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This book provides the first comprehensive demographic overview of remarriage in Japan. Despite the fact that nearly one in five marriages in Japan now involves at least one formerly married spouse, very little is known about the nature of remarriages and how they differ from first marriages. One important focus of this book is to examine fertility intentions and outcomes in remarriages and to compare them with marriages in which both partners are in their first marriage. It is well known that low rates of first marriage contribute to Japan's very low total fertility rate (TFR), but there is currently no theoretical or empirical basis for understanding how levels and patterns of remarriage are related to the TFR. To understand trends and patterns of remarriage in Japan, the book begins with an overview of the voluminous research literature on remarriage in the USA and other Western countries. This overview consists of a summary of trends and theoretical frameworks for understanding remarriage and is followed by a summary of existing research on correlates of remarriage and outcomes associated with higher-order marriages. Of particular importance is the attention paid to stepfamily fertility and the extent to which remarriage is associated with overall levels of fertility. An important contribution of this book is its presentation of basic descriptive information about levels and correlates of remarriage in Japan. These descriptive analyses are based on published data in the vital statistics reports and individual-level data from the National Fertility Surveys conducted by the National Institute of Population and Social Security Research and the National Survey of Households with Children conducted by the Japan Institute for Labour Policy and Training.

This book is a collection of scientific studies regarding the biological, economic, historical, health, social, and other aspects of the populations of the western Balkans, a geographic area with distinct as well as diverse socioeconomic backgrounds, political systems, ethnic characteristics, development, and history. Through providing data analyses, statistical methodologies, and important applications, the book addresses and explores topics such as temporary migration and human resource availability, depopulation, and the immigration future, returning migrants, poverty, population dynamics and birth rate trends, reproduction and family creation, aging, mortality and health developments, and much more. As such, this book is of great importance in understanding the mechanisms of population change and dynamics in an European area and provides a valuable guide for researchers, policy makers, and practitioners from various disciplines.

Patients seeking fertility care may have experienced trauma prior to their fertility journey and often have experienced trauma as part of the fertility process itself. It is important for medical and administrative professionals that are involved in providing care to fertility patients to understand how to deliver care from a trauma-informed perspective. This is particularly important as the medical evaluation and treatment for fertility patients often involves invasive questions and procedures that can be difficult for patients with a history of trauma. While exposure to trauma has an international impact, this book is focused primarily on the research and experiences of reproductive medicine patients in the United States. It begins with a broad overview of trauma-informed care, and then goes on to focus on specific types of traumas that are likely to impact reproductive patients, including reproductive loss, sexual trauma, medical trauma, trauma perpetrated on individuals due to their sexual orientation or gender expression/identity, racial trauma or discrimination, and paramilitary trauma. The final chapters of the book are tailored to medical professionals, healthcare administrators and mental health professionals with recommendations for how to incorporate trauma-informed care for their specific role in the healthcare team. This text highlights how trauma-informed care principles apply to reproductive medicine and how trauma-informed care can support specific patient populations, such as those with a history of sexual trauma, medical trauma, reproductive loss, and patients that have experienced discrimination due to their sexual orientation, gender identity or race. Trauma-Informed Reproductive Healthcare provides specific recommendations and best practices for medical professionals and administrators in transforming their practice to be trauma-informed.

Available Open Access digitally under CC-BY-NC-ND licence. This book presents an in-depth analysis of the complex and often controversial world of fertility care. Drawing on extensive ethnographic research and interviews with patients and professionals, the book critically examines the tensions between evidence-based medicine and the demands of an increasingly commercialized fertility care industry. It sheds light on controversial'add-on'treatments, and an emerging hope market. With its interdisciplinary approach, this is an essential resource for readers in the fields of science and technology studies and medical sociology.

