Protocols in Clinical Embryology and ART Pankaj Talwar, Surveen Ghumman Sindhu
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1Step by Step® Protocols in Clinical Embryology and ART2
3Step by Step® Protocols in Clinical Embryology and ART
Editors Lt Col Pankaj Talwar VSM Assisted Reproductive Technology (ART) Center Army Hospital (Research and Referral) New Delhi, India Surveen Ghumman Sindhu MD FICOG Senior Specialist Safdarjung Hospital Assistant Professor Vardhman Mahavir Medical College Delhi, India
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This book has been published in good faith that the contents provided by the contributors contained herein are original, and is intended for educational purposes only. While every effort is made to ensure accuracy of information, the publisher and the editors specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the editors. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device.
Step by Step® Protocols in Clinical Embryology and ART
First Edition: 2012
9789350257654
Printed at:
5Dedicated to
Our Patients who in many ways have been our best teachers
6
7CONTRIBUTORS
  • Ashok Khurana
  • Consultant in Reproductive Ultrasound
  • The Ultrasound Lab
  • New Delhi, India
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9PREFACE
Assisted reproductive technology (ART) has strengthened the hopes of the infertile population, thus increasing the demands of these services. ART has evolved as one of the fastest advancing science in medicine. Due to rapid advancement, protocols are fast changing and there is need for a comprehensive book which would get these protocols together in an easy-to-read manner. The book attempts to do this keeping in mind the recent advances.
The book begins with the chapter on setting up of an ART laboratory and selection of patients for IVF. It discusses the stimulation protocols with the pros and cons of each. The embryology section is extensively discussed with photographs and illustrations. It covers andrology, in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI) and cryopreservation. The chapters on oocyte retrieval and embryo transfer lay special emphasis on troubleshooting. Role of ultrasound and legal issues associated with ART are explicitly discussed. The growing attempt of providing therapy to all infertile patients is accompanied by efforts to forestall the complications that accompany these therapies. The chapter on ovarian hyperstimulation and multifetal embryo reduction throw light on these complications and methods to deal with them.
The book is an attempt to integrate information into a practical management protocol that is logical and easy-to-follow for the reader. We hope it is stimulating enough-to-help every practicing infertility and ART specialist to solve dilemmas in dealing with their patients.
Lt Col Pankaj Talwar vsm
Surveen Ghumman Sindhu
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11ACKNOWLEDGMENTS
I thank my father Mr Mohinder Pal Talwar and my mother Mrs Madhu Talwar for their guidance and constant support. Such monumental work would not have been possible without their blessings and encouragement. I give most sincere thanks to my wife Dr (Mrs) Neetu Talwar and sons Pratik and Arjun, for giving me unfailing support and encouragement during compilation of the book. It was their unflinching motivation and enthusiasm which gave me impetus to move ahead in trying times, which I faced during scripting of Step by Step® Protocols in Clinical Embryology and ART.
Lt Col Pankaj Talwar vsm
I would like to thank my husband, Sandeep, for his unconditional support in not only this, but all my ventures. His encouragement has been instrumental in making me focus on giving this academic project the face it has. My parents have given me the sound foundation of right values, which has helped me at each step including this one. I would like to thank them for their contribution. Jahnavi and Janya, my daughters are a source of constant inspiration and I would like to acknowledge their contributions through the patience and support they showed while the book took up my time.
Surveen Ghumman Sindhu
We would like to thank all the contributors for their valuable inputs and the team at M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for bringing this book to its present form.