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Case Studies in Assisted Reproduction: Common and Uncommon Presentations

Case Studies in Assisted Reproduction: Common and Uncommon Presentations

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Cambridge University Press, 1/22/2015
EAN 9781107664579, ISBN10: 1107664578

Paperback, 231 pages, 23.4 x 15.5 x 1 cm
Language: English

Clinical case studies have long been recognized as a useful adjunct to problem-based learning and continuing professional development. They emphasize the need for clinical reasoning, integrative thinking, problem-solving, communication, teamwork and self-directed learning - all desirable generic skills for health care professionals. This volume contains a selection of cases on assisted reproduction that will inform and challenge reproductive medicine practitioners at all stages in their careers. Both common and uncommon cases are included. The aim is to reinforce diagnostic skill through careful analysis of individual presenting patterns, and to guide treatment decisions. Each case consists of a clinical history, examination findings and special investigations, before a diagnosis is made. Clinical issues raised by each case are discussed and major teaching points emphasized. Selective references are provided. The book provides a useful complementary adjunct to existing textbooks of reproductive medicine, and an excellent resource for teaching and continuing professional development.

List of contributors
Preface
1. Type 2 diabetes mellitus
2. A woman with hypertension
3. Increased risk of venous thromboembolism (VTE)
4. Assisted reproduction in a subfertile couple with serodiscordant HIV infection
5. A woman with renal impairment
6. A male with oligozoospermia and muscle weakness subsequently diagnosed with myotonic dystrophy
7. Never say never to a Klinefelter patient
8. A male with retrograde ejaculation
9. A patient with severe lupus
10. One partner is a carrier of thalassemia, one a carrier of sickle-cell anaemia
11. A patient with Kallmann syndrome
12. A patient with severe endometriosis needing IVF
13. Recurrent miscarriage due to a balanced translocation
a case of PGS
14. A patient found to have Cushing's syndrome
15. Postpartum pituitary problems
16. Large bilateral endometriomata
17. A patient with a thin endometrium
18. A poor responder
19. Recurrent implantation failure
20. Fertility preservation in an adolescent with Turner syndrome
21. A young woman with a low AMH
22. The patient who bleeds in the early luteal phase
23. Threatened OHSS in a long GnRH agonist protocol
24. An endometrial polyp detected during ovarian stimulation for IVF
25. Fluid in the endometrial cavity during IVF treatment
26. Tubal embryo transfer – a novel approach to manage difficult uterine access
27. Mild-approach ART in a patient with polycystic ovary syndrome
28. A slim patient with PCOS
29. Recurrent cycles with retrieval of immature (GV) oocytes
30. Think heterotopic
31. A woman with an hydrosalpinx
32. A PCOS patient with microprolactinoma, autoimmune thyroid disease and congenital thrombophilia
33. IVF outcome in the same patient before and after myomectomy
34. A patient with Factor XI deficiency and immune thrombocytopenia
35. Abnormal cavity, abnormal fertility?
36. A partner with 'flu
37. Opting the day of final oocyte maturation, when 2 follicles are ready and 4 medium size follicles are following
38. Late-onset ovarian hyperstimulation syndrome (OHSS)
39. The patient with recurrent poor embryo quality
40. A high progesterone level during ovarian stimulation
41. Repeated fertilization failure with normal sperm and MII oocytes
42. A complete uterine septum
to treat or not to treat?
43. Endometritis detected prior IVF
44. LH rise on the day of GnRH antagonist commencement
45. Controlled ovarian stimulation (COS) in women with normal ovarian reserve
46. Errors in dosing medications
47. Monozygotic triplets after single embryo transfer
48. A teenager facing total body irradiation
49. A 30-year-old with breast cancer
50. A spontaneous pregnancy in Turner syndrome
51. Fertility after conservative surgery for recurrent borderline ovarian tumour
52. Successful pregnancy after radical trachelectomy and McDonald cerclage placement in a 42-year-old with invasive cervical adenocarcinoma
53. Childbearing after conservative management of endometrial cancer
54. Fertility preservation in a female of reproductive age with ovarian cancer
55. Mother-daughter triplet surrogacy, 1987 world first
56. Known sperm donation
helping siblings in family building
57. A 5-year-old with pelvic rhabdomyosarcoma
58. Co-fatherhood
same-sex male couple and IVF
Index.