Infertility is one of the most painful and painfullycommon of human experiences. One in six couples will experience fertility challenges when they attempt to get pregnant, and while more and more people have spoken openly about infertility in recent years, the experience can still be incredibly isolating.But none of us is alone in our struggles. In fact, infertility is a universal part of the human experience that is mentioned in the earliest human writings. Across cultures and throughout time, the experiences of people who have faced fertility problems are widely discussed in early manuscripts, medical treatises, diaries, novels, poetry, plays, and song.After her own decade-long struggle to conceive, linguist and historian Karen Stollznow journeyed through history--from ancient civilizations and religions, to early-modern folklore, to current-day popular culture and modern medical practice--to try to make sense of what we mean by infertility and what infertility means for us. In Missed Conceptions, she shines a light on attitudes and beliefs about infertility, tests urban legends and old wives'tales, explores folk medicine and alternative therapies, and delves into modern science, separating fact from fiction along the way.Blending personal narrative, historical research, and pop culture, Stollznow gives voice to a reality that has long been spoken about in hushed tones. For anyone who is trying (and failing) to conceive, who will do just about anything to achieve what has been mistakenly called'the most natural thing in the world,'this book is a welcome and hopeful companion.

This book discusses the relationship between women's labour force participation and fertility rates in developed nations. It shows a positive relationship between women's workforce participation and childbirth. It theorises a new approach to explaining this'fertility paradox'that looks at institutional factors influencing gender equality in developed nations. The book analyses a range of institutional variables that impact the positive relationship between female employment and fertility rates, including labour market institutions, social policies and welfare state institutions (family policies, active labour market programs and public sector employment) as well as household gender dynamics. Written for both academics and policy-makers, this book has theoretical relevance for research on gender and work, and also for policies aimed at increasing women's employment and redressing low fertility, which are important issues in many developed nations.

Unlock the path to conception with The Ultimate Fertility Guidebook Dealing with infertility can be an immensely stressful experience, but fear not - this no-nonsense holistic approach empowers readers to take charge of their fertility journey naturally. Driven by the wisdom of natural medicine, this comprehensive guide illuminates how lifestyle factors, such as nutrition, exercise, clean living, and emotional balance, can either hinder or pave the way to conception.Authored by the esteemed Dr. Christina Burns, a leading Integrative Fertility Specialist in NYC who triumphed over her own fertility challenges through holistic medicine, this guidebook offers an honest and relatable way to have a natural pregnancy. Drawing upon almost two decades of experience and having helped thousands of women, including celebrity clients, Dr. Christina shares invaluable insights on identifying the underlying causes of fertility issues and effecting transformative change through daily lifestyle shifts, fostering the conception of a healthy pregnancy.The Ultimate Fertility Guidebook not only equips readers with practical tools to decipher their body's natural'language'but also empowers them to initiate meaningful conversations with their doctors when conventional approaches fall short. By embracing this holistic approach, readers will be equipped with proven tactics and the confidence to optimize their chances of conceiving.What sets this book apart is its edgy and conversational tone, which makes the information relatable, approachable, and easy to implement. Dr. Christina's writing style captures years of clinical experience and is enriched by real stories that resonate deeply with readers. The content and recommendations are the culmination of two decades of clinical expertise and are firmly rooted in well-regarded research spanning nutrition, acupuncture, herbal medicine, mindfulness, and beyond.Unleash the power within and increase your chances of conceiving with The Ultimate Fertility Guidebook Let this transformative guide usher you towards a brighter future, where you can tune into your body's natural rhythms and embrace the joy of parenthood.

PubWest 2023 Book Design Award (Gold)Reclaim your cycle and support your health with this detailed guide featuring 100+ recipes and practices from RN, and author of How to Grow a Baby, Amy Hammer.There is no one-size-fits-all guide to your cycle. But registered nurse Amy Hammer arms you with a strong foundation in physiology and hormonal health, explores historical and sociocultural aspects of women's health, and reimagines the phases of the menstrual cycle as aligning with the four seasons to provide a detailed guide for living well in your body. Also included are nutritive recipes (kabocha squash curry soup, seed balls, wild salmon congee), supportive movement practices to incorporate into your whole day (abdomen relief stretch, buddy walking, foam rolling), and self-care rituals and recipes (dandelion-infused breast massage oil, alternate nostril breathing) to guide you through each phase of the menstrual cycle and of life—from the young adult and menstruating years to perimenopause and menopause. Become in tune with your internal rhythm, reclaim the meaning of self-care, and cultivate optimal health for every season of life. This comprehensive, body-literate guide includes: 40 nutrient-dense, menstrual-phase specific recipes that support hormonal, emotional, cognitive, gut, and overall health.The science behind menstrual cycles and how hormonal fluctuation impacts your brain, breasts, skin, and weight. How to track your cycle using fertility awareness methods, allowing you to naturally and effectively avoid or pursue pregnancy. Supportive full-body movement, self-care, and nutrition tips that optimize physiological and hormonal health throughout the phases and your lifespan.

