Beschreibung:
How does one learn to stimulate ovulation? Often by oneself, when there is no opportunity to benefit from a mentor's experience. But options abound regarding the evaluation strategy, protocol design, gonadotropin preparations, posology, treatment duration, and when and how to trigger ovulation. Proper, safe stimulation requires critical anticipation of ovarian reactions.
Foreword.- Preface.- Past and Present: Evolution of ideas.- Physiology: The ante-hypophysis - ovarian follicle couple.- Follicle Stimulating Hormone (FSH).- Luteinizing hormone (LH).- Human Chorionic Gonadotropin (hCG).- Which Gonadotropin? FSH. LH. hCG. Practical considerations.- Prior to the stimulation.- Looking for other infertility factors.- Assessment of the patient's status.- Assessment of the ovarian status.- The Monitoring; Hormonal (functional) monitoring; Sonographic (morphological) monitoring; Monitoring post-hCG?.- The Triggering of Ovulation.- The ovulatory process.- Spontaneous triggering of ovulation.- Therapeutic triggering of ovulation.- The luteal phase support.- Mono- and pauci- follicular stimulation.- Multi-follicular stimulation.- The Prevention of Complications.- Multiple pregnancy.- The ovarian hyperstimulation syndrome.- Classic Stimulation.- mono-, bi- or pauci- follicular.- The objectives.- The means.- The Stimulation of the ovulatory Patient.- Monofollicular stimulation.- Bifollicular stimulation.- Paucifollicular stimulation.- The Stimulation of the anovulatory patient.- The diagnosis of anovulation; Hypogonadotropic anovulation.- Normogonadotropic anovulation.- Hypergonadotropic anovulation.- Multifollicular Stimulation.- Past and present.- Handling the multifollicular stimulation.- Poor ovarian responses.- Conclusion.