Algorithms in Infertility and Reproductive Medicine
Algorithms in Infertility and Reproductive Medicine
Editors
Kamini A Rao
MBBS DGO MCh FRCOG FNAMS FICOG PGDMLE
Medical Director Milann Fertility Center
Bengaluru, Karnataka, India
Harpreet Kaur
MBBS MD DNB FNB (Rep Med) MRCOG (UK)
Associate Professor Department of Obstetrics and Gynecology All India Institute of Medical Sciences
Bilaspur, Himachal Pradesh, India

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Algorithms in Infertility and Reproductive Medicine
First Edition: 2024
9789356960480
Printed at:
Our patients who teach us practice everyday
- Aashna Arora MBBS MS (Obs & Gyne)
- Consultant
- Sukhmani Hospital
- Gurugram, Haryana, India
- Abha Majumdar MS MBBS FICS
- Emeritus Consultant
- Department of Obstetrics and Gynecology
- Sir Ganga Ram Hospital
- New Delhi, India
- Ajitabh Shukla MD DNB FNB
- IVF Consultant
- Department of Obstetrics and Gynecology
- Genome—The Fertility Center
- Kolkata, West Bengal, India
- Anshu Dhar MBBS MD (Obs & Gyne)
- Fellow Reproductive Medicine
- Milann Hospital
- Bengaluru, Karnataka, India
- Bhawani Shekhar MD DNB MRCOG
- Clinical Associate
- Center of IVF and Human Reproduction
- Sir Ganga Ram Hospital
- New Delhi, India
- Chaitra Nayak MBBS MS (Obs & Gyne) FNB (Rep Med)
- Consultant
- Department of Reproductive Medicine
- Cloud Nine Hospitals
- Bengaluru, Karnataka, India
- Deepika Krishna MBBS MS Fellowship in Reproductive Medicine
- Senior Consultant IVF
- Milann Fertility Center
- Bengaluru, Karnataka, India
- Devi R MBBS MS (Obs & Gyne) Fellowship in Reproductive Medicine
- Clinical Head and Fertility Specialist
- Oasis Fertility
- Bengaluru, Karnataka, India
- Divya Sardana MD DNB (Obs & Gyne) FNB (Rep Med)
- Senior Consultant (IVF)
- Cloudnine Hospital
- Gurugram, Haryana, India
- Divyashree PS MBBS MS DNB FNB (Rep Med) PGDMLE
- Medical Director
- Genia Fertility Center
- Bengaluru, Karnataka, India
- G Rani Aishwarya MBBS MS
- Consultant Reproductive Medicine
- Milann Fertility and Birthing Centre
- Bangaluru, Karnataka, India
- Harpreet Kaur MBBS MD DNB FNB (Rep Med) MRCOG (UK)
- Associate Professor
- Department of Obstetrics and Gynecology
- All India Institute of Medical Sciences
- Bilaspur, Himachal Pradesh, India
- Harsh Nihlani MCh (Reproductive Medicine and Surgery) MD (Obs & Gyne)
- Senior Resident
- Department of Obstetrics and Gynecology
- Sri Ramachandra Institute of Higher Education and Research (SRIHER)
- Chennai, Tamil Nadu, India
- Jasneet Kaur MBBS MS FRM
- Consultant and Clinical Director (Reproductive Medicine)
- Milann—The Fertility Center
- Chandigarh, India
- JB Sharma MD FRCOG FAMS PhD
- Professor
- Department of Obstetrics and Gynecology
- All India Institute of Medical Sciences
- New Delhi, India
- Kamini A Rao MBBS DGO MCh FRCOG FNAMS FICOG PGDMLE
- Medical Director
- Milann Fertility Center
- Bengaluru, Karnataka, India
- Madhuri MBBS MD FNB (Reproductive Medicine)
- Consultant
- Milann Fertility Center
- Bengaluru, Karnataka, India
- Mamta Dighe MBBS MD DNB FNB (Reproductive Medicine) FCPS DGO
- Director
- Xenith Advanced Fertility Centre
- Pune, Maharashtra, India
- Mandeep Kaur MBBS MD FNB (Reproductive Medicine)
- Medical Director
- Star Fertility
- Jalandhar, Punjab, India
- Manishi Mittal MD (Obs & Gyne) Fellowship in Reproductive Medicine
- Consultant
- Department of Obstetrics and Gynecology
- Mittal Maternity and Superspecialty Hospital
- Yamunanagar, Haryana, India
- Mansi Deoghare MBBS MD (Obs & Gyne)
- Senior Resident
- Department of Obstetrics and Gynecology
- All India Institute of Medical Sciences
- New Delhi, India
- Mohammed Ashraf C Masters (Medical Anatomy) PhD (Clinical Embryology)
- Associate Director and Senior Embryologist
- Milann Fertility Center
- Bengaluru, Karnataka, India
- Monika Rajput MD DNB DM
- Resident
- Reproductive Medicine
- Department of Obstetrics and Gynecology
- All India Institute of Medical Sciences New Delhi, India
- Ms Lakshmishree BR MSc in Clinical Embryology
- Embryologist
- Milann Fertility Hospitals
- Bangaluru, Karnataka, India
- Neena Malhotra MD DNB FRCOG
- Professor and Head of Unit
- ART Centre