This open access book makes a comparative overview of the demographic evolution of the Mediterranean populations. It addresses all the demographic issues since 1950 such as fertility, mortality, growth, demographic aging, and the age structure of the population. The book discusses the major demographic changes and its consequences for the Mediterranean region and describes the socio-economic and societal opportunities such as the silver economy, improvement in health of the population, and progress in education. By providing insights into the past demographic evolutions and analyzing the most recent indicators, this book constitutes an essential reference work for those who wish to better understand the major transformations that Mediterranean societies are undergoing.

Introducing'Polycystic Ovarian Syndrome (PCOS) and Our Biological Clock'- a groundbreaking book that sheds light on one of the most prevalent and misunderstood health conditions affecting women today. Within the pages of this book, readers will embark on a transformative journey of understanding as they unravel the intricate relationship between PCOS and the biological clock. Delving into the science behind PCOS, the authors demystify its causes, symptoms, and long-term implications. With a compassionate and holistic approach, they provide practical advice on managing symptoms, optimizing fertility, and improving overall well-being. This book is not only a comprehensive resource for women struggling with PCOS, but also an essential tool for healthcare professionals, researchers, and anyone seeking a deeper understanding of this complex condition. Its accessible language and evidence-based approach makes it an invaluable companion for individuals looking to unravel the mysteries of PCOS and make informed decisions about their health. “Polycystic Ovarian Syndrome (PCOS) and Our Biological Clock'stands as a beacon of knowledge, compassion, and empowerment, guiding readers towards a brighter future where PCOS no longer holds them back. Whether you're a woman battling PCOS, a concerned partner, or a healthcare provider looking to offer better care, this book is a must-read that will change lives and reshape the conversation surrounding PCOS.

Fertility, Pregnancy, and Wellness is designed to bridge science and a more holistic approach to health and wellness, in particular, dealing with female-male fertility and the gestational process. Couples seeking to solve fertility issues for different reasons, whether failed assisted reproductive techniques or the emotional impact they entail, economic or moral reasons, are demanding more natural ways of improving fertility. This book explores the shift in paradigm from just using medications which, in the reproductive field, can be very expensive and not accessible to the entire population, to using lifestyle modifications and emotional support as adjunctive medicine therapies. This must-have reference brings together the current knowledge – highlighting the gaps – and delivers an important resource for various specialists and practitioners. - Offers insights from scientific and holistic methods, providing the available scientific evidence for (or against) different holistic approaches, aimed at improving fertility, health and wellness - Bridges the more'peripheral', yet critical and multidisciplinary, considearations in fertility, infertility, pregnancy and wellness - Includes clear, concise and meaningful summary conclusion sections within each chapter

Research on young individuals and childbearing adults being treated for neoplasia has revealed a rising number of requests for treatments aimed to maintain the possibility to conceive. To answer such requests, it is important for medical professionals to consider the necessity to cure the woman, to preserve her fertility, to give information both on the effect of neoplasia and treatments on pregnancy. Patients have to be informed on the possible treatment alternatives that are less aggressive towards the reproductive function, but at the same time, give desirable results in terms of survival.Neoplasia and Fertility describes the state-of-the-art on fertility preservation in women affected by neoplasia. The 11 book chapters inform the reader with the goal of equipping them with the required information needed to present the condition and to discuss the possibility of conceiving, and how to manage patients after oncologic treatments at different stages of pregnancy.Key Features- Informs the reader about the relationship between gynecological cancer and fertility in women through 11 chapters- Describes a broad range of cancers and relevant treatment options for maintaining fertility- Explains the role of a'Fertility Sparing Team'in clinics- Familiarizes the reader with the ethics behind oncology treatments with reference to female fertility- Describes fertility issues related to hereditary cancers in women- Includes references for further readingThe book serves as an informative reference on the subject to medical doctors in the gynecology, obstetrics and midwife specialties, and nurses training the gynecological oncology. It will also be of interest to healthcare administrators involved in fertility and oncology clinics, as well as general practitioners in family medicine.

