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Preface; Contents; Contributors; Chapter 1: Pre-conception Risk Assessment: Medical Problems; Introduction; General Advice; Women withßPre-existing Medical Disorders; Diabetes andßImpaired Glucose Tolerance; Thyroid Disorders; Essential Hypertension; Cardiac Disease; Epilepsy; Asthma; Connective Tissue andßAuto-immune Disorders; Mental Disorders; Patients atßHigher Risk ofßDeveloping Problems dueßtoßIncreased Age andßBMI; Thrombo-Embolic Disease; Ovarian Hyperstimulation Syndrome; Impact ofßPre-conceptional Care; Summary; References.
Chapter 2: Pre-conception Risk Assessment: Gynaecological Problems Introduction; Fibroids; Effect onßFertility andßPregnancy; Submucous Fibroids; Intramural Fibroids; Subserosal Fibroids; Management; Hormonal Treatment; Interventional Radiology; Surgical Treatment; Endometrial Polyps; Effect onßFertility; Management; Congenital Uterine Anomalies; Effect onßFertility andßPregnancy; Septate Uterus; Management; Unicornuate Uterus; Bicornuate Uterus; Uterus Didelphys; Intrauterine Adhesions; Effect onßFertility andßPregnancy; Management; Endometriosis; Effect onßFertility.
Management Adenomyosis; Pathogenesis; Management; Hydrosalpinx; Effect onßFertility andßPregnancy; Management; Conclusion; References; Chapter 3: Psychological Difficulties andßMental Ill-ƯHealth Associated withßART; Introduction; Brief Discussion AboutßScreening forßaßMental Health Problem Which May BeßImpacted UponßbyßTreatment withßART; Anthropological andßSocio-Cultural Considerations That May Help aßFertility Specialist Understand aßCouple's or anßIndividual Patient's Response toßtheßStresses ofßInfertility (or Sub-fertility) andßIts Treatment withßART.
Socio-Cultural Factors Which Interact withßBiology toßModify anßIndividual's Natural Fertility Theories ofßInfertility: TheßContribution ofßIdeas AboutßConception andßSpiritual andßSocial Disharmony; The Pursuit ofßTreatment; Clinical Scenarios; Scenario 1: AßWoman withßaßPre-existing Severe Mood Disorder Who Relapses DuringßTreatment forßSub-fertility andßShows Signs ofßRecurrence ofßaßDepressive Psychosis; Learning Points fromßScenario 1.
Scenario 2: AßWoman withßPre-existing Severe Mood Disorder Who, withßPre-conceptual Advice andßRobust Management ofßHer Mental Illness DuringßFertility Treatment, Conceives withßIVF andßRemains Well DuringßPregnancy andßPostpartum Learning Points fromßScenario 2; Scenario 3: AßWoman Conceives ThroughßEgg Donation withßHusband's Sperm andßSubsequently Develops Symptoms Thought toßBeßRelated toßtheßStress andßAnxiety Generated byßRepeated Attempts toßConceive; Learning Points fromßScenario 3.
Chapter 2: Pre-conception Risk Assessment: Gynaecological Problems Introduction; Fibroids; Effect onßFertility andßPregnancy; Submucous Fibroids; Intramural Fibroids; Subserosal Fibroids; Management; Hormonal Treatment; Interventional Radiology; Surgical Treatment; Endometrial Polyps; Effect onßFertility; Management; Congenital Uterine Anomalies; Effect onßFertility andßPregnancy; Septate Uterus; Management; Unicornuate Uterus; Bicornuate Uterus; Uterus Didelphys; Intrauterine Adhesions; Effect onßFertility andßPregnancy; Management; Endometriosis; Effect onßFertility.
Management Adenomyosis; Pathogenesis; Management; Hydrosalpinx; Effect onßFertility andßPregnancy; Management; Conclusion; References; Chapter 3: Psychological Difficulties andßMental Ill-ƯHealth Associated withßART; Introduction; Brief Discussion AboutßScreening forßaßMental Health Problem Which May BeßImpacted UponßbyßTreatment withßART; Anthropological andßSocio-Cultural Considerations That May Help aßFertility Specialist Understand aßCouple's or anßIndividual Patient's Response toßtheßStresses ofßInfertility (or Sub-fertility) andßIts Treatment withßART.
Socio-Cultural Factors Which Interact withßBiology toßModify anßIndividual's Natural Fertility Theories ofßInfertility: TheßContribution ofßIdeas AboutßConception andßSpiritual andßSocial Disharmony; The Pursuit ofßTreatment; Clinical Scenarios; Scenario 1: AßWoman withßaßPre-existing Severe Mood Disorder Who Relapses DuringßTreatment forßSub-fertility andßShows Signs ofßRecurrence ofßaßDepressive Psychosis; Learning Points fromßScenario 1.
Scenario 2: AßWoman withßPre-existing Severe Mood Disorder Who, withßPre-conceptual Advice andßRobust Management ofßHer Mental Illness DuringßFertility Treatment, Conceives withßIVF andßRemains Well DuringßPregnancy andßPostpartum Learning Points fromßScenario 2; Scenario 3: AßWoman Conceives ThroughßEgg Donation withßHusband's Sperm andßSubsequently Develops Symptoms Thought toßBeßRelated toßtheßStress andßAnxiety Generated byßRepeated Attempts toßConceive; Learning Points fromßScenario 3.