Ovulation stimulation with gonadotropins [electronic resource] / Jean-Claude Emperaire ; foreword by Bruno Lunenfeld.
Emperaire, J. C., author.
2015
RG133.7 .E57 2015eb
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Title
Ovulation stimulation with gonadotropins [electronic resource] / Jean-Claude Emperaire ; foreword by Bruno Lunenfeld.
Author
Emperaire, J. C., author.
Uniform Title
Pratique de la stimulation ovulatoire par les gonadotrophines. English
ISBN
9783319186542 electronic book
331918654X electronic book
9783319186535
3319186531
DOI
https://doi.org/10.1007/978-3-319-18654-2
Published
Cham : Springer, [2015]
Language
English
Language Note
Translated from the French.
Description
1 online resource.
Item Number
10.1007/978-3-319-18654-2 doi
Call Number
RG133.7 .E57 2015eb
Dewey Decimal Classification
618.1/78
Summary
How does one learn to stimulate ovulation? Often by oneself, when there is no opportunity to benefit from a mentorℓ́ℓs experience. But options abound regarding the evaluation strategy, protocol design, gonadotropin preparations, posology, treatment duration, and when and how to trigger ovulation. Proper, safe stimulation requires critical anticipation of ovarian reactions. There seems to be little evidence-based consensus in the field of ovarian stimulation. Though they all face the same situation, there seem to be nearly as many procedures as there are clinicians in the field; as a result, approaches may vary within a given fertility center or even in the same team. Even though efforts have been made to arrive at a general consensus, the basic guidelines are often reinterpreted according to individual inclinations; hence the need to turn to experience-based decisions. This book is based on the authorℓ́ℓs experience gathered over forty years and more than 30,000 cycles of classical and IVF ovulation stimulations, particularly the thousand most recent cycles that resulted in a clinical pregnancy. It is not intended as a ℓ́ℓperfect solutionℓ́ℓ, as other approaches certainly remain valid. Rather, the book presents the authorℓ́ℓs own analysis and insights gained from managing thousands of stimulation cycles.
Bibliography, etc. Note
Includes bibliographical references.
Access Note
Access limited to authorized users.
Available in Other Form
Print version: 9783319186535
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Foreword
Preface.- Past and Present: Evolution of ideas.- Physiology: The ante-hypophysis ? ovarian follicle couple.- Follicle Stimulating Hormone (FSH).- Luteinizing hormone (LH).- Human Chorionic Gonadotropin (hCG).- Which Gonadotropin? FSH. LH. hCG. Practical considerations.- Prior to the stimulation
Looking for other infertility factors.- Assessment of the patient?s status.- Assessment of the ovarian status.- The Monitoring; Hormonal (functional) monitoring; Sonographic (morphological) monitoring; Monitoring post-hCG?.- The Triggering of Ovulation.- The ovulatory process.- Spontaneous triggering of ovulation
Therapeutic triggering of ovulation.- The luteal phase support.- Mono- and pauci- follicular stimulation.- Multi-follicular stimulation.- The Prevention of Complications.- Multiple pregnancy.- The ovarian hyperstimulation syndrome.- Classic Stimulation.- mono-, bi- or pauci- follicular.- The objectives.- The means.- The Stimulation of the ovulatory Patient.- Monofollicular stimulation.- Bifollicular stimulation.- Paucifollicular stimulation.- The Stimulation of the anovulatory patient.- The diagnosis of anovulation; Hypogonadotropic anovulation
Normogonadotropic anovulation
Hypergonadotropic anovulation.- Multifollicular Stimulation.- Past and present.- Handling the multifollicular stimulation.- Poor ovarian responses
Conclusion.

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