En attendant d'autres déclinaisons, « conformes à notre époque », cet ouvrage constitue une analyse éthico-juridique de la procréation médicalement assistée (PMA ou AMP) pour toutes dont nombre de nos contemporains voudraient faire une règle de vie. S'inscrivant dans une morale exigeante qui fait le point sur la parentalité – en conséquence sur la filiation et les origines – et son sens profond à l'aune du pathos communément répandu dans l'opinion publique, l'auteur pour sa part use du logos et de l'éthos avec une grande précision technique. Il se risque à essayer de convaincre le lecteur par la logique et l'art de la persuasion des erreurs admises par nos contemporains emplis d'un individualisme effréné et de confort égoïste. Ces derniers sont prêts à laisser tomber l'intérêt supérieur de l'enfant au profit de leur intérêt personnel au nom de l'égalité. Sont abordés les grands principes et valeurs, souvent déformés par notre société: l'égalité, la justice, le « droit à » l'enfant, la liberté et la responsabilité, l'unité, la vérité, etc. Bref, à lire d'urgence pour aborder ces grands sujets de notre époque d'un oeil éclairé, et peut-être critique, dans l'attente de tout ce qui en découlera telle que la gestation pour autrui en tant que nouvelle frontière de la liberté-égalité...

“[A] a well-researched, deeply comprehensive (and readable!) guide to building a queer family in a way that works for you.” —Emily Oster, author of Expecting BetterThis groundbreaking, up-to-date fertility guide from trusted queer and trans midwife Kristin Liam Kali is perfect for every queer family seeking pregnancy. It's also the first evidence-based, transgender inclusive, and body-positive fertility resource for our community. Here, queer prospective parents will find sound advice about every step of the baby-making process:· Creating a timeline· Fertile health for every body· Preconception tests· Identifying ovulation· Sperm donors, egg donors, gamete banks, and surrogacy· Methods of insemination including IUI, IVF, and reciprocal IVF· Miscarriage and infertility· Navigating early pregnancy and preparing for infant feeding, including lactation induction for trans women and other nongestational parents This book is for all LGBTQ+ readers interested in creating family through pregnancy: anyone who identifies as queer, lesbians, gay men, bisexual people, trans and nonbinary people, couples, single parents by choice, poly families, and coparents. It's an antidote to a culture and medical system that all too often centers heterosexual couples experiencing infertility while overlooking our unique needs. Also contains sidebars with guidance for reproductive healthcare professionals.“This life-changing book is equal parts practical handbook and sensitively written resource. Highly recommended!”—Toni Weschler, MPH, author of Taking Charge of Your Fertility

The concept of “Waithood” was developed by political scientist Diane Singerman to describe the expanding period of time between adolescence and full adulthood as young people wait to secure steady employment and marry. The contributors to this volume employ the waithood concept as a frame for richly detailed ethnographic studies of “youth in waiting” from a variety of world areas, including the Middle East Africa, Asia, Europe, Latin America and the U.S, revealing that whether voluntary or involuntary, the phenomenon of youth waithood necessitates a recognition of new gender and family roles.

