Technology and Infertility

1. Front Matter

   Pages i-xv

   PDF

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

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

      • Bruce Cohen, Machelle M. Seibel

      Pages 1-9

3. Medical Evaluation and Treatment of the Infertile Couple

   1. Medical Evaluation and Treatment of the Infertile Couple

      • Machelle M. Seibel

      Pages 11-38

4. Surgical Advances

   1. The Laser and Infertility: Present and Future

      • Louis Burke

      Pages 39-49

   2. Operative Laparoscopy: Patient Selection and Instrumentation

      • Robert Hunt

      Pages 51-60

   3. Operative Pelviscopy: Techniques and Results

      • Jean Bernard Dubuisson

      Pages 61-66

   4. Hysteroscopy in Infertility

      • Herve Foulot

      Pages 67-72

   5. Surgical Advances for Male Infertility

      • Sherman Silber

      Pages 73-82

   6. Epididymal Sperm in Obstructive Azoospermia for In Vitro Fertilization

      • Sherman Silber

      Pages 83-89

5. Radiologic Advances

   1. Gamete Intrafallopian Transfer and Ultrasound-Guided Transcervical Fallopian Tube Canalization

      • Charlotte J. Richards, Mark L. Fallick, Machelle M. Seibel

      Pages 91-98

   2. Transcervical Fallopian Tube Catheterization for Diagnosis and Treatment of Female Infertility

      • Andrew M. Singer, David H. Porter

      Pages 99-107

   3. The Natural Cycle for In Vitro Fertilization

      • Machelle M. Seibel

      Pages 109-113

   4. The Natural Cycle for In Vitro Fertilization: A French Experience

      • Herve Foulot

      Pages 115-118

6. Cellular and Molecular Advances

   1. Expression of Proto-Oncogenes in Mammalian Gametes and Embryos

      • A. A. Kiessling

      Pages 119-133

   2. In Vitro Coculture of Mammalian Embryos

      • R. A. Godke, E. G. Blakewood, J. K. Thibodeaux

      Pages 135-164

   3. The Intraovarian Insulinlike Growth Factor System: Basic and Clinical Implications

      • Eli Y. Adashi

      Pages 165-169

7. Nonsurgical Advances in Infertility

   1. Medical Treatment of Ectopic Pregnancy

      • Donald P. Goldstein

      Pages 171-179

   2. GnRH Agonists in the Treatment of Fibroids

      • Ralph Philosophe

      Pages 181-191

   3. GnRH Agonists in the Treatment of Endometriosis

      • Ricardo Serta

      Pages 193-201

   4. GnRH Agonists in the Treatment of Hyperandrogenism

      • Eli Y. Adashi

      Pages 203-211

Medicine is changing at a speed never witnessed before in history. With each passing year, medical technology achieves the capacity to provide cures and improve treatments that even a short time before were difficult to con­ ceptualize and impossible to provide. Reproductive technology personifies this concept perhaps better than any other field of medicine. The 1990s have seen an explosion in endoscopic and ambulatory procedures, the application of molecular biology to clinical conditions, and the refinement of assisted reproduction to allow third parties (donors and surrogates) into the process of family building. More than ever before, comprehensive medical care requires a team approach. However, the team comprises not only medical and scientific personnel, but also mental health professionals, lawyers, and ethicists. This integrated and multidisciplinary approach to medical care will become even more necessary as medical capabilities continue to develop faster than society can respond. This book reflects such an approach. It is based on a Harvard Postgraduate Course in June 1990 entitled Infertility in the 1990s: Technological Advances and Their Psychosocial Implications that was sponsored by the Faulkner Centre for Reproductive Medicine. The first half of the course was directed by Drs. M. Seibel, A. Kiessling, and C. Richards. The second half of the course was directed by Dr. M. Seibel, J. Bernstein, R. N. and S. Levin, LICSW.

• Embryo
• birth
• child
• ethics
• fertility
• in vitro fertilization
• infertility
• pregnancy
• ultrasound

• Harvard Medical School, USA

  Machelle M. Seibel, Ann A. Kiessling

• Faulkner Centre for Reproductive Medicine, Faulkner Hospital, Boston, USA

  Machelle M. Seibel, Judith Bernstein, Ann A. Kiessling, Susan R. Levin

• The Boston Psychoanalytic Society, USA

  Susan R. Levin

Policies and ethics