Office-Based Infertility Practice

The practice of clinical reproductive medicine has practice in the era of managed care and coordinat­ gradually moved from its initial 1980-90 hospital ing ancillary offsite medical personnel. base to its present (circa 2001) office site of oper­ The objective of this text is to assist in this ongo­ ation. With this transition have been improvements ing endeavor by presenting in a clear, concise man­ in efficiency of practice often in response to ner many of the topics relevant to contemporary increased pressure to provide the most patient sat­ office-based infertility practice. The initial half of isfaction. An added challenge of office-based prac­ this text addresses topics which focus upon general tice has been taking on many of the responsibili­ concepts of infertility evaluation and practice. The ties of what had been traditionally the hospital's latter half is a practical approach to the execution domain. Some of these new responsibilities have of specific office-based infertility procedures. We included the ordering of operative supplies and hope this book will assist all medical personnel who equipment, the establishment of quality control dedicate their clinical effort in achieving what is programs, construction and maintenance of special most coveted by our patients, the birth of a healthy laboratory spaces, redesigning efficient methods of newborn. DAVID B. SEIFER, M. D. UMDNJ-Robert Wood Johnson Medical School ROBERT L. COLLINS, M. D. The Reproductive Center, Youngstown, Ohio October 2001 vii Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii . . . . . . . . . . . . . . . . . Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi . . . .. . . . . . . . . . . . . 1 Evaluation of the Female for Infertility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Bryan D.

Table of Contents:
1 Evaluation of the Female for Infertility.- 2 Evaluation of the Male for Infertility.- 3 Detection and Therapeutic Approaches to Age-Related Infertility.- 4 Role of Ultrasonography in Infertility.- 5 Coping with Infertility: Practical Psychosocial Issues.- 6 Impact of Managed Care on Office-Based Infertility Practice.- 7 Basics of Laboratory Set-Up in the Office.- 8 Office Anesthesia.- 9 Ovulation Induction and Controlled Ovarian Hyperstimulation with Intrauterine Insemination.- 10 Diagnostic and Therapeutic Hysteroscopy in the Office.- 11 Endoscopic Evaluation of the Fallopian Tube.- 12 Transcervical Tubal Cannulation.- 13 Microlaparoscopy for Infertility in the Office.- 14 Treatment of Cervical Stenosis.- 15 Treatment of Male Reproductive Dysfunction in the Office.- 16 In Vitro Fertilization in the Office Setting.- 17 Unstimulated In Vitro Fertilization and In Vitro Oocyte Maturation.- 18 Intratubal Gamete Transfer.- 19 Complications of Ovulation induction.