reduce these negative outcomes. The recommendations start
with lifestyle modifications, including diet and exercise. This article
focuses on the available evidence regarding lifestyle modifications and fer-
tility, and on the type of lifestyle modifications that health care providers
should recommend to patients seeking to optimize their natural fertility.
Obesity and Reproductive Function 479
Emily S. Jungheim, Jennifer L. Travieso, Kenneth R. Carson,
and Kelle H. Moley
Obesity is associated with multiple adverse reproductive outcomes, but
the mechanisms involved are largely unknown. Obesity has been referred
to as a complex system, defined as a system of heterogeneous parts
interacting in nonlinear ways to influence the behavior of the parts as
a whole. Human reproduction is also a complex system; hence the diffi-
culty in identifying the mechanisms linking obesity and adverse reproduc-
tive function. This review discusses the adverse reproductive outcomes
associated with obesity and the mechanisms involved and concludes
with a discussion of public health policy with respect to the treatment of
infertility in obese women.
viii Contents
Polycystic Ovarian Syndrome Management Options 495
G. Wright Bates Jr and Anthony M. Propst
Polycystic ovarian syndrome (PCOS) is a disorder of androgen excess
and ovarian dysfunction. Hirsutism and elevated free testosterone levels
are the most consistent signs of the androgen excess. Irregular, infre-
quent, or absent menses and infertility are symptoms of ovulatory dys-
function. Obesity is also a feature of this syndrome and contributes to
associated metabolic abnormalities. Lifestyle modification should be
the first treatment and is effective in reducing the signs and symptoms.
The ovulatory infertility associated with PCOS can be overcome in most
cases with oral (clomiphene citrate or letrozole) or injectable (gonadotro-
pins) agents. Surgical intervention is reserved for cases resistant to med-
ical management.
Evaluation and Treatment of Anovulatory and Unexplained Infertility 507
Anthony M. Propst and G. Wright Bates Jr
Anovulatory disorders are a primary cause of female infertility. Polycystic
ovarian syndrome is the major cause of anovulation and is generally asso-
ciated with obesity. Lifestyle changes to encourage weight loss are the
initial therapy for overweight and obese patients, followed by clomiphene
citrate for ovulation induction. For those patients who fail to ovulate on clo-
miphene citrate, alternatives, such as letrozole; gonadotropins; and com-
plimentary agents to enhance clomiphene citrate, such as metformin and
glucocorticoids, are reviewed. Women with unexplained infertility (no iden-
tifiable cause of infertility on a routine evaluation) may benefit from ovula-
tion induction with clomiphene citrate, letrozole, or gonadotropins.
The Impact and Management of Fibroids for Fertility: An Evidence-Based Approach 521
Xiaoxiao Catherine Guo and James H. Segars
Fibroids affect 35% to 77% of reproductive-age women. When selecting
a treatment plan for symptomatic fibroids, the fibroid location, size, and
number must be considered. Myomectomy remains the preferred method
for women with fibroid-related infertility who wish to have children or main-
tain fertility. Currently available medical therapies reduce symptoms in the
short term but may involve side effects when used long term. Initial fertility
studies are encouraging but trials are needed. Recent medical advances
have led to minimally invasive approaches for women with fibroid disease,
but there is a strong demand for additional treatment options.
Endometriosis and Infertility: A Review of the Pathogenesis and Treatment of
Endometriosis-associated Infertility 535
Matthew Latham Macer and Hugh S. Taylor
Endometriois has been associated with infertility; however, the mechanisms
by which it affects fertility are still not fully understood. This article reviews
the proposed mechanisms of endometriosis pathogenesis, its effects on
fertility, and treatments of endometriosis-associated infertility. Theories
on the cause of the disease include retrograde menstruation, coelomic
metaplasia, altered immunity, stem cells, and genetics. Endometriosis
Contents ix
affects gametes and embryos, the fallopian tubes and embryo transport,
and the eutopic endometrium; these abnormalities likely all impact fertility.
Current treatment options of endometriosis-associated infertility include
surgery, superovulation with intrauterine insemination, and in vitro fertiliza-
tion. We also discuss potential future treatments for endometriosis-related
infertility.
Tubal Factor Infertility: Diagnosis and Management in the Era of Assisted
Reproductive Technology 551
Erica C. Dun and Ceana H. Nezhat
Tubal factor infertility accounts for a large portion of female factor infertility.
The most prevalent cause of tubal factor infertility is pelvic inflammatory
disease and acute salpingitis. The diagnosis of tubal occlusion can be
established by a combination of clinical suspicion based on patient history
and diagnostic tests, such as hysterosalpingogram, sonohysterosalpin-
gography, and laparoscopy with chromopertubation. Depending on
several patient factors, tubal microsurgery or more commonly in vitro
fertilization with its improving success rates are the recommended treat-
ment options.
A New Approach to Primary Ovarian Insufficiency 567
Saima Rafique, Evelina W. Sterling, and Lawrence M. Nelson
There is a need for a new approach to managing women with primary ovar-
ian insufficiency. This condition is a serious chronic disease that may have
far reaching effects on physical and emotional health. An integrative and
collaborative approach to management works best. To maintain wellness,
most women with primary ovarian insufficiency need to reassess their pri-
mary source of meaning and purpose in life and how this diagnosis may
have threatened that part of who they are. They also need assessment
with regard to bone health, thyroid and adrenal function, determination
of FMR1 premutation and karyotype status, and ongoing estradiol-proges-
tin hormone replacement.
Index
587
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| illustrated | Illustrated |
| indexdate | 2024-07-10T00:31:54Z |
| institution | BVB |
| isbn | 9781455749010 145574901X |
| language | English |
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| physical | XIV S., S. 453 - 594 Ill., graph. Darst. 24 cm |
| publishDate | 2012 |
| publishDateSearch | 2012 |
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| publisher | Elsevier |
| record_format | marc |
| series | Obstetrics and gynecology clinics of North America |
| series2 | Obstetrics and gynecology clinics of North America Clinics review articles |
| spelling | Medical and surgical management of common fertility issues ed. G. Wright Bates Philadelphia, PA Elsevier 2012 XIV S., S. 453 - 594 Ill., graph. Darst. 24 cm txt rdacontent n rdamedia nc rdacarrier Obstetrics and gynecology clinics of North America 39,4 Clinics review articles Includes bibliographical references and index Infertility, Female Infertility, Female / Treatment Bates, G. Wright Sonstige oth Obstetrics and gynecology clinics of North America 39,4 (DE-604)BV000617486 39,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025676420&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Medical and surgical management of common fertility issues Obstetrics and gynecology clinics of North America Infertility, Female Infertility, Female / Treatment |
| title | Medical and surgical management of common fertility issues |
| title_auth | Medical and surgical management of common fertility issues |
| title_exact_search | Medical and surgical management of common fertility issues |
| title_full | Medical and surgical management of common fertility issues ed. G. Wright Bates |
| title_fullStr | Medical and surgical management of common fertility issues ed. G. Wright Bates |
| title_full_unstemmed | Medical and surgical management of common fertility issues ed. G. Wright Bates |
| title_short | Medical and surgical management of common fertility issues |
| title_sort | medical and surgical management of common fertility issues |
| topic | Infertility, Female Infertility, Female / Treatment |
| topic_facet | Infertility, Female Infertility, Female / Treatment |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025676420&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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