Infertility Practical Insights in Management K Jayakrishnan
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1Infertility Practical Insights in Management2
3Infertility Practical Insights in Management
Edited by K Jayakrishnan Consultant Reproductive Medicine KJK Hospital, Nalanchira, Trivandrum Foreword by A Padma Rao
4Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
EMCA House, 23/23B Ansari Road, Daryaganj
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Infertility Practical Insights in Management
© 2006, K Jayakrishnan
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editor and the publisher.
This book has been published in good faith that the material provided by contributors is original. Every effort is made to ensure accuracy of material, but the publisher, printer and editor will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters to be settled under Delhi jurisdiction only.
First Edition: 2006
9788180617195
Typeset at JPBMP typesetting unit
Printed at Gopsons Paper Ltd, Noida
5to my family members, parents, teachers and well-wishers6
7Contributors
8
9Foreword
It is a privilege to be requested to write a foreword to this book Infertility Practical Insights in Management. My eligibility to this nice task is that I had witnessed and practiced gynecology of fifty years ago. The problem of ‘Infertility’ was solely in the hands of gynecologists who treated infertility empirically with vitamins, hematinics, dilatation and curettage. Male infertility was declared hopeless for any form of treatment at that time. The scenario has changed, yes changed suddenly during the past twenty-five years and more so during the past fifteen years and the subject of ‘Infertility’ is now an exclusive specialty in gynecology. Insight in the information about ovum, ovulation, spermatozoa, fertilization and implantation and hormones has widened and deepened and is continuing to improve. Male infertility is no longer a hopeless situation. In this book five chapters out of ten are about male infertility. The authors of all the topics are renowned experts in the management of infertility. All the practical problems encountered in the management of infertility are covered in this book. Dr Jayakrishnan who edited this book has vast experience and knowledge in the problems of infertility. This book is a timely gift to all those are in search of practical and precise information in the subject of male and female infertility.
May God Bless Us.
A Padma Rao md, dgo
Retired Professor and Director of Postgraduate Studies
(Now Emeritus Professor, Department of Obstetrics and Gynecology) Kasturba Medical College
Manipal 576 10410
11Preface
On the occasion of 49th AICOG to be held in Cochin in 2006. It gives me great sense of satisfaction and pride in editing my first book on infertility after 25 years in field of Obstetrics and Gynecology.
Our understanding of the problems in infertility has expanded rapidly with the rapidly growing field of reproductive medicine and science. Similarly, new innovations in assisted reproductive technologies have opened up numerous options for treatment of infertility and improved our understanding of the processes in gamete interaction and implantation. The increasing focus on evidence-based practice has led to critical review of existing evidence in the area of therapy, diagnostic assessment, causation and prognosis and has provided the framework for conducting clinical studies and therapeutic trails that have high validity.
The major objective has been to provide the most current scientific information. To accomplish this objective we have brought a group of recognized authorities, by being at the forefront of research in their fields in reproductive medicine, to share their knowledge with the readers.
I wish to thank all the contributing authors for agreeing to submit their work and for their quality of their manuscripts which has allowed us to produce this textbook. It would serve as a very useful resource to professionals dedicated to improving and understanding the problems associated in management of infertile couple.
K Jayakrishnan
12Acknowledgements
I am thankful to all my dedicated colleagues for their valuable contribution and providing me the corrected manuscripts which made me edit this book on infertility.
I am grateful to senior teachers of the profession Dr Rohit V Bhatt and Dr DK Tank for accepting my invitation and submitting the articles before the deadline.
I am thankful to international authors Dr Howard Carp (Israel), Dr Gulam Bahadur (UK), Dr Suresh Kattera (Singapore) and Dr Tongtis Tongyoi (Bangkok) for their articles.
My sincere thanks to all the national authors who have contributed the articles.
I am indebted to Dr A Padma Rao, the doyen from S. India who has readily agreed to pen the foreword in this book.
I remain……………..