Intra-Uterine Insemination: Evidence Based Guidelines for Daily Practice

ISBN-13: 9781841849881 / Angielski / Miękka / 2013 / 220 str.

Ben Cohlen

Opis

Intra-uterine insemination (IUI) is a widely used fertility treatment for couples with unexplained and male subfertility. Although it is less invasive and less expensive than l other treatment options such as in vitro fertilization, several factors affect its outcome. In addition, IUI remains controversial due to concerns about some of the possible aspects of treatment, including side-effects such multiple pregnancies. This comprehensive evidence-based book from an international IUI expert team explores all of these topics and provides clear guidelines for daily practice.

Spis treści

General Introduction to Intra-Uterine Insemination (IUI) as a Treatment for Subfertility: The Impressions of an Old-Timer. Diagnostic Work-Up before IUI. When to Start IUI? Indications for IUI. Immunologic Male Infertility. Factors Influencing IUI Outcome: Female Age. Factors Influencing IUI Outcome: Male Age. Factors Influencing IUI Outcome: Weight Influences. Factors Influencing IUI Outcome: Semen Quality. Factors Influencing IUI Outcome: Semen Preparation Techniques. Factors Influencing IUI Outcome: Time Interval as a Prognostic Factor. Factors Influencing IUI Outcome: Number of Cycles to Perform. Factors Influencing IUI Outcome: Perifollicular Flow and Endometrial Thickness. Factors Influencing IUI Outcome: Timing and Number of Inseminations per Cycle. Factors Influencing IUI Outcome: Site of Insemination in Therapeutic Donor Insemination. Factors Influencing IUI Outcome: Immobilization after IUI. Factors Influencing IUI Outcome: Ovarian Hyperstimulation. Factors Influencing IUI Outcome: Luteal Phase Support. Fallopian Sperm Perfusion: Evidence on IUI versus Fallopian Sperm Perfusion. Media Supplements: Platelet Activating Factor Improves Sperm Motility and IUI Outcomes. Oxidative Stress and IUI Outcomes. Cost-Effectiveness of IUI. Minimal Standards and Organization for Donor Sperm Banking. Indications for Donor Sperm Including Lesbian Couples and Single Women. IUI and Psychological Aspects. Risk Factors for Higher-Order Multiple Pregnancies Following Stimulated IUI. Prevention of Multiple Pregnancies after IUI. Perinatal Outcome after IUI. IUI-Associated Infection Risks and Preventative Measures. Cancer and Semen Preservation. Preconception Gender Selection: Laboratory Aspects. Preconception Sex Selection: Ethical Evaluation. Factors Affecting the Success of IUI: Implications for Developing Countries. SWOT Analysis of Accessible IUI in Developing Countries, Resource-Poor Settings, and Primary Care Centers.

O autorze

Ben Cohen, Willem Ombelet