Infertility

To mark January 2004 as Cervical Cancer Screening Month, the National Cervical Cancer Public Education Campaign today urged women to get screened for cervical cancer in order to prevent the disease.

While it is true that IVF maximizes a patient’s chance of conceiving quickly, the sad fact is that IVF has become very complex today. Normally, as a technology matures, it usually becomes simpler and easier to implement, but this has not been true with IVF, especially the way it is done in most IVF clinics in the USA today.

Miscarriages (pregnancy loss ) are extremely common and occur in about 10% of all pregnancies. The loss of a pregnancy in a normally fertile woman hurts, but when a woman who has conceived after taking treatment for her infertility problems loses her pregnancy, the loss is far more difficult to bear.

There are several steps that each woman should take before she even tries to become pregnant. A visit to a gynecologist (or qualified internist) should occur at least three months before a couple is ready to conceive. During this visit, a full physical examination should be done.

I am 28 years old and I've been actively trying to get pregnant for the past 2 years. I recently underwent a laparoscopy by my gynecologist. She told me that I had minimal endometriosis, but that my ovaries and tubes looked normal. She told me that endometriosis is associated with infertility, but I don't really understand the connection.

My gynecologist recently told me that I have polycystic ovary syndrome (PCOS), and that I should try to lose weight before he gives me fertility medications. A friend told me that I should start taking a medicine to help lower my insulin levels. I'm confused about the connection between insulin and PCOS, and why I need to take an insulin-lowering medicine. I am 28 years old, and otherwise in good health.

I am a 34 year old woman that would like to have another child. I recently had surgery to remove my gallbladder and in the process there were pictures taken. I was told that my ovary is covered, all except one small area, by what looks like adhesions.

Human beings are remarkably fertile. Most females are capable of conceiving and bearing children beginning in their mid-teen years. While women in industrialized societies usually bear children in their 20s and 30s, women can give birth well into their 40s and beyond.

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The coming of the Internet can be compared with the birth of your first child. Everyone tells you that it will change your life beyond belief and you think you have understood what they mean and that you are perfectly prepared... until the day arrives.

A primitive form of the Internet was first described in 1961–1962 at the Massachusetts Institute of Technology by L. Kleinrock and J.C.R. Licklider [1]. By the end of 1969, four computers were connected into the first form of the Internet called ARPA-NET (Advanced Research Projects Agency net). In the early 1970s the TCP/IP protocol was in place.

How should you start searching for websites in the field of gynaecology? Of course, you could start at the FIGO website (http://www.figo.org), where there is much useful information. FIGO has 101 member societies, of which about 25 have their own websites at this moment.

The Internet has the potential to revolutionise the way we obtain and disseminate medical information. There is an enormous volume and variety of health-related information on the Internet [1, 2]. Some information available on the Internet about perinatology (aimed at professionals) is discussed here. We restrict ourselves mainly to websites for professionals in the English language.

The diagnostic sonography (ultrasound) profession is populated by technophiles. In general, people who gravitate to ultrasound are not afraid of technology or computers. For this reason alone, it is not surprising that sonographers and sonologists have flocked to use the Internet and the World Wide Web (WWW) for education, consultations and communications with colleagues across the globe.

Conversely, doctors found themselves facing Internet Printout Syndrome: patients would come to their offices armed with reams of paper about their conditions. It was impossible for the doctor to sort through all this information during the diminishing time allotted for an office visit.

Logging on to the Internet, particularly as a lay person, the sheer volume of information is alarming, and there is often no indication of how up to date it is and from which sources it was drawn.

There will be a time (perhaps sooner than one might think) that a practice website (or homepage) will be as normal, and as necessary, as telephone and fax nowadays.

During the last decade, the production of medical information has doubled every 2 years. It is predicted that information will double at an even faster rate, i.e. every 1–3 months [1]. This dramatic rate of changing medical knowledge presents a challenge for physicians to keep themselves up to date.