Die vorliegende Untersuchung stellt den Wandel der drei komplexen Handlungsfelder Familienpolitik, Fertilität und Familie in einen umfassenden gesellschaftstheoretischen Kontext und liefert insbesondere eine soziologische Erklärung für den in allen westeuropäischen Staaten mehr oder minder zeitgleich beobachtbaren »zweiten Geburtenrückgang«. Die Studie bietet einen Überblick über das einschlägige sozialwissenschaftliche und demographische Schrifttum. Theoretisch schließt sie an Individualisierungstheorien und an die modale Handlungstheorie von Frese an. Es wird ein Begriffsraster entwickelt, wobei aus einer Trias voll Handlungsatomen (herstellen, durchsetzen und darstellen) zunehmend komplexere Handlungsmuster und -prozesse abgeleitet werden bis hin zu Familienformen und generativen Regimes, familienpolitischen Diskursen und familialen Leitvorstellungen. Das Zusammenwirken zwischen Familie, Familienpolitik und Fertilität wird sodann diskurstheoretisch als Abfolge, Durchsetzung und Konsolidierung dreier familialer Leitvorstellungen (Fiktionen) rekonstruiert. Erkenntnisleitend ist die Hypothese einer Kontraktionstendenz von Denkstilen (Etatismus -> Familialismus -> Individualismus). Im historischen Verlauf führt diese zur Erosion normativ verbindlicher Vorstellungen von Familie und zur Vervielfältigung familialer Lebensformen. Akteure, welche zwischen neuen familialen Leitvorstellungen einerseits sowie familialen und generativen Strukturen andererseits familienpolitisch vermitteln, müssen folglich auf immer höhere Steuerungsebenen ausweichen. Der Band enthält weiter eine systematische Dekomposition der schweizerischen Fertilitätsentwicklung in verschiedene Tempo- und Quantum-Indikatoren. Mit multivariaten Erklärungsmodellen für ausgewählte Fertilitätskomponenten wird nachgewiesen, daß die Übergänge zwischen den Denkstilen mit der Diskursivierung von Familienpolitik koinzidieren und auch für die Individuen handlungswirksam werden (generatives Handeln und Familienbildung). Vor diesem Hintergrund ergeben sich neue Wirkungshypothesen bezüglich staatlicher Familienpolitik. Staatliches Handeln vermag durchaus in Übergangsphasen zwischen familialen Normenordnungen respektive beim Passieren generativer Regimes zur Reduktion individueller Spannungen und zur Konsolidierung neuer familialer Lebensformen beizutragen.

The word Adolescence is derived from the Latin word Adolescere. It means to grow or to mature. There are very conspicuous physical and mental changes at this age in the boys and girls. These normal physical and mental changes sometimes get abnormal or subnormal diversions, which may need help of parents or health worker to get through. Such subnormal changes are experienced in girls often frequently than boys. The common health issues faced by the girls are menstrual disorders, anemia, polycystic ovarian disease (PCOD), psychosocial problems, sexual problems and many more. Also there are many conditions or diseases in the girls which can affect the future fertility of a girl in various forms, if not taken care at right time. She may face infertility, abortions, premature deliveries, intrauterine growth restriction (IUGR), intrauterine death (IUD) or other complications in pregnancy. This book is all about the diseases or disorders which can affect the future fertility of an adolescent girl.

Die Studie zeigt die Vielfältigkeit kinderloser Lebensentwürfe und -verläufe auf. Dabei wird insbesondere das Phänomen erworbene Kinderlosigkeit differenzierter als in vielen bisherigen Untersuchungen beleuchtet. Zudem wird der Prozesscharakter von Kinderlosigkeit deutlich herausgearbeitet und gezeigt, dass mit dem zeitlichen Abstand im Alter die Entstehung der eigenen Kinderlosigkeit zum Teil eine Umdeutung erfährt, um von den kinderlosen Älteren sinnhaft in die Biographie gefügt werden zu können.Die AutorinKatrin Alert ist derzeit Geschäftsführerin des Forschungskollegs Wohlbefinden bis ins hohe Alter (gefördert vom Ministerium für Kultur und Wissenschaft des Landes Nordrhein-Westfalen) mit zehn Doktorand•innen an der Universität zu Köln.

Since the 1970s, alarming discourses about declining fertility and the difficulties of balancing work and family have flourished in Western countries. Captured by the notion of the'biological clock', they put women's reproductive age and the fertility decline to the centre of public and medical attention. Reproductive biomedicine constitutes a specific domain invested with hopes for technological and medical answers and a new market for fertility extension technologies, such as egg donation and social egg freezing. Addressing long-standing questions about the articulation of the biological and the social in the making of bodies and identities, this book questions the nature of reproductive ageing, a taken for granted'fact of life'at the core of reproductive biomedicine. What is the biology of the'biological clock'made of and how can we account for its embodied reality from a feminist perspective? Opening the black box of the biological, the book makes a way between essentialism and constructivism with the aim of accounting for its materiality, while also illuminating its political implications. By following the ontological choreographies of age-related infertility in the science and medicine of reproduction, this study explores how age materializes and documents what happens when reproduction meets ageing. Deeply transdisciplinary, it questions what is fixed about the biology of the fertility decline in a way which adds complexity to debates about the biomedicalization of reproductive ageing.

