Intrauterine insemination and ovulation induction is effective first-line treatment for infertility in many straightforward cases and is preferred by many clinicians because they are less invasive than in-vitro fertilization and its variants. This is a comprehensive account of how to set up and run a successful IUI program. The book addresses the practical aspects of treatments that will produce optimum results in terms of pregnancy outcome and safety, as well as the pharmacological and physiological reasons for their use. Chapters on how to prevent complications of ovulation induction such as multiple births and ovarian hyperstimulation syndrome are included, as well as how to diagnose infertility in both sexes. Laboratory procedures for sperm preparation are described in detail. Worldwide resources for obtaining donor sperm and legal issues that surround the management of patients are included. This manual is of interest to reproductive medicine specialists, general practitioners and general obstetrician gynecologists.
Preface Richard P. Dickey, Peter R. Brinsden and Roman Pyrzak; 1. An overview of intrauterine insemination (IUI) and ovulation induction (OI) Peter R. Brinsden and Richard P. Dickey; 2. Male causes of infertility: evaluation and treatment Levent Gurkan, Ashley Bowen and Wayne J. G. Hellstrom; 3. Use of ultrasound in male infertility Levent Gurkan; 4. Female causes of infertility: evaluation and treatment Richard P. Dickey and Peter R. Brinsden; 5. Equipment Roman Pyrzak; 6. Semen analysis: semen requirements for intrauterine insemination Roman Pyrzak and Richard P. Dickey; 7. Semen preparation for intrauterine insemination Roman Pyrzak; 8. Ovulation induction for intrauterine insemination: oral drugs clomiphene, tamoxifen, letrozole Richard P. Dickey; 9. Ovulation induction for intrauterine insemination: gonadotropins and oral drug-gonadotropin combinations Richard P. Dickey and Peter R. Brinsden; 10. Ultrasonography in the management of ovulation induction and intrauterine insemination Richard P. Dickey; 11. Insemination technique and insemination complications Richard P. Dickey, Peter R. Brinsden and Roman Pyrzak; 12. Cryopreservation Roman Pyrzak; 13. Donor sperm Richard P. Dickey and Roman Pyrzak; 14. The role of the nurse in intrauterine insemination and ovulation induction Mary Macgregor and Lisa Lofton; 15. Complications of ovulation induction I: multiple pregnancy, miscarriage, ectopic pregnancy, congenital anomalies, ovarian cancer Richard P. Dickey; 16. Ovarian hyperstimulation syndrome; ovarian torsion Botros R. M. B. Rizk; 17. The psychological issues of intrauterine insemination Rebecca Trimble; 18. Ethical, legal and religious considerations of artificial insemination Kathryn Venturatos Lorio; Appendices; Index.