By Peter R. Brinsden

This significant e-book - often called 'The Bourn corridor Textbook' - developed from instructing classes held at this prestigious health center - one of many birthplaces of IVF and scientific reproductive drugs. The content material is finished: masking review of the infertile couple and either laboratory and medical points of assisted reproductive applied sciences. The emphasis all through is at the useful administration of sufferers present process assisted notion therapy. The 3rd variation is an entire replace of the sector together with improved sections on more moderen applied sciences corresponding to present and ICSI. The booklet is authored mostly through present or earlier contributors of the Bourne corridor employees, with extra fabric from major foreign experts. The Bourn corridor systems, Protocols and data Sheets - formerly released as an Appendix - at the moment are integrated on CD-ROM for ease of version for neighborhood use.

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Extra resources for A Textbook of In Vitro Fertilization and Assisted Reproduction: The Bourn Hall Guide to Clinical and Laboratory Practice

Example text

Being overweight and obese also have an effect on the fertility of the male partner. The total number of normal-motile sperm is reduced9,12, with more sperm DNA fragmentation13 as well as erectile dysfunction disturbances14. , should be evaluated. Habits such as alcohol consumption and smoking, as well as prescribed, over-the-counter and recreational drug use, should be determined. While there are conflicting reports on the effect of alcohol consumption on female fertility15,16, it is clear that excessive consumption is harmful for the fetus.

PREGNANCY RATES IN IVF TREATMENT Where a couple, after proper investigation and careful counseling, decide to embark on demanding and expensive IVF treatment, their main concern is usually what their real chance of success is, and whether they will become parents. Although no definite answer can be given before treatment is started, the two major factors influencing success are: (1) The success rate of the individual clinic; (2) The characteristics of the couple. Pregnancy rates vary enormously in different countries and in clinics in the same country and region4,133–135.

The probability of conception on different days of the cycle with respect to ovulation: an overview. Adv Contracept 1997; 13: 83–95 Minkoff H, Santoro N. Ethical considerations in the treatment of infertility in women with human immunodeficiency virus infection. N Engl J Med 2000; 342: 1748–50 Gilling-Smith C, Smith JR, Semprini E. HI and infertility: time to treat. qxd 18/06/10 1:54 PM Page 29 PATIENT SELECTION AND MANAGEMENT 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. treatment to parents who are HIV positive.

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