Titlebook: Male Infertility; T. B. Hargreave (Consultant Urological Surgeon, Pa Book 1994Latest edition Springer-Verlag London Limited 1994 cancer.ca

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Human Infertility,sm needs to be tempered by a knowledge of the spontaneous conception rate in order to make proper and economical use of limited resources. The final section of this chapter is a framework for considering ethical problems.

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Psychology of Infertility and Management,ceive may create a sense of helplessness and loss of control over the future. The couple experience “genetic death” and there may be regret in not perpetuating a family line or name. Later there may be a fear of lack of support in old age. The authors, themselves childless, point out that for some the regret may continue into later life.

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e to the clinician and to give reference to the underlying science. This will not only enable clinicians to understand the underlying science but will also give scientists an insight to clinical work. This blend of science and clinical work is reflected in the contributors who are experts drawn from both fields.978-3-540-76216-4978-1-4471-1029-3

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Book 1994Latest editionly possible if the couple are considered together. The aim of the work is to provide advice to the clinician and to give reference to the underlying science. This will not only enable clinicians to understand the underlying science but will also give scientists an insight to clinical work. This blen

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History and Examination,dinburgh we have for the last 15 years used a comprehensive questionnaire (Table 2.1) compatible with the WHO scheme which is sent to all couples prior to their first clinic visit (Hargreave 1990). At the end of the consultation the couple are then told of the plan of investigation.

Expiration

Histopathology of Human Testicular and Epididymal Tissue,of spermatozoa but this is not always feasible and is impossible in men with azoospermia. In such circumstances, only a testicular biopsy can give an accurate assessment of spermatogenic activity and this remains the standard investigation against which all indirect methods must be compared.

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Chromosomes,rtile couple, a sound knowledge of the likely consequences of gene mutation or chromosomal aberration acting specifically on the reproductive system is essential if the right advice is to be proffered and the correct course followed.

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Investigation of the Female Partner,lity clinician has good understanding of the basic management of both partners. The purpose of this chapter is to describe the basic female investigations that the male-orientated specialist should understand. The reader is referred to more specialised texts for more detailed descriptions of female infertility (Behrman and Patton 1988).

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Endocrinology of Male Infertility,nals generated by an intact endocrine testicular axis. It can therefore be inferred that spermatogenesis is a process that requires complex interactions between different somatic and germ cells within the testis.

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Erectile and Ejaculatory Problems in Infertility,r sexual problems. Psychological problems of coitus are seldom severe enough to prevent conception and some physicians would question the advisability of parenthood in such couples. This chapter attempts to review those aspects of erectile and ejaculatory dysfunction that are relevant to the management of infertile couples.