- All India Institute of Medical Sciences
- New Delhi, India
- Nivedita Shetty MBBS MD (OBG) FRCOG (UK)
- Fellowship in Reproductive Medicine (National Board)
- Director of the ART Unit
- Manipal Hospital
- Mysuru, Karnataka, India
- Pallavi Kalghatgi MBBS DGO DNB
- ICOG Certificate Course Reproductive Medicine
- Consultant
- Xenith Advanced Fertility Centre
- Pune, Maharashtra, India
- Plabani Sarkar MBBS MS
- Obstetrician, Infertility Specialist
- Department of Obstetrics and Gynecology
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Prakash B Savannur MBBS FRCOG DGO CCT(UK)
- Consultant
- Department of Obstetrics and Gynecology
- Manipal Hospital
- Mysuru, Karnataka, India
- Pratibha S Malik MD (Obs & Gyne) DNB (Obs & Gyne) FNB (Reproductive Medicine) MRCOG (UK)
- Consultant Reproductive Medicine
- Cloudnine Hospital
- Gurugram, Haryana, India
- Priyanka Kar MBBS MD
- Department of Reproductive Medicine
- Fellow at Matritava Advanced IVF and Training Centre
- New Delhi, India
- Rahul Kumar Gupta MSc Biotechnology
- Head Embryologist
- Motherhood Hospital
- Gurugram, Haryana, India
- Reeta Mahey MD DNB
- Additional Professor
- Department of Obstetrics and Gynecology
- All India Institute of Medical Sciences
- New Delhi, India
- Rohitha Cheluvaraju MD DNB DM
- Resident
- Reproductive Medicine
- Department of Obstetrics and Gynecology
- All India Institute of Medical Sciences
- New Delhi, India
- Ruma Satwik DGO DNB FNB
- Consultant
- Centre of IVF and Human Reproduction Associate Professor
- Ganga Ram Institute of Postgraduate
- Medical Education and Research (GRIPMER)
- Sir Gangaram Hospital
- New Delhi, India
- Runa Acharya MBBS MD
- Clinical Director and Senior Consultant Medicover Fertility Solutions
- Hyderabad, Telangana, India
- Rutvij Dalal MBBS DGO DNB FNB Reproductive Medicine
- IVF Specialist, Janini IVF
- New Delhi, India
- Saloni Kamboj MS DNB
- Senior Research Associate
- ART Centre
- All India Institute of Medical Sciences
- New Delhi, India
- Sandhya Krishnan DNB FNB (Reproductive Medicine) PGDMLE
- Senior Consultant
- N-CARE IVF
- Kozhikode, Kerala, India
- Sangita Sharma MD DNB FNB (Reproductive Medicine) MNAMS
- Unit Head and Consultant
- Manipal Fertility
- Jaipur, Rajasthan, India
- Sapna Yadav MD
- Embryologist
- Cloudnine Hospitals
- Noida, Uttar Pradesh, India
- Saumya Prasad MBBS MD
- Senior Consultant
- Fellow at Matritava Advanced IVF and Training Centre
- New Delhi, India
- Shalini Gainder MBBS MD
- Professor
- Department of Obstetrics and Gynecology
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Shallu Gupta MBBS MD DNB FNB (Rep Med) MNAMS
- Senior Consultant and IVF Specialist
- Cloudnine Hospital
- Gurugram, Haryana, India
- Shikha Sardana MBBS MS DNB FRM
- Consultant Reproductive Medicine
- Milann Fertility Center
- Chandigarh, India
- Shivani Singh Kapoor MBBS MD DNB FNB (Rep Med) MNAMS
- Clinical Director
- Srijan Fertility (A Unit of JK Hospital)
- New Delhi, India
- Shrinkhla Khandelwal MBBS MD
- Department of Reproductive Medicine
- Fellow at Matritava Advanced IVF and Training Centre
- New Delhi, India
- Snehal Dhobale Kohale MS DNB (Obs & Gyne) MRCOG (UK)
- Fellowship in Reproductive Medicine
- Consultant
- Fertility Specialist and Clinical Director
- Ova Fertility and Women Care
- Thane, Maharashtra, India
- Sona Dharmendra MD
- Consultant
- Department of Obstetrics and Gynecology
- All India Institute of Medical Sciences
- New Delhi, India
- Sonal Agarwal MBBS MS DNB FNB (Rep Med) FMAS PGDLM
- Senior Infertility Specialist
- Creations World IVF Center
- Noida, Uttar Pradesh, India
- Sowmya Dinesh HR MS FRCOG (UK) Fellowship in Reproductive Medicine
- Chief Fertility Specialist and Gynec Endoscopic Surgeon
- Medical Director SSM
- Multispeciality Hospital Pvt Ltd
- Hassan Santasa IVF and EndoSurgery Institutes
- Mysore, Karnataka, India
- Sudha Prasad MBBS MD
- Director
- Deptartment of Reproductive Medicine
- Fellow at Matritava Advanced IVF and Training Centre
- New Delhi, India
- Sujata Siwatch MBBS MD
- Associate Professor
- Department of Obstetrics and Gynecology
