Manual on Assisted Reproduction PDF
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Manual on Assisted Reproduction Springer-Verlag Berlin Heidelberg GmbH Thomas Rabe Klaus Diedrich Benno Runnebaum (Eds.) Manual on Assisted Reproduction With 121 Figures, Some in Color, and 57 Tables Springer Thomas Rabe, Prof. Dr. med. Dr. h.c. Division of Gynecology and Reproductive Medicine University Women's Hospital VoBstrasse 9 69115 Heidelberg Germany K1aus Diedrich, Prof. Dr. med. Medical University Lubeck Department of Obstetrics and Gynecology Ratzeburger Allee 160 23538 Liibeck Germany Benno Runnebaum. Prof. Dr. med. Dr. h.c. Division of Gynecology and Reproductive Medicine University Women's Hospital VoBstrasse 9 69115 Heidelberg Germany ISBN 978-3-662-00765-5 ISBN 978-3-662-00763-1 (eBook) DOI 10.10071978-3-662-00763-1 Library of c"ngress Cataloging·in·Publication Data. Manual On <usi.ted rtprodudion/ Thomas Rabe, Klau! Oiedrich, Senno Runnebaum, editors. p. cm. Includes bibliographi cal references and indu. ISBN 3-540·61134-1 1. Human reproductive technology - Handbooh, manual., dc. 1. RaM. T. (Thomas) Il. Oiedrich, Klau •. 1946- . III. Runnebaum, B. (Benno), 1933- . RG133.5.M364 1991 618.1'78 - dc20 96-)()5n This work is subject ta copyright. AU rights are reserved, whether the whole Or part of the material is concerned, specificaJly the rights of transluion, reprinting, reuse of illustrations, recHation, broadcasting, ",production on microfilm or in any other way, and storage in data banU. Duplication of this publication ar parts thereof il permiued only unde, the provisions of the German Copyright Law of SeptemMr 9, 1965, in its cunent version, and prrmission for use must always be obtained from Springer_Verlig. Violations are liable for prosecution under the German Copyright Law. 10 Springer-Verlag Berlin Heidelberg 1991 Softcover reprintoftbe hardcover Ist edilion 1997 The use of general deKriptive names, registered names, trademarh, dC. in this publication daes not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore fTU for general use. ProducI liability: The publisheT5 cannol guaranlee Ihe accuracy of any information about dosage and applicalion eonlained in this book. In every individual case the user must check such information by consulting the relevant Iiterature. Cover design: Design & Production GmbH, Heidelberg Typesdting: Scientific Publishing &rvices (P) Led, Madras SPIN: 10484701 211313SISPS - 5432 1 0 -Printed on acid·free paper For the benefit of our patients, and as a basis for many happy children and families. Dedication Since the inauguration of in vitro fertilization (IVF) by means of embryo transfer, we have met Profess ores Georgeana and Howard Jones, pioneers in this field, at different medical conferences and private invitations around the world: Norfolk, San Francisco, Mel bourne, Budapest, Maastrich, etc. and they always accepted us as their friends. In honor of the outstanding contributions made by Georgeanna and Howard Jones to the fields of gynecological en docrinology, reproductive medicine, and assisted reproduction, of their outstanding scientific and clinical work, and - not least of all - of their personalities, we are proud to dedicate this Manual of As sisted Reproduction to them. Professors Georgeanna and Howard Jones The Jones Institute, Norfolk, Virginia, USA VIII Dedication Howard Wilbur Jones, Jr., born in Baltimore on December 30, 1910, graduated from the Johns Hopkins University School of Medicine in 1935 and became a House Officer in Gynecology and later completed a residency training in general surgery at Church Home and Hospital in Baltimore. In 1940 he married Dr. Georgeanna Seegar, with whom he had previously coauthored some papers; since then literature has been enriched by textbooks, articles, and editorial comments written by Jones and Jones. The Jones team is surely one of the most out standing couples in the history of medicine. They are dedicated to each other as well as to their patients, highly appreciated by their fellows and colleagues and by all the people who had the luck to be trained under them. After World War II, Howard Jones elected to complete his training in gynecology. In 1947 he was appointed a Resident Gynecologist at the Johns Hopkins Hospital. His dual gynecologic and surgical training gave him a unique opportunity to explore new operative techniques in the areas of infertility and intersexuality. He became professor in 1967, is a member of numerous medical societies, and has