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Unexplained Infertility

by Patrick J. Taylor, John A. Collins

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Format: Hardcover, 1st ed., 294pp. 
ISBN: 0192622900
Publisher: Oxford University Press, Incorporated 
Pub. Date: January 1993

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Book Description

Infertility is still a significant problem, despite impressive recent advances in diagnosis and therapy. Infertility for which no cause can be found poses particular problems for both the affected person(s) and the clinician. This book presents a critical and practical approach to the diagnosis and management of unexplained infertility. It first considers reproductive physiology and pathology, and then draws on these sections to describe and critically appraise the investigations used to exclude known causes. Having proposed a working definition of unexplained infertility on the basis of these investigations, the authors consider the management of the condition. They discuss the prognosis for untreated person(s), and evaluate the role of the new reproductive techniques. They particularly emphasize the emotional needs of those affected. This clear and comprehensive text will be of value to obstetricians, gynecologists, and any professional involved in the care of infertile couples.

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Table of Contents

1 Introduction   1

2 Overview of the prevalence of unexplained infertility and the investigations necessary to make the diagnosis   4

3 The physiology and investigation of ovulation and endometrial preparation for implantation   9

4 The production of spermatozoa and their transport in the male genital tract   38

5 Physiology and investigation of sperm and oocyte transport in the female   69

6 Fertilization and early embryonic development   89

7 Endometriosis   104

8 Immunological phenomena   115

9 Infective agents   132

10 Uterine factors   136

11 A final working clinical definition of unexplained infertility and the investigations necessary to establish the diagnosis   144

12 The prognosis for couples with unexplained infertility   153

13 The emotional needs of the infertile couple   170

14 Empirical treatments for unexplained infertility  179

15 An evaluation of empirical treatment of unexplained infertility   190

16 The management of unexplained infertility   218

References   235

Index   281

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