2000 September 17-21  Tblisi, Georgia Xth World Congress on Gestational Trophoblastic Disease Contact: chark@access.sanet.geSeptember 20-21 London, UK Psychosexual medicine in practice Contact: http://www.med.ic.ac.uk/dp/dpshSeptember 20-23 Leuven, Belgium From Gamete to Newborn Contact: http://www.gamete-to-newborn.orgOctober 04-06 London, UK Medical problems facing obstetricians and  gynaecologists in pregnancy Contact: http://www.med.ic.ac.uk/dp/dpsh/default.htm  or sympreg@ic.ac.ukOctober 04-07 Zagreb, Croatia 10th World Congress Ultrasound in Obstetrics and Gynaecology (ISUOG) Contact: http://www.hko.hr or http://www.isuog.orgOctober 12 London, UK Maternal mental health and the child Contact: http://www.med.ic.ac.uk/dp/dpsh October 19-21 Paris, France 9th Congress of the European Society for  Gynaecological Endoscopy (ESGE) Contact: http://www.convergences.fr/uk/aesge.htm October 20 London, UKWomen and children with HIV and AIDS Contact: http://www.med.ic.ac.uk/dp/dpsh October 21-26 San Diego, CA, USA 56th Annual Meeting of the American Society for Reproductive Medicine Contact: http://www.asrm.org October 22-25 Rome, Italy XXVth Annual Meeting of the International  UroGynecological Association (IUGA) Contact: http://www.iuga2000.com  October 28-30 Bruges, Belgium 3rd Congress of the European Society of Gynecology Contact: thomas@ocst.ucl.ac.be November 03-04 Halle/Saale, Germany Gynecologic surgery: from experience to  evidence-based medicine Contact: gerda.bertram@medizin.uni-halle.de November 14-19 Orlando, FL, USA Global Congress of Gynecologic Endoscopy  AAGL 29th Annual Meeting  Contact: http://aagl.com/aaglcal.htmNovember 23-26 Brussels, Belgium 5th World Congress on the Internet in Medicine (MEDNET 2000) Contact: http://www.mdf.be/mednet2000/index2.htm December 06-08 Florence, Italy 8th World Congress of Gynecological Endocrinology Contact: http://www.biomedicaltechnologies.com/cinteng.html 2001 March 28-31 Chicago, IL, USA 10th Annual ISGE Congress Contact: http://www.eventsintl.com/isge2001

Feasibility of laparoscopic myomectomy is now accepted even if the attention is still stressed on technical difficulties due to myoma location and size and difficulty in reapproximating the incision by laparoscopic suturing that requires perfect mastery of endoscopic suturing.

The objective of this manuscript is to study the pregnancy rate and the prognostic factors for conception after myomectomy carried out in cases of infertility.

A case of unicornuate uterus with cavitary non-communicating rudimentary horn suddenly revealing with acute abdomen is presented. The patient was managed by laparoscopic miniaccess hemihysterectomy.

Although diagnostic problems make it difficult to establish the extent of the male partner's contribution with certainty, a number of studies suggest that male problems represent the most common single defined cause of infertility.

Brief overview of human egg and embryo freezing. Discussion of merits of currently utilized cryopreservation protocols. Practical issues of cryopreservation with reference to egg or embryo selection, and thaw replacement protocols. Alternative cryopreservation technologies.

The frequency of chromosome aberration in spontaneous and induced abortions in the first three-month period of pregnancy has been presented in this study. The examination has been done in the period from 2001 till 2002 on the sample of 80 chorion and fetal tissue of 8-12 weeks of gestation.

This article discusses the nature of infertility treatment and its relation to infertile couples' desires for multiple pregnancy, the special risks of iatrogenic multiple pregnancy (IMP), the informed consent process in assisted reproductive technology, and the ethical dilemma of IMP and methods for its resolution.

UK fertility experts have sounded a note of cautious optimism about the safety of preserving ovarian tissue and transplanting it back into women after cancer treatment.

A 35-year-old nulliparous woman with a giant uterine myoma is described. During the past three years she had developed a intramural myoma and a subserous myoma. Although the lesions were excised, both reappeared and were treated with GnRH analogues for 6 months.

Telemedicine is the electronic transmission of health information for the delivery of clinical care from a distance. Today it is increasingly used to provide efficiencies in the delivery of women’s health care.