received many honors. Howard Jones is a gentleman and a scholar, a great teacher, a prolific writer, and a superb clinician. Dr. TeLinde, chairman of the Department of Gynecology, once honored his resident by saying "You are the greatest combination of a researcher and practitioner that I know, and that is a rare com bination." Georgeanna Emory Seegar, born July 6, 1912, graduated one year later than Howard from the Johns Hopkins University School of Medicine, where she was appointed House Officer in Gynecology. She started doing research at the National Cancer Institute, where she undertook laboratory research in endocrinology. In 1939 she was appointed the gynecologist-in-charge of the Gynecologic Endocrine Clinic at Hopkins, a position she held until her retirement in 1978. Dr. Georgeanna, as she was called by her friends, became the first full-time gynecologic endocrinologist in a medical school faculty in the United States. Georgeanna combined the finest qualities of an excellent re searcher and a dedicated clinician. One of her most famous ob servations was the definite proof that the pregnancy hormone was derived from the placenta, and it was Georgeanna Jones who named it chorionic gonadotropin, a name that has been maintained in lit erature ever since. In 1970, Georgeanna became the first woman president of the American Fertility Society. In addition to her aca demic excellence and very busy clinical practice, she was a superb teacher, an excellent clinician, an outstanding investigator, and a beloved mother of three children. After retirement from Johns Hopkins in 1978, the Jones joined the faculty of the Eastern Virginia Medical School in Norfolk as Pro- Dedication IX fessors of Obstetrics and Gynecology. In spite of their original plan to slow down and enjoy a slower pace, they were induced by ser endipity and opportunity to develop the Norfolk IVF program, the first successful clinic in the USA, which has won the admiration and respect of scientists around the world. Heidelberg and Lubeck, June 1996 Thomas Rabe Klaus Diedrich Benno Runnebaum Preface Our knowledge of reproductive medicine has expanded rapidly since the birth of Louise Brown, the first baby to be conceived by in vitro fertilization, which was performed by Professors Steptoe and Ed wards in Bourn Hall, England, in 1978. Hardly a year goes by without the development of a new or the modification of an existing method of assisted reproduction. Within a relatively short period, in vitro fertilization has been introduced into the treatment of female infertility. Intracytoplasmic sperm injection has also created new opportunities for the treatment of male infertility. This manual takes stock of the techniques of assisted reproduc tion that are available today. Competent authors from various centers present, in a concise way, their tried-and-tested procedures, so that the latter can be readily implemented. Due to different legal regulations, the scope of assisted re production is much more limited in Germany than in many other countries. For example, whereas only three embryos may be con ceived and transferred in Germany, such restrictions do not exist in several other European countries and the United States. Further more, heterologous fertilization, oocyte donation, and surrogate motherhood are banned in Germany. We are glad to have been able to recruit many international ex perts to present the various fields of assisted reproduction from their perspective. We hope this book will help to establish the different therapies and achieve a wide distribution. We would like to dedicate this manual to Professors Howard and Georgeanna Jones, who along with Professors Steptoe and Edwards are pioneers in assisted reproduction and to whom we feel com mitted in friendship and gratitude. Heidelberg and Lubeck, June 1996 Thomas Rabe Klaus Diedrich Benno Runnebaum TAbyholm Norway PRarri Spain T Bergh Dreams do Sw~dm M Birkhauser Swituriand Ph Bouchard Frana PBOUJONX UK J C4i4fA u;• • Spain Thanks BCam;er France ] Cohen France TllanDessel The Nnhrrlands P Devrory &lgium KDiearicb Germany We J Donna Bl'fgium express our gratitude to the I Duijkers Tht' Nelhaiands B Fauser many clinicians who have so far shaped the The Nnherlands R Ponnan UK S Franks successful development of Organon's recom- UK J Ginsburg UK binant FSH. Their continued input to the L Hamberger Swedm ] Harlin Swedm progress oft he studies has ensured results R Hanison I"land BHedon France
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