Infertility

1. Front Matter

   Pages i-xiv

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2. Epidemiology and Clinical Presentation

   1. Front Matter

      Pages 1-1

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   2. Reproductive Trends in the UK

      • B. J. Botting

      Pages 3-21

   3. The Epidemiology of Infertility

      • A. Templeton

      Pages 23-32

   4. The Causes of Infertility and Relative Effectiveness of Treatment

      • M. G. R. Hull

      Pages 33-62

3. Investigation and Treatment of the Male

   1. Front Matter

      Pages 63-63

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   2. Male Infertility Due to Testicular Dysfunction

      • E. Nieschlag, H. M. Behre

      Pages 65-79

   3. Diagnosis of Male Infertility

      • R. J. Aitken

      Pages 81-100

   4. Sperm Preservation: Fundamental Cryobiology and Practical Implications

      • P. F. Watson, J. K. Critser, P. Mazur

      Pages 101-114

   5. Sperm-Egg Manipulation for the Treatment of Male Infertility

      • S. B. Fishel, J. Timson

      Pages 115-132

   6. Epididymal Surgery

      • S. J. Silber, R. H. Asch

      Pages 133-153

4. Investigation and Treatment of the Female

   1. Front Matter

      Pages 155-155

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   2. Tubal Physiology and Function

      • H. J. Leese, C. J. Dickens

      Pages 157-168

   3. Falloposcopy

      • J. F. Kerin

      Pages 169-184

   4. The Role of Reproductive Surgery

      • R. M. L. Winston, R. A. Margara

      Pages 185-198

   5. Advanced Videolaparoscopy and Videolaseroscopy

      • C. Nezhat, F. Nezhat

      Pages 199-214

   6. Surgery and the Polycystic Ovarian Syndrome

      • R. W. Shaw, A. A. Gadir

      Pages 215-227

   7. Manipulation of the Ovarian Cycle

      • D. T. Baird

      Pages 229-236

   8. Induction of Ovulation

      • S. Franks

      Pages 237-250

5. Assisted Reproduction and Related Techniques

   1. Front Matter

      Pages 251-251

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Infertility, as with many aspects of medicine, is at the mercy of rapid technological advance. Many of these developments initially seem attractive to both clinicians and patients, but need to be rigorously assessed if their real value is to be understood and clinical practice is to develop. In this book issues of importance to the management of infertile patients are discussed. The gaps in our knowledge which prevent a better understanding of the condition are identified, and recent developments, both clinical and scientific, are subjected to peer review and discussion. An important feature of the book is an acceptance that training in infertility practice is a real problem. This is perceived not only by the practising clinicians, both doctors and nurses, but particularly by the clinical scientists, including embryologists, who now provide such an essential part of the service. Similarly the provision of the clinical service has been examined in detail from a variety of standpoints, in an attempt to make sensible recommendations which balance real need with limited resource. The book is based on the papers presented and discussed at the 25th RCOG Study Group held in April 1992. The discussion after each paper was civilised but uncompromising and forms an important part of this publication. The rapid processing of the written and recorded material by the staff at the RCOG, and particularly Miss Sally Barber, has ensured that the book has been produced while the issues are live, the reviews contemporary and the discussion relevant.

• Embryo
• In-vitro Fertilisation
• Mammalia
• assisted reproduction
• biology
• development
• embryology
• epidemiology
• fertility
• fertilization
• infertility
• laparoscopy
• physiology
• reproduction
• surgery

• Department of Obstetrics & Gynaecology, Aberdeen Maternity Hospital, Foresterhill, Aberdeen, UK

  Allan A. Templeton

• Department of Obstetrics & Gynaecology, D Floor, Clarendon Wing, Leeds General Infirmary, Leeds, UK

  James O. Drife

Policies and ethics