Chapter 16 – The Role of Regulation in Reproductive Medicine
Abstract The Human Fertilisation and Embryology Authority (HFEA) started work on 1 August 1991. However, its formation was the result of a long process of discussion and development of in…
GYNECOLOGY
Chapter 15 – Ovulation Induction for Anovulatory Infertility
Abstract Folic acid should be taken at a daily dose of 400 mcg or, in those who are obese, 5 mg. There is debate about the restriction of fertility treatment…
Chapter 10 – Congenital Uterine Abnormalities
Abstract A structurally normal and functionally competent uterus is essential for the process of reproduction including sperm transport, embryo implantation, fetal development and growth, and the process of labour and…
Chapter 14 – Causes and Investigation of Ovarian Infertility
Abstract Conventional ovulation induction (OI) treatments are highly effective in achieving pregnancy when anovulation is the only factor in a couple’s conception delay. Fertility declines with female age and lifestyle…
Chapter 13 – Fertility and the Hypogonadal Male
Abstract The appearance of Leydig cells within the testes of a 46XY fetus from 7–10 weeks gestation marks the onset of testosterone (T) secretion stimulated by placental gonadotrophin (hCG). T…
Chapter 8 – Assessment of Fallopian Tube Patency
Abstract Fallopian tubes make vital portals for the transfer of gametes and the early conceptus, and were named after Gabrielis Fallopius (Italy, 1423–1562) who first described the structures. Reinier De…
Chapter 12 – Tubal Factor Infertility and Tubal Surgery
Abstract Tubal factor infertility is a common cause for infertility worldwide. Prior to the introduction of in vitro fertilisation (IVF), tubal surgery was the mainstay of fertility treatment in women…
Chapter 11 – Fibroids and Fertility
Abstract Uterine fibroids are the most common pelvic tumours, occurring in 30% of women over the age of 30 years. Their incidence increases with age, and they are more common…
Chapter 9 – Endometriosis
Abstract The association between endometriosis and infertility is controversial, as endometriosis can be present in both fertile and infertile women. A review of the published studies showed that the prevalence…
Chapter 6 – Overview of Management of Male Infertility
Abstract Male infertility is becoming a worldwide epidemic. Data suggest that there has been a constant decline in semen parameters throughout the decades of the 20th century with the mean…
