Boston IVF Handbook of Infertility: A Practical Guide for Practitioners Who Care for Infertile Couples

274 Pages·2007·2.1 MB·English

by  Michael M. Alper

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The Boston IVF Handbook
of Infertility
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The Boston IVF Handbook
of Infertility
A practical guide for practitioners who care
for infertile couples
Second Edition
Edited by
Steven R Bayer
MD
Michael M Alper
MD
Alan S Penzias
MD
Harvard Medical School
Boston,MA
USA
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© 2007 Informa UK Ltd
First published in the United Kingdom in 2007 by Informa Healthcare,4 Park Square,Milton Park,Abingdon,Oxon
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ISBN 10 0 415 39432 5
ISBN 13 978 0 415 39432 1
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Contents
List of Contributors vii
Preface ix
Acknowledgments x
About Boston IVF xi
Disclaimer xii
1. Overview of infertility 1
Alan S Penzias
2. Factors affecting fertility 15
Steven R Bayer
3. The infertility workup 25
Steven R Bayer and Michael M Alper
4. Getting the patient ready for a pregnancy 45
Steven R Bayer
5. Clinical algorithms 67
Michael M Alper
6. Treatment options I:ovulation induction 75
Selwyn P Oskowitz
7. Treatment options II:intrauterine insemination 85
Steven R Bayer
8. Treatment options III:in vitro fertilization 91
Michael M Alper
9. Preimplantation genetic screening and diagnosis 111
Alison E Zimon and Kim L Thornton
10. Third party reproduction:egg donation and gestational surrogacy 121
Brian M Berger
11. Modern management of ectopic pregnancy 135
David A Ryley
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HANDBOOK OF INFERTILITY
12. Integrating quality management into a fertility practice 149
Michael M Alper
13. The true ART:how to deliver the best patient care 157
Merle J Berger
14. Medical ethics in reproductive medicine 165
Steven R Bayer and Kim L Thornton
15. The informed consent process 175
Steven R Bayer
16. The mind/body connection 177
Alice D Domar
17. Infertility counseling:the role of the social worker 187
Jeanie Ungerleider,Terry Chen Rothchild,and Lynn Nichols
18. Insurance and coding issues 195
Steven R Bayer and Karen Parlee
19. Educational resources 205
Steven R Bayer
20. Forms and documents 207
Steven R Bayer
21. Quick reference 241
Index 249
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Contributors
Michael M Alper MD Karen Parlee
Boston IVF Boston IVF
Harvard Medical School Waltham,MA
Boston,MA USA
USA
Alan S Penzias MD
Steve R Bayer MD Boston IVF
Boston IVF
Harvard Medical School
Harvard Medical School
Boston,MA
Boston,MA
USA
USA
Brian M Berger MD Terry Chen Rothchild LICSW BCD
Boston IVF
Boston IVF
Boston,MA
Harvard Medical School
USA
Boston,MA
USA
David A Ryley MD
Merle J Berger MD Boston IVF
Boston IVF Harvard Medical School
Harvard Medical School Boston,MA
Boston,MA USA
USA
Kim L Thornton MD
Alice D Domar PhD Boston IVF
Boston IVF
Harvard Medical School
Harvard Medical School
Boston,MA
Boston,MA
USA
USA
Lynn Nichols LICSW BCD Jeanie Ungerleider LICSW BCD
Boston IVF Boston IVF
Boston,MA Boston,MA
USA USA
Selwyn P Oskowitz MD Alison E Zimon MD
Boston IVF Boston IVF
Harvard Medical School Harvard Medical School
Boston,MA Boston,MA
USA USA
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Preface
Boston IVF (BIVF) has been one of our country’s premier reproductive medicine
centers for nearly 25 years.With a long list of “firsts” in New England and in the
United States, it has provided leadership in both clinical care and academic
medicine.Ten years ago,I joined the Department of Obstetrics and Gynecology at
Beth Israel Deaconess Medical Center (BIDMC),Harvard Medical School,as the
Director of the Division of Reproductive Endocrinology and Infertility. Dr.
Benjamin Sachs, Chairman of the Department, forged new ground and merged
Boston IVF with the Academic Department and, as a result, Boston IVF became
the Clinical Arm of the REI Division. During my 10 years with Boston IVF and
BIDMC, this group became the largest US IVF center developing cutting edge
protocols for clinical care and making quality assurance and quality improvement
top priorities. At the same time, it opened its doors to education and research,
rounding out its mission in reproductive medicine. Becoming the first US IVF
program to obtain ISO 9000-2000 certification and being awarded the largest
infertility trial at a single center by the National Institute of Health (called the
FASTT Trial) are just 2 examples of this mission of excellence.Throughout these
past years BIVF clinicians have continually presented data from their extensive
database at national meetings and in our medical journals,a process through which
they have been able to provide the answers to numerous key questions about
infertility care. Now with the second edition of The Boston IVF Handbook of
Infertility,Boston IVF clinicians are sharing their expertise,their vast experience,
their protocols,clinical algorithms,and the forms they use on a day-to-day basis
with other providers of infertility care.From A to Z,this handbook will undoubt-
edly help you provide your patients with those aspects of contemporary care
available in your office as well as an understanding of the processes they will
encounter when they are referred on for higher tech care.
It was an honor and privilege for me to work with the clinicians and staff at
Boston IVF for nearly a decade.As you read and refer to this handbook,you will
soon see why!
Richard H.Reindollar MD
Chair
Department of Obstetrics and Gynecology
Dartmouth Medical School
Dartmouth Hitchcock Medical Center
Hanover,NH
USA
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