Optimizing the Management of Fertility in Women over 40

Description:

Reproductive aging is a natural and universal process. Women frequently overestimate the age at which a significant decline in fertility occurs as well as overestimate the success of assisted reproductive technologies to circumvent age-related infertility. Yet there is much that modern medicine can do to improve conception rates in women who delay childbearing and to manage subsequent pregnancies. This book offers guidance on winning strategies for maximizing the live-birth rate and limiting the risk for women trying to conceive later in life. It is intended to assist in navigating this challenging journey and lead to peace of mind that women have been seen, heard, and treated as individuals in the process. Written by leading experts addressing medical options of applying advanced reproductive technologies, psychological, nutritional, lifestyle, systematic approaches to optimizing fertility care for the most challenging demographic of women in a practical, clinically orientated, and most importantly, positive way.

Table of Contents:

Section 1 Demographic Trends

Chapter 1 Is 40 the New 30? Increasing Reproductive Intentions and Fertility Rates beyond Age 40

Section 2 Biological Basis of Female Reproductive Aging: What Happens to the Ovaries and the Uterus

Chapter 2 Biological Basis of Female Reproductive Aging: What Happens to the Ovaries and Uterus as T

Section 3 Lifestyle, Environment, and Optimizing Reproduction in the 40s

Chapter 3 What Lifestyle Adjustments Can Maximize the Chance of a Natural Conception and Healthy Pre

Section 4 Rethinking and Redefining “Family Planning” for the Twenty-First Century

Chapter 4 Diagnostic Testing of Reproductive Aging

Chapter 5 Fertility Preservation for “Social” Reasons

Section 5 Optimal Deployment of ART beyond 40

Chapter 6 When to Use ART beyond 40: How Often, How Many Attempts, When to Stop

Chapter 7 Optimal IVF Protocols for Women over 40 and Low Functional Ovarian Reserve

Chapter 8 Fertility Counseling beyond 40

Chapter 9 Support Systems and Patient Experience Architecture for Fertility Care of Women over 40 in

Section 6 Obstetric Management beyond 40

Chapter 10 Optimal Management of the First Trimester in Women over 40

Chapter 11 Optimal Management of Pregnancy beyond 12 Weeks, Labour and the Puerperium for Women over

Section 7 Children of Older Parents

Chapter 12 What Do We Know about the Children of Women over 40 and What Can Older Mothers Do to Opti

Section 8 What Are Realistic Alternatives to Conceiving with Autologous Eggs?

Chapter 13 Practical Egg Donation in Women over 40

Section 9 New Technologies

Chapter 14 Is It Likely That Reproductive Aging Could Be Delayed or Reversed Using Advanced Technolo

Section 10 Ethics

Chapter 15 Ethical Issues in the Use of Assisted Reproductive Technology in Women over Age 40

Epilogue

Index