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Index
Cover Title Page Copyright Dedication Contents Foreword Introduction Acknowledgments 1 ARE YOU INFERTILE?
What Is Infertility? Why Is Infertility So Common? What Has to Happen for Fertilization to Occur? How Many Eggs Do You Have? What Can We Do? Worrying about Infertility What Kind of Doctor Should You See? Doctors Who Can Help When Should You Seek a Subspecialist? Communicating with Your Practitioner Shopping for a Practice Trusting Online Sources Finding the Right Match What Questions Should You Ask? In an Eggshell
2 YOUR FERTILITY WORKUP
Discovering the Truth The Male Evaluation Semen Analysis The Female Evaluation Confirming Ovulation Ovarian Reserve Testing The Clomiphene Citrate Challenge Test (CCCT) Miscarriages and Abortions When Everything Looks Normal When You’ve “Made the Cut” Your Fertility Regimen Fertility Myths What about Financing? Does Insurance Cover Anything? Are Fertility Treatments Tax Deductible? What Questions Should You Ask? In an Eggshell
3 WHAT YOUR DOCTOR MIGHT FIND IN MEN
Understanding Your Partner Varicocele Varicocele Repair Is Effective Idiopathic Infertility Considering Vasectomy Reversal Collecting Sperm Considering Freezing Sperm Supplements That May Increase Male Fertility What Questions Should You Ask? In an Eggshell
4 WHAT YOUR DOCTOR MIGHT FIND IN WOMEN
Ovarian Factors Cervical Factors Tubal Factors Uterine Factors Peritoneal Factors What Questions Should You Ask? In an Eggshell
5 TWELVE WEEKS TO MAXIMIZE YOUR FERTILITY
Optimize Your Chances Twelve-Week Fertility Program Living a Fertile Lifestyle Fertility Foods: Are They Real? Fit Foods Shrinking Your Waistline What to Know about Exercise Why Supplements Matter Ideal Weight for Pregnancy How Does BMI Affect Fertility? Can Obesity Keep You Infertile? Finding a Balance Making the Commitment Drugs that Decrease Fertility Lifestyle Choices Counteracting Stress Why Do You Feel Like Everything Is Falling Apart? Stress Management Complementary Therapies What If Nothing Seems to Work? What Questions Should You Ask? In an Eggshell
6 DIY OR IUI?
Tossing the Pill What about Natural Techniques? Are You Ovulating? Natural Fertility Forecasting Gauging Your Cervical Mucous Ovulation Predictor Kits Fertility Monitors Saliva Fertility Monitor In-Home Sperm Tests Intrauterine Insemination (IUI) What to Know Before Going Low or High Tech What Questions Should You Ask? In an Eggshell
7 SUPERSIZING YOUR CHANCES (INDUCING OVULATION)
Natural Ovulation What Is Ovulation Induction? Superovulation Risks of Ovarian Hyperstimulation Multiple Births Multifetal Pregnancy Reduction Do Fertility Drugs Cause Cancer? Fertility Medications Administering Injections Injections Made Simple What Questions Should You Ask? In an Eggshell
8 THE ART OF ART
What Is ART? IVF Your IVF Protocol Preparing for Egg Retrieval Retrieval Day Fertilization: Creating an Embryo ICSI: Reversing Male-Factor Infertility Assisted Hatching: Cracking the Shell Transfer Day Picking Your Team It’s Time Baby Rest The Call What If Your Cycle Fails? What Questions Should You Ask? In an Eggshell
9 SOMETIMES IT TAKES FOUR
What to Know about Third-Party Reproduction When to Consider Sperm Donation When to Consider Egg Donation What You Need to Know about Egg Donation Why Egg Donors Do What They Do Selecting Your Egg Donor Personalizing Your Donor When to Consider Embryo Donation When to Consider Surrogacy What You Need to Know about Surrogacy Why Do You Need Professional Guidance? Your Professional Team Why Do You Need a Contract? What Screening Applies to Donors and Surrogates? Why Use a Large Agency? Why Surrogates Do What They Do Why Is Matching So Important? Selecting Your Surrogate Understanding Everyone’s Perspective Does Your State Permit Surrogacy? When to Reconsider Third-Party Reproduction What Questions Should You Ask? In an Eggshell
10 PREVENTING RELATIONSHIP MELTDOWNS
Smoothing Out Relationship Kinks Infertility Stressors Understanding Your Emotional Realities Avoid Playing the Blame Game Know Your Comfort Quotient Baby or Bust? Avoiding Holiday Headaches Communicating What Matters Spicing Up Your Relationship What Questions Should You Ask? In an Eggshell
11 WHEN TO CONSIDER MOVING ON
When Is It Time to Stop Trying? Owning Your Decision Devising a Game Plan Closing the Door Considering Adoption Foster Parents Child-Free Living What Questions Should You Ask? In an Eggshell
12 BUYING MORE TIME
A Frozen Morula Hatching Timeline A Game Changer A New Kind of Insurance Stopping Your Biological Clock Embryos on Ice Reasons You May Want to Freeze Your Embryos Frozen Embryo Transfer Hormone Replacement Cycle Stimulated Cycle Natural Cycle Freezing Sperm Situations That May Require Sperm Freezing What Questions Should You Ask? In an Eggshell
13 SAFEGUARDING YOUR CHILD
Family Balancing Spotting an Imperfect Embryo Genetics and Disease: A Brief Overview Meeting Your Genetic Counselor Does Genetic Testing Affect Embryos? PGS: Counting Chromosomes—and More What Are the Advantages of PGS? Who Needs PGS? PGD: Digging into the Genes Who Needs PGD? What Questions Should You Ask? In an Eggshell
14 DESIGNER BABIES
Can You Trust Online Donor Websites? Science Is Technology: A Historical Account What Is a Designer Baby? Kids À La Carte? Bioengineered Babies Blurring Origins Treatment of Last Resort Making Your Own Choice What Questions Should You Ask? In an Eggshell
15 TO TELL OR NOT TO TELL?
Conceived with Love Truth or Consequences? Making It Okay Are There Benefits to Disclosure? What Is the Appropriate Age to Tell Your Child? Don’t Give Blow-by-Blow Accounts What to Say to Your Preschooler: Ages Three to Five Interacting with Curious Minds: Ages Six to Ten Discussions with Your Adolescent What If You Want to Bring God into the Conversation? What If My Child Finds Out by Accident? Knowing When to Not Make a Big Deal Making the Right Decision for Your Family When to Withhold the Truth? What Do Experts Recommend? What Questions Should You Ask? In an Eggshell
16 WHERE IS REPRODUCTIVE MEDICINE HEADING?
Probable Possible Plausible Ever-Changing Insurance Laws Can We Police a Future Society? Where Do We Draw the Line? What Questions Should You Ask? In an Eggshell
Appendix: A Fertility Forecasting Chart Glossary Resources Index About the Authors
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