y tratamiento de la Infertilidad
Lancet 2002 Jul 13;360(9327):151-9
Department of Obstetrics and Gynaecology, Research Institute GROW,
Academisch ziekenhuis Maastricht, and Maastricht University, Maastricht,
With an average monthly fecundity rate of only 20%, human beings are not
fertile mammals. 10-15% of couples have difficulties conceiving, or
conceiving the number of children they want, and seek specialist fertility
care at least once during their reproductive lifetime. Dependent on the
two main factors that determine subfertility, duration of childlessness
and age of the woman, three questions need to be addressed before
treatment is offered. Is it time to start the routine fertility
investigation?--ie, has sufficient exposure to the chance of conception
taken place? Are cost-effective, safe, and reliable treatments available
for the disorder diagnosed? And, should the couple be referred
straightaway for assisted reproduction?
2: BMJ 2002 Jul 6;325(7354):28-32 [Texto
Management of infertility.
Cahill DJ, Wardle PG.
University of Bristol Division of Obstetrics and Gynaecology, St Michael's
Hospital, Bristol BS2 8EG.
3: Arch Dis Child 2001 Apr;84(4):355-9 [Texto
Fertility preservation for children treated for cancer (1): scientific
advances and research dilemmas.
Grundy R, Gosden RG, Hewitt M, Larcher V, Leiper A, Spoudeas HA,
Walker D, Wallace WH.
Institute of Child Health, University of Birmingham, Whittall Street,
Birmingham B4 6NH, UK. email@example.com
4: Rev Med Interne 2001 Feb;22(2):111-7
Ovulation induction, lupus and antiphospholipids [Article in French]
Huong DL, Wechsler B, Piette JC.
5: Clin Obstet Gynecol 2001 Mar;44(1):29-35
Antiphospholipid antibodies and infertility.
University of Utah Health Sciences, Intermountain Health Care, Salt Lake
City, Utah, USA. firstname.lastname@example.org
6: Obstet Gynecol Clin North Am 2000 Sep;27(3):473-86
Infertility. Contemporary office-based evaluation and treatment.
Department of Obstetrics, Gynecology and Reproductive Biology, Harvard
Medical School, Boston, Massachusetts, USA.
Infertility is a common condition that is highly treatable. Couples can
help themselves by recognizing that they have a problem, and practitioners
can help patients by recognizing who requires an infertility investigation
and when they need it. Instituting a clear and comprehensive evaluation
will enable patients who need treatment to achieve their goals.
7: Curr Opin Urol 2000 Jul;10(4):359-62
Male infertility: recent advances and a look towards the future.
Lamb DJ, Lipshultz LI.
Scott Department of Urology, Baylor College of Medicine, Houston, Texas,
The past decade has witnessed clinical and basic scientific advances that
have revolutionized the diagnosis and treatment of the infertile male.
Advances in the clinic and laboratory have resulted in men who were
previously thought to be hopelessly infertile, but who are now able to
conceive their own biologic offspring. In the future, we believe that the
laboratory will continue to play a key role in advancing our ability both
to diagnose and to treat the infertile male. We summarize here some of the
major advances of the past decade that have influenced our treatment and
our understanding of the etiology of male infertility. When possible,
clinical innovations and advances in basic science are discussed in
combination in order to emphasize the translational importance of
8: Postgrad Med 2000 Feb;107(2):235-9, 242, 245
Shattering the myths about male infertility. Treatment of male factors
may be more successful and cost-effective than you think.
Department of Urology, University of Iowa College of Medicine, Iowa City
52242-1089, USA. email@example.com
Male factors play a role in up to half of subfertile couples, contrary to
the myth that male factors rarely play a role. In this article, Dr Sandlow
counters this and other myths about male infertility and suggests that
primary care physicians can increase a couple's chance of conceiving by
evaluating for male as well as female factors. This article will also help
primary care physicians provide appropriate education and treatment, as
well as determine when to make a referral to a male-infertility specialist.
9: Clin Obstet Gynecol 2000 Dec;43(4):854-88
Evaluation and treatment of male infertility.
Infertility Center of St. Louis, St. Luke's Hospital, MO 63017, USA.
10: Clin Obstet Gynecol 2000 Dec;43(4):844-53
Evaluation of the couple with infertility in a managed care environment.
Texas Fertility Center, Austin 78705, USA.
The classic infertility evaluation is a costly experience for many couples.
In the new era of managed care, it may be possible to perform a targeted
evaluation that, while significantly lowering the total cost, will not
impair our ability to correctly diagnose the cause of a couple's
infertility. When combined with algorithms for streamlined treatment, it
may be possible to significantly reduce the cost for the diagnosis and
treatment of infertility.
11: Urol Clin North Am 1999 Aug;26(3):555-93, vi
Testicular biopsy. Contemporary interpretation.
Nistal M, Paniagua R.
Department of Pathology, La Paz Hospital, Madrid, Spain.
Biopsy of the testis is not universally accepted in contrast with biopsies
of other organs. The pathologist studies and reports on the
pathophysiology of the testicular biopsy specimen. Methodology requires
the inclusion of qualitative and quantitative studies, the evaluation of
the lesion's evolution (prognosis), and, often, therapeutic advice
regarding treatment. Cooperation between pathologists and clinicians
optimizes the utility of the biopsy for the patient.