Fertility : assessment and treatment for people with fertility problems

This guideline offers best practice advice on assisting people of reproductive age who have problems conceiving. It is estimated that infertility affects about one in seven heterosexual couples in the UK. Since the original NICE guideline on fertility was published in 2004 there has been a small inc...

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Corporate Authors: National Collaborating Centre for Women's and Children's Health (Great Britain), Royal College of Obstetricians and Gynaecologists (Great Britain), National Institute for Health and Care Excellence (Great Britain)
Format: eBook
Language:English
Published: London Royal College of Obstetricians & Gynaecologists February 2013, 2013
Edition:2nd edition
Series:NICE clinical guideline
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
Summary:This guideline offers best practice advice on assisting people of reproductive age who have problems conceiving. It is estimated that infertility affects about one in seven heterosexual couples in the UK. Since the original NICE guideline on fertility was published in 2004 there has been a small increase in the prevalence of fertility problems and a greater proportion of people now seeking help for such problems. The main causes of infertility in the UK are (percentage figures indicate approximate prevalence): ovulatory disorders (25%); tubal damage (20%); factors in the male causing infertility (30%); uterine or peritoneal disorders (10%). In about 25% of cases infertility is unexplained, with no identified male or female cause. In about 40% of cases disorders are found in both the man and the woman. Uterine or endometrial factors, gamete or embryo defects, and pelvic conditions such as endometriosis may also play a role. Given the range of causes of fertility problems, the provision of appropriate investigations is critical. These investigations include semen analysis; assessment of ovulation, tubal damage and uterine abnormalities; and screening for infections such as Chlamydia trachomatis and susceptibility to rubella. Once a diagnosis has been established, treatment falls into three main types: medical treatment to restore fertility (for example the use of drugs for ovulation induction); surgical treatment to restore fertility (for example laparoscopy for ablation of endometriosis); assisted reproduction technology (ART) - any treatment that deals with means of conception other than vaginal coitus; frequently involving the handling of gametes or embryos
Item Description:Title from PDF title page. - This guidance is a partial update of the National Institute for Health and Clinical Excellence (NICE) clinical guideline 11 (published February 2004) and will replace it.--P. 3. - Replacement of: Fertility / National Collaborating Centre for Women's and Children's Health ; commissioned by National Institute for Clinical Excellence. London : RCOG Press, 2004
Physical Description:1 PDF file (v, 555 pages) illustrations