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Infertility affects approximately 15% of couples attempting to conceive, and male factor is known to be either the primary or a contributing factor in at least half of all cases of couple infertility. More than half of male infertility is amenable to microsurgical treatment, but a majority of urology residency programs provide little or no training in male infertility or its microsurgical treatment. Textbooks typically include a chapter or two on surgery of male infertility, but often these chapters only cover basic concepts and simplified overviews and miss the many finer points that are only taught by observing or scrubbing directly in the operating room. Utilizing Dr. Marc Goldstein's extensive surgical experience, this atlas focuses primarily on microsurgical techniques for restoring and preserving male fertility. The chapters discuss surgical anatomy and diagnosis, microsurgery of the vas deferens and epididymis, varicocele and other fertility-related procedures. Topics and techniques include vasectomy, vasovasostomy, vasoepididymostomy, varicocelectomy, hydrocelectomy, and microsurgically assisted inguinal hernia repair. Equipment, instrumentation and training in microsurgery, including animal models, are also discussed. In each chapter, practical tips and tricks are highlighted. Enhanced by plentiful intraoperative photos and original illustrations, Atlas of Male Infertility Microsurgery is an essential resource for male reproductive surgeons, urologists, residents and fellows.

Reproductive health. --- Urology. --- Reproductive Medicine. --- Medicine --- Genitourinary organs --- Human reproduction --- Human reproductive health --- Human reproductive medicine --- Reproductive medicine --- Health --- Diseases --- Health aspects

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This book provides a comprehensive overview of various chronic diseases - including their clinical characteristics, diagnostic methods, treatment options, and recent research findings - with a special focus on the psychosexual impacts of these conditions on patients and their partners. Each chapter in the book is dedicated to a specific chronic illness, examining its impact on the patient's sexual health and relationships. The book starts with an overview of the disease and its management, including both traditional and contemporary therapies, diagnostic tools, and international research studies. This is followed by a thorough discussion of the psychosexual consequences of the disease, along with the potential interventions that a multidisciplinary healthcare team can offer to provide comprehensive support to the patient. The book's primary objective is to improve healthcare professionals' approach to chronic patients by emphasizing the importance of addressing the patient's sexual health and intimacy. By acknowledging and addressing these aspects of the patient's life, healthcare providers can offer more holistic and effective care, leading to better patient outcomes. Overall, this book serves as a practical and essential guide for healthcare professionals seeking to enhance their knowledge and understanding of the psychosexual impacts of chronic illnesses. It is a valuable resource for those looking to provide compassionate, patient-centered care to those living with chronic conditions.

Reproductive health. --- Urology. --- Gynecology. --- Internal medicine. --- Reproductive Medicine. --- Internal Medicine.

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There are approximately 1.4 million trans-identified individuals in the US alone, many of whom will undergo gender-affirming medical or surgical interventions to better align their appearance with their gender identity. Multiple major medical societies recommend fertility preservation counseling prior to starting any gender-affirming therapies, but data are limited on the reproductive effects of common gender-affirming hormone regimens. The burden of fertility counseling falls to the hormone providers and surgeons that are encountering these patients, many of whom will not have had adequate training or resources to provide evidence-based recommendations and options. Additionally, many reproductive health care providers are not trained in how to care for gender minorities. The purpose of this book is to be a reference for clinicians and researchers in the field of transgender medicine, to provide up-to-date data and resources to properly counsel transgender and nonbinary patients about the reproductive consequences of gender-affirming interventions and their options for family-building, and to educate providers about appropriate and culturally competent reproductive health care. Effects of masculinizing and feminizing hormone therapy, as well as the fertility preservation options available, are discussed in detail for both adults and youth. In addition to these medical considerations, both psychosocial, legal and ethical considerations are highlighted for a more well-rounded presentation. A final chapter describes how to create a welcome and accepting clinical environment. Such a reference does not currently exist, leading to the propagation of misinformation and encouraging patients to seek nonmedical sources, such as social media, for their information. Reproduction in Transgender and Nonbinary Individuals fills in this gap as a timely text for reproductive endocrinologists, surgeons and all clinical staff working with this population. .

Reproductive health. --- Human reproduction --- Human reproductive health --- Human reproductive medicine --- Reproductive medicine --- Health --- Health aspects --- Sexual minorities --- Gender-nonconforming people --- Transgender people --- Health Services for Transgender Persons. --- Sexual and Gender Minorities. --- Reproductive Medicine. --- Pregnancy. --- Medical care. --- Medical care

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This open access book focuses on of the impact of endocrine disrupting chemicals (EDCs) on human reproduction. It comprehensively discusses the three most important topics in the field: the basic biology of EDCs; the effects of EDCs on human reproduction and human reproductive systems; and potential interventions and practical advice for dealing with the problems caused by EDCs. Presenting a translational approach to endocrine disrupting chemicals research, spanning both basic biology and clinical applications, the book provides a critical link between laboratory investigations and clinical practice. Written by international experts in the field, it is a valuable reference resource for gynaecologists, obstetricians, endocrinologists and experts in reproductive medicine, and a useful tool for anyone interested in the impact of the environment on human reproduction.

Reproductive health. --- Internal medicine. --- Environment. --- Urology. --- Midwifery. --- Reproductive Medicine. --- Internal Medicine. --- Environmental Sciences.

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This is the first book to focus on robotic reproductive cell manipulation. It provides readers with the fundamental principles underpinning robotic manipulation of reproductive cells, including sperm, oocytes, and embryos, state-of-the-art technical advances in actuation, sensing and control for cell manipulation, and emerging automated systems for reproductive cell manipulation. The methods presented in the book are generic and can be translated to manipulating other types of cells, such as cancer cells and cardiomyocytes. Robotic Manipulation of Reproductive Cells will be an essential reference for graduate students and researchers working on small-scale robotic systems for cell manipulation and characterization, healthcare professionals interested in nanoscale, microscale, milli-scale robotic techniques for clinical cell surgeries and assisted reproduction, and engineers developing small-scale robotic systems for biomedical engineering, biology, and medicine. Introduces the applications of robotic cell manipulation; Highlights advances in infertility diagnosis and treatment; Provides insightful outlook on future challenges and opportunities. .

Biomedical engineering. --- Robotics. --- Reproductive health. --- Biomedical Engineering and Bioengineering. --- Biomedical Devices and Instrumentation. --- Robotic Engineering. --- Reproductive Medicine.