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Introduction
Pages 3-10
This book presents up-to-date knowledge on infertility in the context of polycystic ovary syndrome (PCOS) and provides clear evidence-based guidance on its treatment. The book opens by discussing anovulation, oocyte quality, and the endometrium in women with PCOS, infertility and subfertility cofactors, and the impact of PCOS phenotypes on fertility. All aspects of management are then thoroughly addressed. The available medical treatments for PCOS-related infertility – including antiestrogens, aromatase inhibitors, insulin-sensitizing drugs, and gonadotropins – are reviewed, and other potential therapeutic approaches, such as acupuncture and laparoscopic ovarian drilling, are assessed. Careful attention is also devoted to the role of lifestyle interventions. The use of controlled ovarian stimulation in infertile PCOS patients undergoing intrauterine insemination or in vitro fertilization is examined in detail, as are the benefits of in vitro maturation of oocytes. This book will be of value to all who are involved in the care of women with PCOS and related infertility issues
Introduction
Pages 3-10
Diagnostic Criteria for PCOS
Pages 11-21
Anovulation in Women with PCOS
Pages 23-30
Oocyte Quality in PCOS
Pages 31-39
Endometrial Receptivity in PCOS
Pages 41-61
Infertility and Subfertility Cofactors in Women with PCOS
Pages 63-79
PCOS Phenotypes: Impact on Fertility
Pages 81-87
Follicle Excess and Abnormalities in Women with PCOS: Pathophysiology, Assessment and Clinical Role
Pages 89-105
Antiestrogens
Pages 109-117
Aromatase Inhibitors
Pages 119-133
Insulin-Sensitising Drugs
Pages 135-152
Gonadotrophins
Pages 153-165
Lifestyle Interventions and Natural and Assisted Reproduction in Patients with PCOS
Pages 169-180
Dietary Supplements, Phytotherapy and Chinese Herbal Medicine in PCOS
Pages 181-193
Laparoscopic Ovarian Drilling
Pages 195-211
Inositols
Pages 213-226
Acupuncture
Pages 227-245
Intrauterine Insemination
Pages 249-257
Controlled Ovarian Stimulation for In Vitro Fertilisation Cycles
Pages 259-270
In Vitro Oocyte Maturation
Pages 271-286
Integrated Strategies for Enhancement of Fertility in PCOS
Pages 289-304
Complications of Pregnancy
Pages 305-323
Conclusive Remarks and Future Perspectives
Pages 325-329
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