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Patient Management—Treatment Cycle

  • Chapter
Clinical In Vitro Fertilization

Abstract

In vitro fertilization and embryo transfer has evolved into a highly successful means of treating human infertility. The demand for IVF and ET continues to grow, while the facilities for its practice have not been able to meet the increase. This has led to waiting lists which are longer than is either desirable or acceptable. As there are no signs of a reduced demand for treatment, the waiting period can be shortened in only two ways: an improvement in the pregnancy rate or an increase in the number of women treated. These two solutions may be incompatible. Careful management of follicular growth and close monitoring of the preovulatory period are required for IVF and ET. This puts demands upon laboratory hormone assay capabilities and requires considerable time to be spent by endocrine specialists for the interpretation of results. Similarly, following oocyte recovery, sperm preparation, insemination and embryo culture require time, skill and a relatively undisturbed environment for growth and development in the incubator. Add to this the irregular hours at which ovulation occurs in the human and it can be readily seen why a working level can be reached which if stretched beyond its limits can lead to a deterioration in the service provided and result in a fall in pregnancy rates.

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Authors
  1. John C. McBain
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  2. Alan Trounson
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Editor information

Editors and Affiliations

  1. Department of Obstetrics and Gynaecology, Monash University, Queen Victoria Medical Centre, Melbourne, Australia

    Carl Wood CBE, FRCS, FRCOG, FRACOG (Chairman) (Chairman)

  2. Queen Victoria Medical Centre, Melbourne, Australia

    Alan Trounson MSc, PhD (Senior Lecturer in Obstetrics and Gynaecology) (Senior Lecturer in Obstetrics and Gynaecology)

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© 1984 Springer-Verlag Berlin Heidelberg

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McBain, J.C., Trounson, A. (1984). Patient Management—Treatment Cycle. In: Wood, C., Trounson, A. (eds) Clinical In Vitro Fertilization. Springer, London. https://doi.org/10.1007/978-1-4471-3317-9_5

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  • DOI: https://doi.org/10.1007/978-1-4471-3317-9_5

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3319-3

  • Online ISBN: 978-1-4471-3317-9

  • eBook Packages: Springer Book Archive

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