By Steven R. Bayer, Michael M. Alper, Alan S. Penzias
ISBN-10: 0415394325
ISBN-13: 9780415394321
In accordance with the gold-standard tactics and protocols built at Boston IVF, this advisor offers a coherent and established method of the infertile couple. The booklet contains all that gynecologists and REIs have to assessment and deal with infertility in either men and women. either medical and laboratory recommendations are integrated. additionally incorporated is a bankruptcy on preconception care as information for considering a being pregnant. New chapters for this revised and enlarged version contain sections on endometriosis, recurrent being pregnant loss, ethics, and caliber administration.
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Extra info for Boston IVF Handbook of Infertility: A Practical Guide for Practitioners Who Care for Infertile Couples
Sample text
In the days that precede ovulation, a thin, watery mucus spills out of the cervical canal and covers the portio of the cervix and upper vagina. Some women notice this change in the cervical mucus, whereas others do not. If intercourse occurs during this time period the sperm are able to penetrate the mucus and survive for up to 3 days or more. In contrast, during the early follicular phase when the estradiol levels are low, or in the luteal phase when any estrogenic affect is counteracted by progesterone, the cervical mucus is thick and tenacious.
After the uterus is identified saline is injected into the cavity. 11). 12). In this circumstance, a hysteroscopic examination would be indicated. CONCLUSIONS The causes of infertility can be varied and the infertility evaluation will provide a better understanding of the potential causes. Up to 25% of couples will have a combination of factors. Therefore, it is important that a complete evaluation is performed and the evaluation is not halted after a single abnormal test is encountered. After the evaluation is completed, the couple should be seen in consultation to discuss the results and formulate a treatment plan.
Estradiol increases the water content of the mucus, that reaches a peak of 95–98% at mid-cycle. In the days that precede ovulation, a thin, watery mucus spills out of the cervical canal and covers the portio of the cervix and upper vagina. Some women notice this change in the cervical mucus, whereas others do not. If intercourse occurs during this time period the sperm are able to penetrate the mucus and survive for up to 3 days or more. In contrast, during the early follicular phase when the estradiol levels are low, or in the luteal phase when any estrogenic affect is counteracted by progesterone, the cervical mucus is thick and tenacious.
Boston IVF Handbook of Infertility: A Practical Guide for Practitioners Who Care for Infertile Couples by Steven R. Bayer, Michael M. Alper, Alan S. Penzias
by Joseph
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