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Sweta Gupta MBBS MD (Obs & Gyne) MRCOG (London) DFSRH (UK) FRCOG (London) MSc (Reproduction and Development, Bristol, UK) Fellowship in Reproductive Medicine and ART (London)
- Medical Director
- Crysta IVF
- New Delhi, India
- T Shilpa Reddy MBBS MD (OBG) MRCOG (UK) FRM
- Consultant
- Reproductive Medicine Milann Fertiltiy
- Bengaluru, Karnataka, India
- Umesh Nandani Jindal MBBS MD
- Director
- Jindal IVF and Sant Memorial Nursing Home
- Chandigarh, India
- Vanita Suri MBBS MD
- Professor and Head
- Department of Obstetrics and Gynecology
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Vasani Nidhi N MD DNB (Obs & Gyne)
- Post-Doctoral Fellowship (Reproductive Medicine) FICOG
- IVF Consultant and Director
- Sahaj Gastro Care and Sarjan Fertility Centre
- Bhavnagar, Gujarat, India
- Veronica Irene Yuel MD DNB FRM FICOG
- ART Consultant/Gynec Laparoscopic Surgeon/Obstetrician and Gynecologis
- NNH-MMI Superspecialty Hospital
- Raipur, Chhattisgarh, India
- Vivek Kakkad MCh (Reproductive Medicine and Surgery) MD (Obs & Gyne) Clinical Andrology Training (Miami, USA)
- Scientific Director
- ART Fertility Clinics – India
- Consultant Reproductive Medicine and Surgery
- Ahmedabad, Gujarat, India
- Yogita Dogra MBBS MD DM (Rep Med)
- Senior Consultant and Director
- Arriva IVF Superspecialty Centre
- Shimla, Himachal Pradesh, India
Infertility is a worldwide problem, affecting couples in their reproductive age which causes considerable social, emotional, and psychological stress not only for the couples but also their families. It affects up to one in six couples and remains a major cause of distress in both men and women. Concerns about fertility continue to grow across the world, since lifestyle choices and social pressures have caused couples to delay childbirth. The increase in the mean age at which couples decide to plan a pregnancy has also led to a substantial increase in the requirements for infertility solutions. In recent decades, steady progress has been made in the treatment of infertility and the number of centers offering infertility treatment has burgeoned throughout the world.
It was in this context that we felt the need to bring out a book on Algorithms in Infertility and Reproductive Medicine. Understanding gyne-endocrinology and reproductive medicine can be difficult and therefore to make it more reader-friendly, we conceptualized the idea of adding maximum algorithms to the diagnostic work-up and management plan of the problems which clinicians come across in their day-to-day practice. The simple format makes this book an excellent choice and a ready-reckoner for practicing fertility specialists of all spectrums. The book is aimed at practicing clinicians as well as at students of Gynecology and Reproductive Medicine.
The readers of this text will encounter a comprehensive and perspicacious view of the discipline of reproductive medicine as revealed by practicing fertility specialists of the day. The book has been designed to keep a balance of text and algorithms/flowcharts/diagrams, so as to provide comprehensive information in a concise and easy-to-understand format. Also, the memory for such diagrammatic presentation is long-lasting and it acts as a ready-reckoner for clinicians in practice and students for their examinations. The contents are mainly practical problems faced by clinicians in day-to-day practice and the chapters have been contributed by experienced doctors working in the field of infertility and reproductive medicine incorporating their vast practical experience. The information provided in the textbook is based on evidence-based guidelines and clinical experience.
We are extremely thankful to all the authors for contributing their chapters as well as for their constant support during the execution of this project. Our huge thanks to M/s Jaypee Brothers Medical Publishers (P) Ltd and their team for their dedicated efforts. We hope that this book will provide a concise guide to fertility practice for trainees as well as for specialists. Hope readers will enjoy reading this book and gain maximum from the experienced authors who have contributed to this book.
Kamini A Rao
Harpreet Kaur