Ovulation Induction and Controlled Ovarian Stimulation

Professor Roy Homburg is a specialist in reproductive medicine and assisted conception. He has held posts as Professor of Obstetrics and Gynaecology at Tel Aviv University Medical School, as Professor of Reproductive Medicine at the Free University Medical Centre in Amsterdam, The Netherlands and presently, as Professor of Reproductive Medicine at Queen Mary Medical School, University of London.Professor Homburg now consults in both the UK, as Head of Research at the Homerton Fertility Centre, Homerton University Hospital in Hackney, London and in Israel, as the National Advisor on Fertility for Maccabi Medical Services and as a consultant at Barzilai Medical Centre, Ashkelon.As a fertility specialist, Professor Homburg has a worldwide reputation having published 200 research articles and chapters in books and has written/edited seven books. He has been invited to lecture in all five continents at frequent intervals and has won prizes for his research at the British Fertility Society, the American Society of Reproductive Medicine, the European Society of Human Reproduction and Embryology (ESHRE) and the Israel Fertility Society (3 times).Professor Homburg's main interests and speciality are the treatment of infertility in general, polycystic ovary syndrome, ovulation induction, ovarian stimulation and IVF.

• Introduction.- A potted history of ovulation induction.- Physiology of ovulation.- Diagnosis and causes of anovulation.- General factors influencing ovarian function and the prognosis for ovulation induction.- Assessment of ovarian reserve.- Management of hypogonadotrophic-hypogonadism.- Understanding the problems of treating PCOS.- Anti-oestrogens.- Low-dose gonadotrophin therapy for ovulation induction.- Insulin lowering agents.- Laparoscopic ovarian drilling.- Management of hyperprolactinaemia.- Gonadotrophins for ovulation induction.- Unexplained infertility.- Controlled ovarian stimulation for intra-uterine insemination.- Controlled ovarian stimulation for IVF/ICSI.- Management of poor responders.- Management of high responders.- Mild stimulation protocols.- Ovarian hyperstimulation syndrome.- Multiple pregnancies.- Future perspectives.

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