This case-based guide is written from the clinician's perspective, dealing with a defined male infertility problem, tracing the actual clinical pathway arriving at the diagnosis, and discussing the ...treatment options and the likely outcome. Rather than focusing on excessive theoretical details, each chapter presents a unique clinical vignette or scenario, the relevant aspects of which are followed throughout the entire chapter, correlating specific fertility issues with clinical findings, describing treatment options, prognoses and procedures (when indicated), and concluding with practical clinical pearls.
This book is a practical guide to the performance of ultrasonography in women of reproductive age for the diagnosis and treatment of infertility. The coverage includes the use of ultrasonography for ...evaluation of the various disorders associated with infertility, such as endometriosis, anovulatory disorders, tubal disease, and adenomyosis; its role in assisted reproductive techniques; and its application to assess the viability and early complications of pregnancy. The more recent advances in the field are all addressed, including assessment of ovarian reserve, new classifications of uterine malformations using three-dimensional ultrasonography, and novel ultrasonographic modalities for the evaluation of tubal patency. Within each chapter, the focus is especially on the performance of the ultrasound examination, with highlighting of useful technical tips. The contributors are acknowledged experts from across the world, and the book will be of value for physicians, ultrasonographers, and other medical staff involved in caring for patients with fertility issues.
This book provides an insight into the emerging trends in pathogenesis, diagnosis and management of endometriosis. Key features of the book include overviews of endometriosis; endometrial ...angiogenesis, stem cells involvement, immunological and hormonal aspects related to the disease pathogenesis; recent research reports on infertility, endometrial receptivity, ovarian cancer and altered gene expression associated with endometriosis; various predictive markers, and imaging modalities including MRI and ultrasound for efficient diagnosis; as well as current non-hormonal and hormonal treatment strategies This book is expected to be a valuable resource for clinicians, scientists and students who would like to have an improved understanding of endometriosis and also appreciate recent research trends associated with this disease.
This paper deals with the way in which the infertility of a married couple was conceptualized in the Croatian traditional culture, which generally related exclusively to the woman’s inability to give ...birth. The first part deals with anthropological and ethnological research dealing with various aspects of (in)fertility in the family life of the South Slavs. Due to the immense importance of offspring in the life of the entire social community, the phenomenon of infertility is related to folk beliefs and related magic rituals, whose aim was to prevent infertility or make a couple infertile. The second part of the article presents a comparative analysis of three Croatian literary texts. The first two deal with the status of an infertile woman in the rural community of the 19th and the first half of the 20th century, and the third discusses her status in the contemporary Croatian society, where rural and urban influences interweave. The first text was written at the end of the 19th century (Ivan Majstrović, Neplodnica (The infertile woman), 1891), the second one was written in the first half of the 20th century (Mila Miholjević, Zalog (Pledge), 1940), and the third one at the beginning of the 21st century (Julijana Matanović, Požurite, že-ne mo-je (Hurry up, my-wo-men), 2009). Neplodnica deals with the way in which the literary text transposes the ethnographically established fact that infertility causes additional, mythical meanings which the traditional community uses to stigmatize the individual accusing her of magical practices, ending tragically for the protagonists. Zalog uses the motif of infertility to represent the complex system of psychological relations between women in a patriarchal community, additionally isolated by its geographical position, where infertility becomes a cause of intrapersonal and interpersonal conflict. The third story, Požurite, že-ne mo-je, deals with the position of the modern woman within the technologized system of in vitro fertilization and problematizes the still existing social prejudice about women’s mythical guilt over their lack of motherhood. This paper is a literary-anthropological, qualitative study, whose aim is to establish how the traditional view of infertility and its implications – which are evident even in contemporary social communities – are represented in the Croatian literature of the late 19th and early 21st century, and how the authors of the selected texts remove themselves from the conventional social stereotypes through a subversive stance towards them and the critical perspective adopted for the benefit of their reader community.
The book examines infertility both as a medical condition and as a specific social status. The author identifies the relevance of infertility in life biographies in the context of Czech society which ...highly values parenting but has one of the lowest birth-rates in Europe. She is interested in how people are adapting to this situation of conflict between their life plans and physical and social barriers. The book contains four chapters of in-depth interviews and analyses. Each chapter deals with one particular dimension of experience with infertility and its treatment.
