Office-Based Infertility Practice PDF
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Office-Based Infertility Practice Springer New York Berlin Heidelberg Barcelona Hong Kong London Milan Paris Singapore Tokyo David B. Seifer, M.D. Robert L. Collins, M.D. Director, Division of Reproductive Endocrinology Medical Director, The Reproductive Center and Infertility Youngstown, Ohio and and Professor and Vice-Chair of Academic Affairs Associate Professor Department of Obstetrics, Gynecology and Department of Obstetrics and Gynecology Reproductive Sciences Northeast Ohio University College of Medicine UMDNJ-Robert Wood Johnson Medical School Rootstown, Ohio New Brunswick, New Jersey Editors Office-Based Infertility Practice With 58 Figures David B. Seifer, M.D. Robert L. Collins, M.D. Director, Division of Reproductive Medical Director Endocrinology and Infertility Reproductive Endocrinologist and The Reproductive Center Professor and Vice-Chair of Academic Affairs Youngstown, OH 44514, USA Department of Obstetrics, Gynecology and and Reproductive Sciences Associate Professor UMDNJ-Robert Wood Johnson Medical Department of Obstetrics and Gynecology School Northeast Ohio University College of Medicine 303 George Street Rootstown, OH 44272, USA New Brunswick, NJ 08901, USA Cover illustration: Bottom illustration represents the profile of a 20 week-old fetus. ©Department of Prenatal Diagnosis and Therapy, Chairman: G. Bernaschek, University of Vienna, Austria. Library of Congress Cataloging-in-Publication Data Office-based infertility practice / editors, David B. Seifer, Robert L. Collins p. cm. Includes bibliographical references and index. ISBN 0-387-98390-2 (hbk : alk. paper) 1. Infertility. 2. Office practice. 3. Human reproductive technology. I. Seifer, David B., 1955– II. Collins, Robert L. RC889 .O35 2001 616.6(cid:1).9206—dc21 00-053200 Printed on acid-free paper. ©2002 Springer-Verlag New York, Inc. All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer-Verlag New York, Inc., 175 Fifth Avenue, New York, NY 10010, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use of general descriptive names, trade names, trademarks, etc., in this publication, even if the former are not especially identified, is not to be taken as a sign that such names, as understood by the Trade Marks and Merchandise Marks Act, may accordingly be used freely by anyone. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsi- bility for any errors or omissions that may be made.The publisher makes no warranty, express or implied, with respect to the material contained herein. Production managed by Jenny Wolkowicki; manufacturing supervised by Joseph Quatela. Typeset by Matrix Publishing Services, Inc., York, PA. Printed and bound by Edwards Brothers, Inc., Ann Arbor, MI. Printed in the United States of America. 9 8 7 6 5 4 3 2 1 ISBN 0-387-98390-2 SPIN 10660187 Springer-Verlag New York Berlin Heidelberg A member of BertelsmannSpringer Science+Business Media GmbH This book is dedicated to our children Ben Joseph Seifer, Charlie Max Seifer, Denise Collins, and Robbie Collins, for the joy, love and promise they represent. Preface 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. Cowan 2 Evaluation of the Male for Infertility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Kevin A. Spear 3 Detection and Therapeutic Approaches to Age-Related Infertility . . . . . . . . . . . . . . . . . . . . 24 Fady I. Sharara, Richard T. Scott, Jr., and David B. Seifer 4 Role of Ultrasonography in Infertility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Theresa Widrich 5 Coping with Infertility: Practical Psychosocial Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Dorothy Greenfeld 6 Impact of Managed Care on Office-Based Infertility Practice . . . . . . . . . . . . . . . . . . . . . . 58 Richard E. Blackwell 7 Basics of Laboratory Set-Up in the Office . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Dean E. Morbeck 8 Office Anesthesia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Angeline N. Beltsos 9 Ovulation Induction and Controlled Ovarian Hyperstimulation with Intrauterine Insemination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Robert L. Collins 10 Diagnostic and Therapeutic Hysteroscopy in the Office . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 David A. Grainger, Bruce l. Tjaden, and Arjav Shah 11 Endoscopic Evaluation of the Fallopian Tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Eric S. Surrey 12 Transcervical Tubal Cannulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 Jacek W. Graczykowski and David B. Seifer 13 Microlaparoscopy for Infertility in the Office . