Technology and Infertility: Clinical Psychosocial, Legal, and Ethical Aspects / Edition 1

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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.
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Editorial Reviews

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 (
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Product Details

  • ISBN-13: 9780387977935
  • Publisher: Springer-Verlag New York, LLC
  • Publication date: 6/28/1993
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 446
  • Product dimensions: 7.25 (w) x 10.27 (h) x 1.07 (d)

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
Surgical Advances
3 The Laser and Infertility: Present and Future 39
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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