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Assisted Reproduction Techniques

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Страница 1 Table of Contents List of Tables List of Illustrations Guide Pages Страница 7Страница 8Страница 9Страница 10 Contributors Страница 12Страница 13Страница 14Страница 15 Abbreviations Страница 17 1 Risk of cancer from ovarian stimulation Background Management options Breast cancer Ovarian cancer Endometrial cancer Cervical cancer Key points Answers to questions patients ask References Страница 27 3 The HIV‐positive female Background Management options Key points Answers to questions patients ask References 4 The HIV‐positive male Background Management options Prevention Key points Answers to questions patients ask References 5 The hepatitis B or C carrier patient Background Hepatitis B Hepatitis C Management of patients Hepatitis B Hepatitis C Prevention Key points Answers to questions patients ask References 6 The patient with cystic fibrosis Background Management options Diagnosis and counseling Case history 1 Case history 2 Treatment options Case history 1 Case history 2 Ethical considerations The future Key points Answers to questions patients ask References 7 The patient on medication Background Management options Drugs in the preconception stage and early pregnancy Drugs in women undergoing ART Herbal medications in patients undergoing ART Key points Answers to questions patients ask References 8 The patient with thrombophilia Background Thrombotic disorders Inherited thrombophilia Acquired thrombophilia Management options Box 8.1 Clinical and laboratory criteria for the diagnosis of antiphospholipid syndrome. Clinical criteria Laboratory criteria Post IVF follow‐up Key points Answers to questions patients ask References 9 The patient with autoimmune disorders Background Management options Pregnancy and SLE Key points Answers to questions patients ask References 10 The patient with malignant disease: fertility preservation Background Management options Ovarian tissue cryopreservation (OTC) Controlled ovarian stimulation and cryopreservation of oocytes or embryos GnRH agonist co‐treatment during chemotherapy Sperm banking Key points Answers to questions patients ask References 11 The patient with heart disease Background Management options Ischemic heart disease Cardiomyopathy Valve disease Key points Answers to questions patients ask References 12 The patient with diabetes Background Management options Female with diabetes Females with bariatric surgery Male with diabetes Prevention Key points Answers to questions patients ask References 13 The patient with thyroid disease Background Hypothyroidism Hyperthyroidism Management options Hypothyroidism Hyperthyroidism Key points Answers to questions patients ask References 14 The patient with hyperprolactinemia Background Causes of hyperprolactinemia Physiological causes Pharmacological causes Pathological causes Investigation of hyperprolactinemia Management options Fertility, pregnancy and prolactinoma Hyperprolactinemia and fertility Safety of dopamine agonists Tumor growth Lactation Key points Answers to questions patients ask References 15 The patient with polycystic ovaries Background Management options The long GnRH agonist protocol The GnRH antagonist protocol Key points Answers to questions patients ask References 16 The renal transplant patient Background Risks of IVF and the graft recipient Risks to the fetus Risk from immunosuppression Maternal risks in pregnancy Management options Key points Answers to questions patients ask References 17 The patient with previous pelvic irradiation Background Ovarian dysfunction Investigation of ovarian function Uterine dysfunction Investigation of uterine function Pregnancy outcomes Prevention Ovarian transposition (oophoropexy) Fertility preservation techniques (see chapter 10) Key points Answers to questions patients ask References 18 Female fertility after chemotherapy Background Effects of chemotherapy Ovarian function after chemotherapy Timing to conception after chemotherapy Management options Assessment of ovarian reserve Early recourse to assisted reproduction techniques (ART) Prepregnancy counseling Pregnancy after chemotherapy Prevention Key points Answers to questions patients ask References 19 The patient with abnormal cervical cytology Background Management options Low‐grade lesions High‐grade lesions Glandular abnormalities Key points Answers to questions patients ask References 20 The patient with previous borderline ovarian tumor Background Management options Key points Answers to questions patients ask References 21 The patient with an endometrioma Background Management options Key points Answers to questions patients ask References 22 The patient with cervical stenosis Background Management options Take a precise history Mock embryo transfer Cervical dilatation Transmyometrial embryo transfer Tubal embryo transfer Hysteroscopic canalization of the cervix Postponing ET Key points Answers to questions patients ask References {buyButton}

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