(1) Bordeaux, France The stimulation of ovulation is fundamentally driven by pituitary FSH, the basic hormone for follicular development, with possible assistance from pituitary LH. In clinical practice, ovulation…
(1) Bordeaux, France A proper evaluation of the stimulation process includes both functional (i.e., hormonal measures) and morphological (i.e., ultrasound visualization) indices. The combined evaluation should identify a comfort…
(1) Bordeaux, France Stimulating ovulation is a formidable procedure, and as such includes risk for complications commensurate with its intensity. One must always keep in mind the balance between…
(1) Bordeaux, France In a spontaneously ovulating patient, the classic stimulation protocol can be used for several purposes: A monofollicular stimulation that is intended to mimic closely the normal…
(1) Bordeaux, France Contemplating the evolution of the varied clinical uses of pituitary gonadotropic hormones reveals a number of interesting assumptions, and absence of assumptions, that have led us…
(1) Bordeaux, France The luteal phase extends from the moment of ovulation triggering until the beginning of menses, or of pregnancy. The corpus luteum is generated from luteinized granulosa…
(1) Bordeaux, France The ovary is hardly an isolated organ. It is not only unique to each patient; it is subject to numerous intrinsic and extrinsic factors of the…
All postpartum women Postpartum women with BMI ≥30 NICE 6–8-week postnatal check: 6–8-week postnatal check: Ask those who are overweight and obese or who have concerns about their weight…
Absolute contraindications Relative contraindications Hemodynamically significant heart disease Chronic bronchitis Incompetent cervix/cerclage Poorly controlled type 1 diabetes mellitus Multiple gestation at risk for premature labor Extreme morbid obesity Persistent second-…
Figure 7.1 Confluence of obesogenic environment and cultural influence. Black cultural influence has an additive interaction with the overall obesogenic environment further promoting obesity among Black women. Conversely, White cultural…
