1. FERTILITY TREATMENT AND IVF TYPES OF TREATMENT & THE PSYCHOLOGICAL EFFECTS

2. What's is IVF? IVF stands for in vitro fertilisation

3. Follicle tracking

4. Clomiphene Citrate (Clomid)

5. Ones woman’s experience of clomid http://www.healthtalkonline.org/Pr egnancy_children/Pregnancy/Peo ple/Interview/1215/Category/24

6. Gonadotrophin ovulation induction programme Pre treatment: Normal semen analysis Normal laparoscopy and dye test, or normal Hysterosalpingogram (HSG) Body mass index <30 Both partners to be non smokers

8. Ovarian hyperstimulation syndrome(OHSS)

9. Criteria for admission to IVF waiting list Stable relationship 3 years or more No previous children (either partner) Age under 38 (37 or less) Must not be on any treatment other than Clomiphene Citrate or treatment for prolactinoma from the NHS fertility clinic. Not currently on an ovulation programme Tubal damage - not within 2 years of surgery unless bilateral reocculsion or surgery not done Unexplained 3 years True ovulation disorder: Ovulation with clomiphene - after 1 year of correction of ovulation assuming ovulates every cycle Ovulation with gonadatrophins - on waiting list after 6 cycles unless difficulty - must stop treatment to get on waiting list Failed treatment (no ovulation) - on IVF waiting list if not suitable for ovarian diathermy. If suitable (raised LH or raised androgens) then diathermy first

10. Endometriosis - not under current treatment except for symptomatic endometriosis (pain) Male factor as unexplained count under 5x10 on 3 occasions or motility under 20% on 3 occasions where direct admission possible to list BMI <30 Must have had investigations below as a minimum: LH, FSH (<10) An assessment of ovulation by luteal phase progesterone Semen analysis Laparoscopy or HSG (normally laparoscopy) Rubella

11. IVF

12. Egg retrieval http://www.youtube.com/watch?v=aUQJu Ye3D4g&feature=related

13. Fertilisation Two pronuclei Embryo

14. Feelings around IVF: A woman’s point of view http://www.healthtalkonline.org/Pregnan cy_children/Pregnancy/People/Interview /308/Category/37/Clip/4995/assisted- conception#assisted-conceptionhttp://www.healthtalkonline.org/Pregnan cy_children/Pregnancy/People/Interview /308/Category/37/Clip/4995/assisted- conception#assisted-conception

15. Husbands thought’s http://www.healthtalkonline.org/Pregnan cy_children/Pregnancy/People/Interview /308/Category/37/Clip/4996/assisted- conception#assisted-conceptionhttp://www.healthtalkonline.org/Pregnan cy_children/Pregnancy/People/Interview /308/Category/37/Clip/4996/assisted- conception#assisted-conception

16. TYPES OF ART (assisted reproductive technology) GIFT http://www.youtube.com/watch?v=k2LcWjAAoDM

17. ZIFT http://www.viddler.com/explore/helplibrary/videos/125/

18. Intrauterine Insemination (IUI)

19. Intra cytoplasmic sperm injection (ICSI) http://www.youtube.com/watch?v=LYQVx d1MHuk&feature=related

20. HFEA Who are they and what do they do? Human Fertilisation and Embryology Authority (HFEA) are a regulatory body that ensures the safe practice of in vitro techniques

21. ‘Put One Back Campaign’ The HFEA promotes the use of returning one embryo back to the uterus through infertility treatment to prevent multiple births This campaign is supported by: