World Health Organization : Year 1985-86 ; World Health Organization Brn 6676, (Part 1): Manual for the Investigation and Diagnosis of the Infertile Couple

By Special Programme of Research

Book Id: WPLBN0000058060
Format Type: PDF eBook:
File Size: 0.1 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1985-86 ; World Health Organization Brn 6676, (Part 1): Manual for the Investigation and Diagnosis of the Infertile Couple
Author:	Special Programme of Research
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Programme Of Research, Development And Research Training In Human Reproductio, B. S. (n.d.). World Health Organization : Year 1985-86 ; World Health Organization Brn 6676, (Part 1). Retrieved from http://www.gutenberg.us/

Description
Medical Reference Publication

Excerpt
1. Introduction This manual is intended for use with the forms and flow charts for the investigation and diagnosis of the infertile couple. It is of utmost importance that each investigator participating in the programme read this manual carefully prior to the start of the study, and refer to it routinely as questions arise during the study. The purpose of this manual is to attempt to unify and standardize both the minimal and optimal diagnostic procedures which lead to the effective management of the infertile couple. If one wants to compare the results reported from different centres, a uniform approach needs to be adopted for at least the following procedures: the diagnostic selection of subjects for treatment of infertility; the choice of therapy; the treatment scheme; the monitoring of therapy; and the parameters of follow-up. Additionally, comparison ofthe results obtained in various groups ofpatients at the same centre, and more so, of patients treated at different centres is only possible if a well-defined and reproducible diagnostic classification and treatment method has been used.

Table of Contents
CONTENTS Page Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Instructions for the use of study form . . . . . . . . . . . . . . . . . . . . . . . . 7 Form 1 : Registration form and history of couple . . . . . . . . . . . . . . . 7 Form 2 : History of female partner . . . . . . . . . . . . . . . . . . . . . . . 9 General history . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Reproductive history . . . . . . . . . . . . . . . . . . . . . . . . 10 Medical history . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Sexual history . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Form 3 : Physical examination of female partner . . . . . . . . . . . . . . . 15 General examination . . . . . . . . . . . . . . . . . . . . . . . . 16 Pelvic examination . . . . . . . . . . . . . . . . . . . . . . . . . 17 Form 4: Diagnostic procedures for female partner . . . . . . . . . . . . . . 18 General laboratory . . . . . . . . . . . . . . . . . . . . . . . . . 19 Hormones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Other procedures . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Bacteriological examinations . . . . . . . . . . . . . . . . . . . . 22 Form 5 : History of male partner . . . . . . . . . . . . . . . . . . . . . . . . 24 General history . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Medical history . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Sexual history . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Form 6: Physical examination of male partner . . . . . . . . . . . . . . . . 29 General examination . . . . . . . . . . . . . . . . . . . . . . . . 30 Urogenital examination . . . . . . . . . . . . . . . . . . . . . . 31 Form 7: Diagnostic procedures for male partner . . . . . . . . . . . . . . . 33 General laboratory . . . . . . . . . . . . . . . . . . . . . . . . . 33 Semen analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Hormones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Testicular biopsy and vasovesiculography . . . . . . . . . . . . 38 Appendix 1 Ferriman and Gallwey Hirsutes Score . . . . . . . . . . . . . . . . 43 Appendix 2 Tanner pubertal stage . . . . . . . . . . . . . . . . . . . . . . . . . 47 Appendix 3a Programme for the provision of matched assay reagents for the radioimmunoassay of hormones in reproductive physiology . . . 5 1 Appendix 3b Hormone assay reference ranges . . . . . . . . . . . . . . . . . . . 88 Appendix 4 Steroid glucuronides . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Appendix 5 Classification of endometriosis . . . . . . . . . . . . . . . . . . . . 93 Appendix 6 Diagnostic codes for female infertility . . . . . . . . . . . . . . . . 96 Appendix 7 Surgical operations in the female possibly associated with in- fertility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Appendix 8 Collection and examination of human semen . . . . . . . . . . . 98 Appendix 9 Staining technique for differentiation between (peroxydase posi . tive) leucocytes and other round cells . . . . . . . . . . . . . . . . 108 Appendix 10 Diagnostic codes for male infertility . . . . . . . . . . . . . . . . . 109