By Peter Braude, Alison Taylor
Written by way of a group of infertility specialists, this consultant addresses the advanced topic of subfertility. It starts off with analysis within the female and male prior to offering suggestion on all varieties of assisted perception in addition to counselling support with therapy judgements.
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Additional info for Alison Taylor, ABC of Subfertility
6 times more likely to be underweight than those naturally conceived. Further work and monitoring are needed, but the unease emphasises the need for these techniques to be used with caution and only with appropriate indications. The figure showing fertilisation is adapted from Primaton P, Myles DG. Science 2002:296:5576. The photographs of human embryos in vitro are courtesy of Dr S Pickering, Guy’s Hospital, London. uk Further reading x Templeton A, Ashok P, Bhattacharya S, Gazvani R, Hamilton M, Macmillan S, et al.
BMJ 2003;327:978–81 A teenager in love When I came out of hospital, paralysed by a lymphoma on my spine (at T10), my temporary hosts nicknamed me “the teenager” because I didn’t do much, had lots of telephone calls, and needed lifts. I was 52 at the time. The teenager tag was reinforced when I slept a lot and spent mornings in bed. This provoked dinner table comments (“He’s a growing lad”) and typical shouts up the stairs (“It’s time to get up. ”). During the next two years, as I slowly progressed from wheelchair to sticks, the health service did everything possible to help me to stand on my own two feet, while my hosts wondered if I would ever leave home.
Indeed, it can occur simply by using clomifene to induce ovulation in sensitive patients, such as those with polycystic ovary syndrome. OHSS should be managed in a specialist hospital, preferably one with an in vitro fertilisation unit, where there will be the appropriate expertise to deal with the condition. Treatment should be immediate and tailored to the degree of severity. In mild OHSS, without substantial pain or haemoconcentration, close monitoring and analgesia with advice to increase oral fluid intake should be sufficient management.