1. Copyright © 2006, Elsevier Inc. All rights reserved C HAPTER 16 Infertility

2. Copyright © 2006, Elsevier Inc. All rights reserved F IGURE 16-1 T REATMENT OF AN INFERTILE WOMAN WITH HUMAN MENOPAUSAL GONADOTROPIN ( H MG) OR A G N RH STIMULATORY AGONIST FOLLOWED BY HUMAN CHORIONIC GONADOTROPIN ( H CG) TO INDUCE OVULATION. T HE SHADED AREA REPRESENTS MENSES

3. Copyright © 2006, Elsevier Inc. All rights reserved B OX 1: S EASONAL C HANGES IN THE A BILITY TO C ONCEIVE

4. Copyright © 2006, Elsevier Inc. All rights reserved F IGURE 16-2 O UTCOME OF IVF CYCLES IN THE U NITED S TATES USING FRESH NONDONOR EGGS. N UMBERS IN PARENTHESES ARE PERCENTAGES OF CYCLES STARTED THAT REACHED EACH STAGE. 2002 DATA FROM THE CDC

5. Copyright © 2006, Elsevier Inc. All rights reserved B OX 2: C OSTS OF A SSISTED R EPRODUCTIVE T ECHNOLOGIES

6. Copyright © 2006, Elsevier Inc. All rights reserved F IGURE 16-3 S OME OF THE ADVANCED FERTILITY TREATMENTS AVAILABLE FOR COUPLES IN WHICH THE WOMAN HAS OVARIAN MALFUNCTIONS, TUBAL BLOCKAGE, OR UTERINE PROBLEMS. X, ABNORMAL FUNCTION. AIH, ARTIFICIAL INSEMINATION WITH THE HUSBAND ’ S SPERM. D ONOR SPERM COULD BE USED FOR EACH PROCEDURE IF THE HUSBAND IS INFERTILE OR IF THE WOMAN IS UNMARRIED.