{"paper_id":"e72b8e69-6a4c-426a-b7d7-b6f7a4dc469b","body_text":"The Subfertility Handbook\nBuy print or eBook\n[Opens in a new window] A Clinician's Guide\n- The Subfertility Handbook\n- The Subfertility Handbook\n- Copyright page\n- Contents\n- Foreword\n- Contributors\n- Chapter 1 Subfertility – a logical approach\n- Chapter 2 Pre-pregnancy counseling and treatment\n- Chapter 3 The first interview with a new couple\n- Chapter 4 Investigation of the female patient\n- Chapter 5 Assessment of the male partner\n- Chapter 6 Ultrasound in the investigation of the subfertile female\n- Chapter 7 Treatment options for male infertility\n- Chapter 8 The management of anovulation (including PCOS)\n- Chapter 9 The role of artificial insemination with partner semen in an ART program\n- Chapter 10 Early pregnancy loss\n- Chapter 11 In vitro fertilization:\n- Chapter 12 In vitro maturation\n- Chapter 13 The use of donor insemination\n- Chapter 14 Using donor oocytes\n- Chapter 15 Embryo donation:\n- Chapter 16 Endometriosis and its treatment\n- Chapter 17 The role of surgery in female subfertility\n- Chapter 18 Laboratory techniques in IVF\n- Chapter 19 Infertility counseling\n- Index\nPublished online by Cambridge University Press: 06 December 2010\nEdited by\nBook contents\n- The Subfertility Handbook\n- The Subfertility Handbook\n- Copyright page\n- Contents\n- Foreword\n- Contributors\n- Chapter 1 Subfertility – a logical approach\n- Chapter 2 Pre-pregnancy counseling and treatment\n- Chapter 3 The first interview with a new couple\n- Chapter 4 Investigation of the female patient\n- Chapter 5 Assessment of the male partner\n- Chapter 6 Ultrasound in the investigation of the subfertile female\n- Chapter 7 Treatment options for male infertility\n- Chapter 8 The management of anovulation (including PCOS)\n- Chapter 9 The role of artificial insemination with partner semen in an ART program\n- Chapter 10 Early pregnancy loss\n- Chapter 11 In vitro fertilization:\n- Chapter 12 In vitro maturation\n- Chapter 13 The use of donor insemination\n- Chapter 14 Using donor oocytes\n- Chapter 15 Embryo donation:\n- Chapter 16 Endometriosis and its treatment\n- Chapter 17 The role of surgery in female subfertility\n- Chapter 18 Laboratory techniques in IVF\n- Chapter 19 Infertility counseling\n- Index\nThe anatomic distortion created by scarring and adhesions from endometriosis offers a clear mechanism for reduced pregnancy rates. Ultrasonography and MRI are of variable accuracy in diagnosing deeply infiltrating endometriosis, with sensitivity ranging between 33 and 83%, based on location of lesions. Diagnostic laparoscopy or laparotomy is the only definitive way to diagnose pelvic endometriosis. This chapter focuses on specific treatments available to patients with endometriosis-associated infertility. Ovarian suppression was long held as the standard in treatment of endometriosis-associated infertility. Methods of suppression included progestins, danazol, and gonadotropin-releasing hormone agonists. Surgery may also address other mechanisms by which endometriosis causes infertility by eliminating the endometriosis lesions. The anatomical distortion typically associated with more severe endometriosis would preclude this alternative in patients with moderate to severe disease. Overall, with appropriate diagnosis and the use of various treatments, the overall prognosis for pregnancy in women with endometriosis is very favorable.\n- Type\n- Chapter\n- Information\n- The Subfertility HandbookA Clinician's Guide, pp. 176 - 184Publisher: Cambridge University PressPrint publication year: 2010\nAccessibility compliance for the HTML of this chapter is currently unknown\nand may be updated in the future.\nTo save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. 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