The Fertility Promise is a complete guide to the often emotional, expensive and confusing process of fertility treatment. The book offers clear explanations and advice to anyone undergoing fertility treatment (such as in vitro fertilization) or anyone seeking information about relevant treatment options. The information includes advice to both male and female patients, LGBT patients, IVF clinics, the IVF treatment process, the issues surrounding IVF ‘add-ons’, what it is really like to go through fertility treatment and what the future of IVF might look like.
Covering every aspect of the topic, the book is an extremely important point of reference for all fertility patients as well as individuals who wish to broaden their perspective on fertility medicine and clinics. The Fertility Promise informs both general readers and empowers fertility patients who are looking for the correct treatment, enabling them to clearly understand the fertility treatment process and to ask appropriate and often revealing questions on the subject.
Covering every aspect of the topic, the book is an extremely important point of reference for all fertility patients as well as individuals who wish to broaden their perspective on fertility medicine and clinics. The Fertility Promise informs both general readers and empowers fertility patients who are looking for the correct treatment, enabling them to clearly understand the fertility treatment process and to ask appropriate and often revealing questions on the subject.
Table of Contents
Chapter 1 A Bit Of History- Peter Hollands
- A Child Is Born
- Controversy
- Other Options For Fertility Patients?
- The First Fertility Treatments
- The First Technology
- Fertility Treatment Today
- Global Ivf
- Money!
- ‘Breakthroughs'
- Nobel Prize
- Still Not A Cure
- Population Growth
- Adoption
- Pioneering Times
- Black Monday
- Inpatients And Regulation
- More Recently
- Innovation
- Profit And ‘Add-Ons'
- Stagnation
- The Future
- Key Points Of Chapter 1
Chapter 2 The Female Patient
- Peter Hollands
- Introduction
- Female Infertility
- Blocked Tubes
- Endometriosis
- Polycystic Ovary Syndrome (Pcos)
- Thyroid
- Premature Menopause
- Surgical Damage And Fibroids
- Sterilisation
- Medications
- Other Causes Of Infertility
- Idiopathic Infertility
- Stress!
- ‘Back-To-Back' Treatments
- A Final Prayer
- Key Points Of Chapter 2
- I Ii Ii Ii Iii Chapter 3 The Male Patient
- Peter Hollands
- Introduction
- The Male Role In Fertility Treatment
- The ‘Men's Room' Pornography And Semen Assessment
- Hot Pants!
- Testicular Damage
- Vasectomy
- Ejaculation And Psychosexual Disorders
- Hormonal And Genetic Disorders
- Medicines And Drugs
- Life-Style Issues
- Stress
- A Final Prayer
- Key Points Of Chapter 3
Chapter 4 The Lgbt Patients
- Peter Hollands
- Introduction
- Same Sex Female Patients
- Surrogacy For Same Sex Female Patients
- Female Partner Providing Eggs For Treatment
- Same Sex Male Patients
- Egg Donation And Surrogacy
- Gender Re-Assignment
- Key Points Of Chapter 4
Chapter 5 Ivf Clinics
- Peter Hollands
- Introduction
- Money!
- Profit (Ok, But Not Too Much!)
- Public Provision Of Ivf Services (Difficult To Deliver)
- Treatment Cycle Numbers (Size Is Not Everything)
- ‘Famous' (Or Indeed Infamous) Clinic Staff
- Ivf Marketing (Caveat Emptor!)
- Ivf Clinic Statistics (Is That Black Actually White Or Is It Grey?) 43 Service (Good, Bad Or Indifferent)
- Fertility Clinic Facilities
- Fertility Clinic Staff
- Fertility Clinic Technology
- Questions To Ask A Fertility Clinic
- Key Points Of Chapter 5
Chapter 6 The Basic Treatment
- Peter Hollands
- Introduction
- The Fertility Medications
- Follicular Growth Monitoring
- Ovarian Hyper-Stimulation Syndrome
- The Egg Collection
- Semen Production And Insemination
- Ivf From A Laboratory Viewpoint
- The Embryo Replacement (Transfer)
- Embryo Freezing And Replacement
- The Pregnancy Test And The Day 35 Scan
- A ‘Precious' Pregnancy
- Donor Gametes (Donor Sperm And Donor Eggs)
- Donor Sperm
- Donor Sperm In Ivf
- Donor Eggs In Ivf
- Key Points Of Chapter 6
Chapter 7 The ‘Add-Ons' Scandal
- Peter Hollands
- Introduction
- Ivf Technologies And Work Practice
- The ‘Right' Patient
- ‘Wobbly' Evidence
- A ‘Re-Boot' Of Ivf
- Treatments Of Male Infertility
- ‘Catching Sperm'
- ‘Add-Ons'
- Intracytoplasmic Sperm Injection (Icsi) And Related Technologies
- Intracytoplasmic Morphologically Selected Sperm Injection (Imsi)
- Physiological Intracytoplasmic Sperm Injection (Picsi)
- Sperm Dna Fragmentation Testing
- Time-Lapse Video Analysis Of Embryonic Development
- Pre-Implantation Genetic Screening (Pgs) And Preimplantation Genetic Diagnosis (Pgd) 82 Pre-Implantation Genetic Screening (Aneuploidy Screening)
- Pre-Implantation Genetic Diagnosis (Pgd)
- Endometrial ‘Scratching' (Endometrial Injury)
- Assisted Hatching
- Embryo Glue
- Elective Freeze All Cycles
- Reproductive Immunology
- Acupuncture
- Conclusions On ‘Add-Ons'
- Misleading
- Counselling And Clinical Trials
- Starting From Scratch And ‘Blobs'
- Key Points Of Chapter 7
Chapter 8 The Regulators And Professional Societies
- Peter Hollands
- Introduction
- Power Is Not Always A Good Thing
- Uk Regulation
- The Role Of A Regulatory Authority
- What Does The Regulatory Authority Regulate?
- The European Society For Human Reproduction And Embryology (Eshre)
- Key Points Of Chapter 8
Chapter 9 The Patient ‘Journey'
- Peter Hollands
- The Journey
- First Things First
- Time Is Running Out!
- The First Consultation
- The Second And Nurse Consultation
- At Last! The Treatment Is Starting!
- The Day Of Egg Collection
- Fertilisation Day And Onwards
- Embryo Replacement (Transfer) Day
- It's Freezing In Here!
- Pregnancy Test Day
- The Day 35 ‘Heart Beat Scan'
- Key Points Of Chapter 9
Chapter 10 Advice To Fertility Patients
- Peter Hollands
- Introduction
- More Advice On Advice
- Optimism And Electronic Advice
- Clinic Counsellor
- Who To Tell?
- Family?
- Friends?
- Should I Tell People At Work?
- Smoking, Alcohol, Obesity And Underweight
- Smoking
- Alcohol
- Obesity
- Back-To-Back Treatment Cycles
- Egg Freezing: Good Idea, False Hope Or Money-Making Machine?
- Add-Ons
- Pregnancy, Birth And Parenthood
- Pregnancy
- Childbirth (Labour)
- Parenthood
- A Second Opinion?
- Changing Fertility Clinics?
- Infertility And Mental Health
- Ivf Myths
- Key Points Of Chapter 10
Chapter 11 The Future Of Ivf
- Peter Hollands
- Introduction
- Future Technology
- The Starting Point
- Innovations
- Profit!
- Stagnation
- A Promising Future?
- Telemedicine
Author
- Peter Hollands
