The Subfertility Handbook: A Clinician's Guide

286 Pages·1997·7.89 MB·English

by  Gabor T. Kovacs

This helpful and practical handbook will be an essential resource for
all clinicians dealing with problems of subfertility. It provides a com-
prehensive approach to infertility, starting with the initial history
taking and dealing with the diagnostic techniques of ultrasound and
surgery, as well as all forms of therapy, incuding ovulation induction,
infertility surgery, andrology, donor insemination and reproductive
technologies. The authors are experienced members of the Monash
University affiliated Reproductive Medicine Clinics - one of the
world's pioneering centres in IVF technology. They have distilled a
wealth of expertise and 'hands on' experience in this area to provide an
invaluable guide to all those involved in the treatment of infertility,
from gynaecologists to physicians and postgraduate students special-
izing in reproductive medicine.

The subfertility handbook: a clinician's guide
Special thanks to Lee McLaren for her help with the
preparation of the typescript. (G.T.K.)
The subfertility
handbook: a clinician's
guide
Edited by
GABORT. KOVACS
Department of Obstetrics and Gynaecology, Box Hill Hospital,
Monash University, Melbourne
CAMBRIDGE
UNIVERSITY PRESS
PUBLISHED BY THE PRESS SYNDICATE OF THE UNIVERSITY OF CAMBRIDGE
The Pitt Building, Trumpington Street, Cambridge CB2 1RP, United Kingdom
CAMBRIDGE UNIVERSITY PRESS
The Edinburgh Building, Cambridge CB2 2RU, United Kingdom
40 West 20th Street, New York, NY 10011-4211, USA
10 Stamford Road, Oakleigh, Melbourne 3166, Australia
©Cambridge University Press 1997
This book is in copyright. Subject to statutory exception
and to the provisions of relevant collective licensing agreements,
no reproduction of any part may take place without
the written permission of Cambridge University Press.
First published 1997
Printed in the United Kingdom at the University Press, Cambridge
Typeset in Times 11/14 pt [VN]
A catalogue record for this book is available from the British Library
Library of Congress Cataloguing in Publication data
The subfertility handbook: a clinician's guide /edited by Gabor T. Kovacs.
p. cm.
ISBN 0-521-56016-0 (hb)
1. Infertility-Handbooks, manuals, etc. I. Kovacs, Gabor, MRCOG, FRACOG.
[DNLM: 1. Infertility-diagnosis. 2. Infertility-therapy. WP570S941 1997]
RC889.S83 1997
618.1'78-dc21
DNLM/DLC
for Library of Congress 97-9495 CIP
Every effort has been made in preparing this book to provide accurate and up-to-date
information which is in accord with accepted standards and practice at the time of publication.
Nevertheless, the authors, editors and publisher can make no warranties that the information
herein is totally free from error, not least because clinical standards are constantly changing
through research and regulation. The authors, editors and publisher therefore disclaim all
liability for direct or consequential damages resulting from the use of the material contained in
this book. The reader is strongly advised to pay careful attention to information provided by
the manufacturer of any drugs or equipment that they plan to use.
ISBN 0 521 56016 0 hardback
Contents
List of contributors ix
1 Introduction 1
Jim Tsaltas
2 The first interview with an infertile couple 9
Nick Lolatgis and Gabor T. Kovacs
3 Assessment of the female partner 17
Bruce Downing
4 Assessment of the male partner 40
Peter J. Fuller and Henry G. Burger
5 Treatment options for male subfertility 50
Gordon Baker and David M. de Kretser
6 Management of the woman with chronic anovulation 69
Anthony Lawrence and David Healy
7 Cervical factor, unexplained subfertility and artificial
insemination with husband sperm 83
Gabor T. Kovacs and Beverley Vollenhoven
8 In-vitro fertilization: indications, stimulation and clinical
techniques 88
James McK. Talbot and Mark Lawrence
vn
viii List of contents
9 The role of gamete intrafallopian transfer 109
Carl Wood
10 The use of assisted reproductive technology for the treatment of
male infertility 124
Robert I. McLachlan
11 The use of donor insemination 139
Gabor T. Kovacs
12 The donor egg programme 151
John Leeton
13 Endometriosis 163
Jim Tsaltas and David Healy
14 The role of ultrasound in subfertility 176
Victor Hurley and Maria Leoni
15 The role of surgery in infertility 187
Carl Wood
16 Laboratory techniques 220
Peter Jackson and Jennifer Burden
17 The results of assisted reproductive technology 235
Vivien MacLachlan
18 Infertility counselling 249
Janet Anderson and Rita Alesi
Index 269
Contributors
Rita Alesi Jennifer Burden
Monash IVF Monash IVF
89 Bridge Road 89 Bridge Road
Richmond Richmond
Victoria Victoria
Australia 3121 Australia 3121
Janet Anderson Henry G. Burger
Monash IVF Prince Henry's Institute of
89 Bridge Road Medical Research
Richmond Reproductive Medicine Clinic
Victoria Monash Medical Centre
Australia 3121 246 Clayton Road
Clayton
Gordon Baker Victoria
Prince Henry's Institute of Australia 3168
Medical Research
Reproductive Medicine Clinic David M. de Kretser
Monash Medical Centre Prince Henry's Institute of
246 Clayton Road Medical Research
Clayton Reproductive Medicine Clinic
Victoria Monash Medical Centre
Australia 3168 246 Clayton Road
Clayton
Victoria
Australia 3168
IX