Najčešće infekcije muškoga reproduktivnog
sustava su akutni i kronični prostatovezikulitis, epididimitis i
uretritis. Do sada su iznesena kontroverzna zapažanja kliničara
o utjecaju urogenitalne ...infekcije na fertilitet muškaraca. Prema
novijim istraživanjima infekcije muškoga reproduktivnog sustava
uzrokuju disfunkciju sekretorne aktivnosti prostate, sjemenih
vezikula i epididimisa, što dovodi do promjena volumena i kiselosti
sjemene plazme, kao i koncentracije cinka, limunske kiseline,
kisele fosfataze te fruktoze, što ima za posljedicu smanjenje
broja i pokretljivosti spermija. Oksidativni stres kod kroničnog
prostatitisa oštećuje akrosomsku aktivnost spermija te uzrokuje
neplodnost muškaraca. Kasne posljedice preboljelih upala
sjemenog trakta uzrokuju opstrukcije u sjemenim kanalima i
dovode do oligospermije ili azoospermije.
Ova studija je imala za cilj istražiti utjecaj neplodnosti i njezinog liječenja na seksualnost para. Izvršena je sustavna analiza literature s naglaskom na seksualnu disfunkciju žena i muškaraca zbog ...neplodnosti. Metoda je bila opisna uz primjenu meta-sinteze znanstvenih istraživanja objavljenih između 2012. i 2017. godine na engleskom jeziku. Pretraživanje odgovarajućih studija provedeno je u bazama podataka Medline, CINAHL, PubMed i ScienceDirect koristeći sljedeće ključne riječi: neplodnost, seksualne disfunkcije, par. Može se zaključiti da neplodnost negativno utječe na seksualnost neplodnog para, što dodatno dokazuje visok postotak seksualnih disfunkcija (43%-90% među ženama i 48%-58% među muškarcima). Parovi iskazuju manje zadovoljstvo u seksualnom odnosu. Budući da su slabije zadovoljstvo i disfunkcije usko povezane s neplodnošću i njenim liječenjem, parovi bi mogli imati koristi od seksualne terapije i psihološke potpore tijekom procesa liječenja neplodnosti. Daljnja bi se istraživanja trebala usre-dotočiti na evaluaciju različitih psiholoških intervencija koje bi se bavile seksualnošću kod parova kad im se dijag-nosticira i liječi neplodnost.
U suvremenom svijetu učestalost parova koji ne uspijevaju na prirodan način ostvariti potomstvo u stalnom je porastu. Razlozi za neplodnost su mnogi, a najčešći jest visoka dob majke. Medicinski ...pomognuta oplodnja također omogućuje da osobe koje boluju od malignih bolesti zamrznu spolne stanice te kasnije ostvare potomstvo. Dva temeljna oblika liječenja neplodnosti obuhvaćaju intrauterinu inseminaciju i izvantjelesnu oplodnju.
Help your patients through the maze of infertility treatments Infertility is suffered by around 1 in 7 couples and can be a source of confusion for both partners, providing high stress on ...relationships. 25# of cases are explained through male infertility, 50# through female infertility, whilst 25# are generally unexplained.
Jedno od životnih područja, koje uključuje su-odgovornost supružnika u ostvarenju Božjega su-Stvarateljskog plana, jest moć njihove prokreacije. Nažalost, svjedoci smo porasta broja bračnih drugova ...koji nemaju potpunu/prirodnu mogućnost tog roditeljski plodonosnoga ostvarenja. Oni se u toj prirodno-fizičkoj uskraćenosti ne zadovoljavaju samo površnim saznanjima imperativa crkvenoga neodobrenja, već tragaju za prihvatljivim razumijevanjem svojega stanja, kao i iskušavanjem medicinsko-asistirajućih metoda koje im stoje na raspolaganju. Suvremena medicina odgovara na ovu problematiku ponudom dvadesetak različitih metoda medicinski potpomognute oplodnje (kirurškim i farmakološkim interventima), arteficijalnim tehnikama koje olakšavaju/potpomažu/ “zamjenjuju“ odvijanje generativnih fizioloških procesa i “ekvivalentno“ nadomještaju bračnu ne/plodnost. One predstavljaju rodu suvremenoga doba. Budući da ubrzanim napretkom biomedicinske tehnologije, ove intervencije zadiru u početak i integritet života, nastojat ćemo ukazati na neke moralno-bioetičke implikacije koje se nalaze se u centru legislacijskih i kršćanskih moralnih ne/odobrenja, nastojeći da se umjetna oplodnja ne bi pretvorila u terapeutsko manipulacijski proces i svela bračno sjedinjenje samo na fiziološko-tehnički čin koji zamjenjuje odgovornost osoba, a ne samo da pripomaže njihovim generativnim mogućnostima. Da bismo današnjim vjernicima ukazali na kršćansko što moralno-autentičnije prenošenje ljudskoga života, namjera nam je 32. cjeline projekta bila ponajprije pokušati utemeljiti genetički identitet, kako bi se onda na njegovoj biološkoj osnovi, mogao razvijati zreli vjernički identitet.