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Title How to improve your ART success rates : an evidence-based review of adjuncts to IVF / edited by Gab Kovacs
Published Cambridge ; New York : Cambridge University Press, 2011
Online access available from:
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Description 1 online resource (xii, 262 pages) : illustrations
Series Cambridge medicine
Cambridge medicine (Series)
Contents Cover; How to improve your ARTsuccess rates; Title; Copyright; Contents; Contributors; Chapter 1 Pre-treatment hormone assessment to optimize IVF outcomes; Introduction; Hormone assessments of ovarian reserve; Assessment of thyroid dysfunction; Miscellaneous hormone assessment; Conclusion; References; Chapter 2 Role of pelvic ultrasonography in the selection and preparation of patients for IVF; Evaluation of the ovarian reserve; Prediction of poor response to COH; The antral follicle count: recent evolutions and disputed issues; Which threshold?; What about 3D ultrasound?; AFC or AMH or both?
Chapter 8 Do vitamins and natural supplements improve pregnancy rates?Folic acid; Iodine; Vitamin D; Other vitamins; Natural therapies; Vitamins and minerals in men; References; Chapter 9 Polycystic ovary patients -- is there a role for metformin?; Live birth rate; Clinical pregnancy rate; Ovarian hyperstimulation syndrome; References; Chapter 10 How to improve your IVF pregnancy rate: Treatments for endometriosis; Introduction; Symptoms and diagnosis; Staging; Observation; Ovarian suppression; Surgery; Controlled ovarian stimulation and intrauterine insemination; In vitro fertilization
Laboratory criteria (two or more occasions =12 weeks apart)Antithyroid antibodies; Antinuclear antibodies; Antigliadin antibodies; Antiovarian antibodies; Antisperm antibodies; Thrombophilias; Conclusion; Funding; References; Chapter 6 Natural killer cell analysis; Introduction; NK cell biology; Methods of assessment; Uterine NK cells; Blood NK cells; NK cell analysis in reproductive failure; Targeted immune therapy; Conclusion; References; Chapter 7 How to improve your IVF success rate: Weight control; Use of pharmacological agents; Orlistat; Sibutramine; Bariatric surgery; References
Ovarian volumeDoppler; Prediction of the ovarian hyperstimulation syndrome; Prediction of implantation; Ancillary uses of ultrasound; Sonosalpingography; Diagnosis of ovarian diseases; Detection of uterine and tubo-peritoneal lesions; Conclusion; References; Chapter 3 Is pre-IVF laparoscopy/ hysteroscopy worthwhile?; Introduction; Hysteroscopy; Diagnosis; Treatment; Indications for pre-IVF hysteroscopy; Laparoscopy; Diagnosis; Treatment; Indications for pre-IVF laparoscopy; Conclusion; References; Chapter 4 The management of fibroids and polyps; Background; Fibroids
The effect of fibroids on fertility and IVF outcomesSubserosal fibroids; Intramural fibroids; Submucosal fibroids; Management of fibroids; Medical management; Surgical management -- the effect of myomectomy on fertility outcomes; Alternative treatments; How do I improve IVF outcomes if my patient has fibroids?; Polyps and infertility; Conclusion; References; Chapter 5 Immunological screening in women undergoing IVF; Introduction; Autoimmune factors potentially related to pregnancy failure; Antiphospholipid antibodies; Clinical criteria
Summary "There is considerable debate and substantial individual variation in clinical practise regarding what hormones should be assessed in all patients prior to commencing IVF treatment. While it would appear logical to measure multiple hormones such as gonadotrophins (LH, FSH), steroids (testosterone, 17 hydroxy-progesterone), prolactin and thyroid function (TSH, FT4) in all woman with suspected anovulation (irregular menstrual cycle), the utility of such an extensive hormone analysis in the average ovular patient about to commence IVF for male or tubal factor infertility is less certain. In today's environment of escalating medical costs it is imperative that we only order tests that have potential clinical value. Furthermore, abnormal test results can produce anxiety in the patient, an undesirable outcome at a time when the patient is already under considerable psychological distress"--Provided by publisher
Bibliography Includes bibliographical references and index
Notes Print version record
Subject Embryo transplantation.
Evidence-based medicine.
Fertilization in vitro, Human.
Infertility.
Fertilization in Vitro -- contraindications.
Fertilization in Vitro -- methods.
Embryo Transfer.
Evidence-Based Medicine.
Infertility -- therapy.
Treatment Outcome.
Form Electronic book
Author Kovacs, Gabor, 1947 April 6-
ISBN 0511894759 (electronic bk.)
1139101137
113910179X (electronic bk.)
9780511894756 (electronic bk.)
9781139101134
9781139101790 (electronic bk.)