Over the past decade, there have been major advances in our understanding of ovarian physiology. These advances, together with the introduction of new medical technologies, have revolutionised the management of infertility. Patients may expect a pregnancy rate that is no different from that of normal fertile women of the same age, as a result of treatment. Moreover, new techniques of monitoring have greatly reduced the rate of treatment-induced complications such as multiple pregnancy and hyperstimulation.This book presents the current strategies of management for women whose infertility is caused by ovulatory disturbances. Detailed descriptions are given of the optimal method of assessing an anovulatory woman, the selection of the appropriate treatment and the practical details of its administration. There is also a full discussion about the complications of the treatment and the strategies to avoid. The book is intended for all practising gynaecologists involved in the management of subfertile patients in both the developing and the developed world.
Subfertility - natural history and prognosis, H. Jacobs; endocrine basis for spontaneous ovulation, ovulation induction and controlled super ovulation, R. Norman; screening of patients prior to ovulation induction and the role of general practitioners/general gynaecologists in the initial work up of patients for ovulation induction, O. Djahanbakhch; ovulation induction in hypogonadotrophic patients, S. Muttukrishna et al; ovulation induction in hyper prolactinaemia, S. Soule; principles of gonadotrophic therapy, A. Balen; ovulation induction in patients with polycystic ovaries, S.M. Sathanandan and H. Jacobs; strategies for controlled superovulation in normal ovulatory patients for assisted conception, S. Daya; ovulation induction and controlled super ovulation in difficult patients, C.D. Matthews; side effects of common drugs used for ovulation induction, Out; complications of ovulation induction and possible long term risks, R. Haloob and P. Rainsbury; role of endocrinology, ultra sound and Doppler in ovulation induction programme, S.L. Tan; role of nurse co-ordinator in ovulation induction programme, F. Ploughman and B. Parker; obstetric outcome of patients undergoing ovulation induction, A. Saridogan et al; role of audit and computers in an ovulation induction programme, D. Vinkier.