Main description:

Fertility specialists are constantly looking for ways to improve the chances of pregnancy through IVF or other assisted reproductive techniques (ART). 'Adjuvant' or 'add-on' therapies are procedures or medications which are added to IVF treatment to try and improve the chances of success.

This book is a practical guide to the use of adjuvants in infertility for clinicians and trainees.

Divided into ten sections, the text begins with an overview of the rational for additional therapy in IVF. The next section examines different types of adjuvant therapy and their pros and cons. Topics include medical nutrition therapy, neutraceuticals, antioxidants, micronutrients, and reactive oxygen species.

Each of the following sections covers adjuvant use for improving a specific fertility issue - PCOS, ovarian reserve, uterine blood flow, endometrial receptivity, embryo implantation, and male subfertility.

The final sections discuss the impact of thyroid autoimmunity on the outcome of ART, and the use of surgery as an adjuvant in infertility.

Key points

Practical guide to the use of adjuvants in infertility
Covers various types of adjuvant and their use for different fertility issues
Includes discussion on surgery as an adjuvant
Highly illustrated with clinical photographs and diagrams

Contents:

Rational for additional therapy in IVF
Various options of additional therapy in IVF with best available evidence for each suggested therapy - An overview
Current controversies & consensus for adjuvants in PCOS
Adjuvants for improving ovarian reserve in poor responders
Adjuvants for improving uterine blood flow
Adjuvants for improving endometrial receptivity/luteal phase
Adjuvants for improving the implantation potential of the embryo
Adjuvants in male sub-fertility
Impact of thyroid autoimmunity on outcomes of assisted reproduction
Surgery as adjuvant in infertility