By Lars Björndahl, Aleksander Giwercman, Herman Tournaye, Wolfang Weidner
ISBN-10: 1841846805
ISBN-13: 9781841846804
A massive new overseas reference paintings on andrology from the EAU component of Andrological Urology – protecting such concerns as male infertility, erectile disorder, late-onset hypogonadism, and reproductive cancers – that engages with modern difficulty for facts dependent perform, minimizing interventions, and selling male reproductive wellbeing and fitness.
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Extra resources for Clinical Andrology: EAU ESAU Course Guidelines
Example text
55. 56. intracytoplasmic sperm injection based on strict embryo criteria: a prospective randomized clinical trial. Hum Reprod 1999; 14(10):2581–2587. Cutting R, Morroll D, Roberts SA, Pickering S, Rutherford A; British Fertility Society and Association of Clinical Embryologists. Elective single embryo transfer: guidelines for practice. Hum Fertil (Camb) 2008; 11(3): 131–146. Hughes EG. The effectiveness of ovulation induction and intrauterine insemination in the treatment of persistent infertility: a meta-analysis.
The woman has regular menstrual cycles and has been shown to ovulate. She is of normal weight. A hysterosalpingogram (HSG) has shown a normal uterine cavity and patent tubes. There is no significant medical history in either partner. What advice would you give? What investigations would you carry out? What treatment options would you consider? What are their chances of getting pregnant? CASE HISTORY 2 A 40-year-old man and a 35-year-old woman wish to have children. The man had a vasectomy five years ago and is considering a vasectomy reversal.
This has been shown to be an effective technique for proximal blockage (44); it is noninvasive and can be done at the diagnostic stage. Distal disease can be treated by surgery or IVF. Pregnancy rates after salpingostomy are generally low—5% (45,46), with a high risk of re-occlusion. In carefully selected patients, higher pregnancy rates can be achieved (see Table 1) (46). It is important therefore, before undertaking salpingostomy to make a careful evaluation of the hydrosalpinx to judge if it is unlikely to re-occlude or not.
Clinical Andrology: EAU ESAU Course Guidelines by Lars Björndahl, Aleksander Giwercman, Herman Tournaye, Wolfang Weidner
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