There are several possible solutions to the different problems presented with female patients who have been unable to
conceive. This completely revised edition provides guidance on the technical aspects of diagnosis and explanations of
treatment using a how to, when and why approach, incorporating new expanded sections on endometriosis and polycystic
ovary syndrome.
Illustrated throughout with tables and graphs as a source for easy reference for guidance and counselling in clinical
decision making, it will be essential reading for all those working in the clinical practice setting within
infertility, providing all the necessary information required for developing sound clinical judgement in the diagnosis
and surgical management of structural abnormalities of the reproductive tract.
Contents:
1. Developments of the Reproductive Tract
2. Evidence-based Medicine and Clinical Algorithms for Management
3. Diagnostic Procedures Prior to Surgery and Assisted Reproductive Technology
4. Vaginal Agenesis
5. Structural Abnormalities of the Uterus: Unicornuate Uterus and Rudimentary Uterine Horn
6. Septate, Arcuate, Bicornuate and Bidelphic Uteri
7. Uterine Abnormalities Resulting from DES Exposure
8. Leiomyomata, Fertility, and Assisted Reproductive Technology
9. Intrauterine Adhesions
10. Congenital Absence of the Uterine Cervix
11. Cervical Stenosis and Techniques of Embryo Transfer
12. Distal Tubal Obstruction: Surgery and Assisted Reproductive Technology
13. Proximal Tubal Obstruction
14. Isthmic and Mid-tubal Obstruction
15. Endometriosis and Ovarian Endometriomas
16. Polycystic Ovary Syndrome
17. Pelvic Adhesive Disease
Author Biography:
Gerard Letterie, MD, FACOG, FACP is Medical Director of the IVF Laboratory at the Center for Fertility and Reproductive
Endocrinology, Virginia Mason Medical Center, and Associate Clinical Professor at the Department of Obstetrics and
Gynecology, Seattle, Washington, USA