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Technology and Infertility: Clinical, Psychosocial, Legal, Ethical, by MacHelle M. Seibel, J. Bernstein, A. Kiessling

Technology and Infertility: Clinical, Psychosocial, Legal, and Ethical Aspects

by MacHelle M. Seibel (Editor), J. Bernstein (Editor), A. Kiessling (Editor)

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Format: Hardcover, 446pp.
ISBN: 0387977937
Publisher: Springer-Verlag New York, Incorporated
Pub. Date: June 1993

Description from

Book Description 

The field of reproductive technology witnessed enormous advances in the 1980s which have greatly altered the diagnosis and management of infertility. This book surveys the technological advances in infertility which the clinician must understand to optimize patient care. However, the same technologies that provide new hope for infertile couples generate increasingly complicated social concerns. Therefore, the second part of this volume explores the significant psychosocial, legal, and ethical issues which surround infertility. Gynecologists, general practitioners, psychologists, psychiatrists, social workers, and nurses working with infertile couples will gain meaningful insight into the many aspects of current infertility treatment. Experts in medical law and ethics will also find this book to be fascinating reading.

Description from

From Booknews

A wealth of technological advances in recent years has greatly expanded the clinician's options in the diagnosis and management of infertility. This volume provides clinicians with the up-to-date treatment advances that have become essential to optimal patient care, and also addresses the social, psychological, legal and ethical concerns that accompany such advances. It explores such issues as donor oocytes and embryos, the role of embryos in prenatal diagnosis, the intraovarian growth factor system, diethylstilbestrol and infertility, public policy and the new technologies, the adoptee's search for birth parents, and sexual dysfunction and infertility. Annotation c. Book News, Inc., Portland, OR (

Table of Contents



1 A Historical Perspective of Obstetrics and Gynecology: A Backdrop for Reproductive Technology   1

2 Medical Evaluation and Treatment of the Infertile Couple   11

3 The Laser and Infertility: Present and Future   39

Surgical Advances

4 Operative Laparoscopy: Patient Selection and Instrumentation   51

5 Operative Pelviscopy: Techniques and Results   61

6 Hysteroscopy in Infertility   67

7 Surgical Advances for Male Infertility   73

8 Epididymal Sperm in Obstructive Azoospermia for In Vitro Fertilization   83

Radiologic Advances

9 Gamete Intrafallopian Transfer and Ultrasound-Guided Transcervical Fallopian Tube Canalization   91

10 Transcervical Fallopian Tube Catheterization for Diagnosis and Treatment of Female Infertility   99

11 The Natural Cycle for In Vitro Fertilization   109

12 The Natural Cycle for In Vitro Fertilization: A French Experience   115

Cellular and Molecular Advances

13 Expression of Proto-Oncogenes in Mammalian Gametes and Embryos   119

14 In Vitro Coculture of Mammalian Embryos   135

15 The Intraovarian Insulinlike Growth Factor System: Basic and Clinical Implications   165

Nonsurgical Advances in Infertility

16 Medical Treatment of Ectopic Pregnancy   171

17 GnRH Agonists in the Treatment of Fibroids   181

18 GnRH Agonists in the Treatment of Endometriosis   193

19 GnRH Agonists in the Treatment of Hyperandrogenism   203

20 The Neuroendocrine Basis of Infertility   213

Alternatives to Reproductive Failure

21 Oocyte Donation   223

22 New Animal Embryo Engineering Technology   235

23 The Role of the Embryo in Prenatal Diagnosis   263

Psychosocial Aspects

24 Historical Perspective of the Infertile Experience   271

25 Psychological Issues in Infertility: An Historical Overview   279

26 Psychological Evaluation of the Infertile Couple   289

27 Male Infertility: The Psychologic Issues   297

28 Paradise Lost: Sexual Function and Infertility   303

29 Secondary Infertility   313

30 Coping with Pregnancy Loss: Ectopic Pregnancy, Recurrent Abortion, and Stillbirth   319

31 Implementation of Ovum Donation Technology: Start-up Decisions, Challenges, and Problems   329

32 The Long-Term Psychologic and Social Effects of Gamete Donation   337

33 Individual Psychotherapy for Infertile Patients   347

34 Management of Patients with Preexisting Psychiatric Illness   351

35 Application of Behavioral Medicine Techniques to the Treatment of Infertility   355

36 Psychotherapy with Infertile Couples   361

37 Support Groups   365

38 Psychological Experience of Medical Professionals on the IVF Team   373

39 When to Call It Quits   381

40 The Adoptee's Search: Who Are the Real Parents of Adopted Children?   391

41 Parenting After Infertility   399

Legal Aspects

42 Public Policy and the New Technologies   403

43 The Legal Response to the New Reproductive Technologies   407

44 Diethylstilbestrol and Infertility: The Past, the Present, and the Relevance for the Future   413

Ethical Aspects

45 Ethics of the New Technologies: A Discussion of Case Histories   425

Index   439

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