By Melvin L. Taymor
A little over 12 years in the past I wrote a small quantity entitled Infertility. It appeared to me at the moment that major advances within the box known as for the e-book of any such quantity. the subsequent is from the preface to that quantity: up to now 15 years huge growth has been made within the box of infertility prognosis and administration. it truly is might be a paradox that a lot of this elevated wisdom has turn up as a result of Western medicine's preoccupation with the quest for a way to manage copy. for this reason, we've got accomplished new insights into the physiologic mechanisms focused on replica, and we've stumbled on larger tools for measuring physiologic alterations in reproductive future health and illness. to those advances could be extra advancements within the usage of endoscopic and surgical ideas, within the prognosis and remedy of infections and endometriosis, and within the therapy of hormonal issues. in this interval, too, via workshops and meetings and in journals and texts, those most up-to-date advances were made to be had to physi cians, a great instance being the 2 volumes of growth in Infer tility, edited through Drs. Jan Behrman and Robert Kistner. As worthwhile as those courses are, they don't supply an total view of infertility diag nosis and management.
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Extra info for Infertility: A Clinician’s Guide to Diagnosis and Treatment
It is possible that a number of these conceptions could have occurred because of chance, but this figure suggests that so large a percentage of conceptions occurred because, once the patients placed themselves under a physician's care, their emotional factors lost their negative implications. 6 These studies strongly suggest that emotional factors playa not insignificant role in the total problem of infertility. PSYCHOPHYSIOLOGIC PATHWAYS The mechanisms by which emotional tensions and neurotic problems might interfere with reproductive functions are fairly well documented in some cases; in others the mechanisms remain obscure.
Obstet Gynecol49:1, 1977 29. Albert PS, Salerno RG, Kapoor SN, et al: The nitrofurans as sperm-immobilizing agents, their tissue toxicity and their clinical application in vasectomy. Fertil Steril 26:485, 1975 30. Makler A, Urbach Y, Lefler E, Merxbach I: Factors affecting sperm motility: VI. Sperm viability under the influence of bacterial growth in human ejaculates. Fertil Steril35 :C66, 1981 31. Alexander NJ, Bearwood D: An immunoadsorption assay for antibodies to spermatozoa: Comparison with agglutination and immobilization tests.
Am J Obstet Gynecol 138:990, 1980 12. Westrom L, Bengetsson L1', Mardh PA: The risk of pelvic inflammatory disease in women using intrauterine contraceptive devices as compared to non-users. Lancet 2:221, 1976 13. Serranyake 1', Kramer D: Contraception and the etiology of pelvic inflammatory disease: New perspectives. Am J Obstet Gynecol138:852, 1980 14. Badawy SZA, Machall L, Quenco V: Peritoneal fluid prostaglandins in various stages of menstrual cycle in infertile patients with endometriosis.