Today, more and more couples are leaving having children until later. However, many do not realise that “later” can also mean “too late”, because the older we get, the harder it becomes. An increasing number of people trust in the success of artificial fertilisation, but, even though reproductive medicine is constantly making progress, the much-heralded biological clock cannot be turned back. The body eventually puts a natural limit on how long it is possible to have children. Since evolution has not made any changes to this, nothing can replace planning a family while there is still time. This book investigates the reasons a growing number of people are childless today. It explains in detail, using medical facts, what reproductive medicine can today achieve, and what it cannot. It analyses the options for success, as well as the limits of reproductive medicine.

This practical book focuses on the most recent advances in fertility preservation in oncological and non-oncological patients. It presents the steps that need to be followed prior to treatment for successful fertility preservation, and describes in detail the medical conditions requiring fertility preservation, including precise information on the risk of fertility loss, prognosis, risk of ovarian metastasis and other possible risks. The book also provides information on how to perform the preservation techniques (success rates, risks, etc.) and on what to do after the treatment (in cases of bleeding during chemotherapy, menopause, wish to conceive, etc.). Written by experts in the field, including members of the globally known network FertiPROTEKT and leading oncologists and specialists, this practical and easy-to-use book is a valuable resource for all clinicians involved in fertility preservation for patients with specific diseases

Obesity and Gynecology, Second Edition, presents updated chapters on a variety of topics, ranging from adolescent obesity, contraception, assisted reproduction and sexual dysfunction, to bariatric surgery and improving semen parameters. The prevalence of obesity in men and women continues to dramatically increase around the world. Obesity presents specific challenges in relation to male and female infertility and general gynecology. Patients who are obese require specific considerations and knowledge. - Presents an essential reference on the significant risks of obesity related to contraception, male and female infertility, and general gynecology - Builds foundational knowledge, showing how obesity relates to general gynecology, including menstrual disorders, breasts cancer, menopause and sexual dysfunction - Assembles critically evaluated chapters that focus on obesity and gynecology to meet the practical needs of gynecologists, endocrinologists and general practitioners

The Visitation of Hannah Arendt is an attempt to literally enact Arendt's notion of'natality'. Arendt, known to a large extent through her engagement with the public sphere and with political discourse, is invited here to pay intimate visitations to four different figures: an anonymous student, the poetess Dahlia Ravikovich, the ghost of Stefan Zweig and Michal, Saul's daughter. The intellectual visitation, as a complex process of both mimesis and rejection, is revealed to be a natality, a rebirth in spirit. The book presents an aesthetic-semiotic reading of Arendt by traversing the ensemble of her work. A special chapter is dedicated to Eichmann in Jerusalem.

Starting in 1978, when the first babies conceived through in vitro fertilization (IVF) were born in the UK and India, assisted reproduction has become a global industry. Contributors to this edited collection reflect on the global dimensions of IVF and assisted reproductive technologies, examining how people have used these technologies to create diverse family forms, including gay, lesbian, and transgender parenthood, as well as complex configurations of genetic, gestational, and social parenthood. The authors examine how IVF and other reproductive technologies have and have not circulated around the globe; how reproductive technologies can be situated historically, nationally, locally, and culturally; and the ways in which culture, practices, regulations, norms, families, and kinship ties may be reinforced or challenged through the use of assisted reproduction.

In this book new mathematical and statistical techniques that permit more sophisticated analysis are refined and applied to questions of current concern in order to understand the forces that are driving the recent dramatic changes in family patterns. The areas examined include the impact of the evolving Second Demographic Transition, where complex patterns of gender dynamics and social change are re-orienting family life. New analyses of marriage, cohabitation, union dynamics, and union dissolution provide a fresh look at the changing family life cycle, emerging patterns of partner choice, and the impact of union dissolution on the life course. The demography of kinship is explored, and the importance of parity progression to the generation of the kinship web is highlighted. The methodology of population projections by family status is examined, and new results presented that demonstrate how recognizing family status advances long term policy objectives, especially with regard to children and the elderly. This book applies up-to-date methods to examine the demography of the family, and will be of value to sociologists, demographers, and all those who are interested in the family.