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 Steven F. Palter 14 Treatment of Cervical Stenosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 Gary N. Frishman 15 Treatment of Male Reproductive Dysfunction in the Office . . . . . . . . . . . . . . . . . . . . . . . . 150 Hossein Sadeghi-Nejad and Robert Oates ix x Contents 16 In Vitro Fertilization in the Office Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161 Glen K. Adaniya and Bradford L. Bopp 17 Unstimulated In Vitro Fertilization and In Vitro Oocyte Maturation . . . . . . . . . . . . . . . . . . 174 Phillip E. Patton and Don P. Wolf 18 Intratubal Gamete Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184 Kristin Sinnock Friel and Alan S. Penzias 19 Complications of Ovulation Induction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195 Janee A. Fonslick and David B. Seifer Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203 Contributors Glen K. Adaniya, P.h.D., Midwest Reproductive Medicine, 8081 Township Live Road, Indianapolis, IN 46260, USA Angeline N. Beltsos, M.D., Suite 195, 135 North Arlington Heights Road, Buffalo Grove, IL 60089, USA Richard E. Blackwell, M.D., University of Alabama at Birmingham, Department of Obstetrics and Gyne- cology, 1918 University Boulevard, Birmingham, AL 35294-0005, USA Bradford L. Bopp, M.D., Midwest Reproductive Medicine, 8081 Township Live Road, Indianapolis, IN 46260, USA Robert L. Collins, M.D., Medical Director, The Reproductive Center, Youngstown, OH 44514 and Associate Professor of Obstetrics and Gynecology, Northeast Ohio College of Medicine, Rootstown, OH 44272, USA Bryan D. Cowan, M.D., Professor, Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, MS 39216-4505, USA Janee A. Fonslick, M.D., Abington Obstetrical and Gynecological Associates, Building 2, 300 Welsh Road, Horsham, PA 19044, USA Kristin Sinnock Friel, Lehigh Valley Hospital Allentown, PA 18103, USA Gary N. Frishman, Women’s and Infant’s Hospital, Brown Medical School, 101 Dudley Street, Provi- dence, RI 02 905-0000, USA Jacek W. Graczykowski, Reproductive Health and Fertility Center, 973 Featherstone Road, Suite 100, Rockford IL 61107, USA David A. Grainger, M.D., Director, Division of Reproductive Endocrinology, 9220 E., 29th N Suite 102, Wichita, KS 67226, USA Dorothy Greenfeld, M.S.W., Yale University School of Medicine, Department of Obstetrics and Gyne- cology WP-402, PO Box 208063, New Haven, CT 06520-8063, USA Dean E. Morbeck, Ph.D., Midwest Center for Reproductive Health, Oakdale Medical Building, 3366 Oakdale Ave North #550, Minneapolis, MN 55422, USA Robert D. Oates, M.D., Department of Urology, Boston University Medical Center, 720 Harrison Avenue, Suite 606, Boston, MA 02118-2334, USA Steven F. Palter, Yale University School of Medicine, Department of Obstetrics and Gynecology, WP- 402 PO Box 208063, New Haven, CT 06520-8063, USA Phillip E. Patton, M.D. and Professor, University Fertility Consultants Department of Obstetrics and Gynecology, Oregon Health Services University, 1750 SW Harbor Way, Suite 100, Portland, OR 97201, USA xi xii Contributors Alan S. Penzias, M.D., Boston IVF, 40 Second Avenue Suite 300, Waltham MA 02451, USA Hossein Sadeghi-Nejad, Director, Center for Male Reproductive Medicine, UMD-New Jersey Medical School and Hackensack University Medical Center, 20 Prospect Ave, Suite 711, Hackensack NJ 07601, USA Richard T. Scott, Jr., M.D., Reproductive Medicine Associates, 111 Madison Avenue Suite 100, Morris- town, NJ 07962, USA David B. Seifer, M.D., Director, Division of Reproductive Endocrinology and Infertility, and Professor and Vice-Chair of Academic Affairs, Department of Obstetrics, Gynecology and Reproductive Sci- ences, UMDNJ–Robert Wood Johnson Medical School, 303 George Street, Suite 250, New Brunswick NJ 08901, USA Arjav Shah, M.D., Orange Park Medical Center, 1605 Kinsley Avenue, Orange Park, FL 32073, USA Fady I. Sharara, M.D., The Fertility and Reproductive Health Center, 4316 Evergreen Lane, Annandale, VA 22003, USA Kevin A. Spear, M.D., Advanced Urology Associates, Professional Center North, 75 Arch Street, Suite 101, Akron, OH 44304, USA Eric S. Surrey, Colorado Center for Reproductive Medicine, 799 East Hampden Ave. Suite 300, Engle- wood, CO 80110, USA Bruce L. Tjaden, M.D., Center for Reproductive Medicine, 2903 E. Central, Wichita, KS 67214, USA Theresa Widrich, M.D., Department of Obstetrics and Gynecology, Landeskrankenhaus Mödling, Sr. M. Restitutag 12, A-2340, Mödling, Austria Don P. Wolf, Ph.D., Division of Reproductive Sciences, Oregon Regional Primate Research Center, 505 NW 185th Avenue, Beaverton, OR 97006-3448, USA
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