Esta guía describe conocimientos que permiten profundizar en el inicio de la vida humana como resultado de la unión fecunda entre un hombre y una mujer, que le darán al lector algunas herramientas para proyectar la paternidad y la maternidad en su plan de vida matrimonial. A medida que se comprenda mejor el desarrollo humano desde sus etapas iniciales y de los cambios naturales que ocurren en la mujer en el periodo de la gestación, aumentará la capacidad de reconocer la dignidad del ser humano y, en consecuencia, de la sexualidad conyugal, cuna de vida.

Give yourself the best-possible odds for getting pregnant and having a baby with this concise, expert, and encouraging companion as your guide. In the only general guide to infertility written by a medical doctor who specializes in the subject, Mark Trolice, MD—who is board-certified in both OB/GYN and REI (Reproductive Endocrinology and Infertility)—shares the practical knowledge he has gained from working in infertility medicine for years, with many hundreds of patients, along with the warmth and wisdom he has acquired from getting to know prospective parents from all kind of backgrounds. The journey from infertility to fertility, from childlessness to a brand-new baby, can be long and arduous. It involves complicated medical diagnoses, a wide range of treatment options, a host of potential lifestyle changes, lots of emotional ups and downs, and—even with the best medical insurance—challenging financial decisions. Your doctors cannot decide everything for you, and that is why an authoritative and comprehensive book, written in clear and understandable language for the layperson, is essential. This is that book. The book opens with an exploration of all the possible causes of infertility, covering both couples who have never been pregnant and ones who have had recurrent losses of pregnancies. Unique among infertility guides, this volume gives roughly equal weight to male and female causes, which is important because about 40% of infertility cases are due to men's issues—and some couples need to address issues in both the prospective mother and prospective father. It covers endometriosis, fibroids, POS (Polycystic Ovarian Syndrome), tubal factor, male factor, and other possible causes. Next it looks at your treatment options. Importantly, these are not just medical interventions, but they also include lifestyle changes you alone can make, involving sleep, diet, exercise, and other forms of self-care. Among medical options, IUI (Intrauterine Insemination), IVF (In Vitro Fertilization), and various surgical procedures are covered in detail. Some couples are lucky to have a short journey to fertility. For others, the process takes years. With a gentle and sure hand, and non-judgmentally, Dr. Trolice guides you through the many decisions you need to make along the way, such as whether or not to continue treatments, whether to change practitioners or treatments, and whether it is a good idea to continue to spend money on procedures not covered by your insurance. He understands that these are emotionally weighty decisions that involve the future of your family, and he provides ample grounds for optimism and hope, empowering you as you take this journey.

Bringing together more than a decade of dedicated investigation and clinical work, this unique textbook is a unified, comprehensive source for oncofertility research and medical practice that is both authoritative and up-to-date. It will serve as the primary oncofertility reference for the various medical disciplines that must be coordinated to provide care for young cancer patients. Moreover, it contains case studies that are prismatic for new entrants into the field. The book is organized around the major themes of the discipline and includes current research, clinical practice, emerging technologies and didactic questions and is divided into six thematic sections: Fertility implications in both oncologic and non-oncologic settingsOptions for fertility preservation, both male and femaleCare of the oncofertility patient, including contraception and pregnancy considerationsOncofertility in clinical practice, from setting up a new program to genetic counseling and communicationEthical and legal considerationsAdvances in the basic science of oncofertilityIn each chapter, bulleted key learning points and review study questions bookend the text. Six additional sections, comprised exclusively of clinical case studies illustrating the management of both oncologic and non-oncologic conditions, add to the pedagogical value of the text.Timely and utilizing the best current evidence, Textbook of Oncofertility Research and Practice: A Multidisciplinary Approach will be an invaluable resource for students, residents, fellows and professionals in reproductive endocrinology, pediatric endocrinology, adult and pediatric oncology, adult and pediatric urology, breast surgery, radiation oncology and allied professions where iatrogenic treatments or genetic conditions result in infertility.