LEADER 01330oam 2200337z- 450 001 9910908993103321 005 20250602193325.0 010 $a9782913272750 010 $a2913272754 035 $a(CKB)5580000000939093 035 $a(EXLCZ)995580000000939093 100 $a20241218c2022uuuu |u| | 101 0 $aeng 200 13$aLe prieure? Saint-Cosme pre?s de Tours (La Riche, Indre-et-Loire) $ehistoire et arche?ologie d'un monaste?re satellite de Saint-Martin de Tours /$fBruno Dufay? 210 $cFédération pour l?édition de la Revue archéologique du Centre de la France 311 08$a9782913272675 311 08$a2913272673 517 3 $aPrieuré Saint-Cosme près de Tours 606 $aReligious architecture$zFrance$zLa Riche$xHistory 606 $aMonasteries$zFrance$zLa Riche$xHistory 606 $aPriories$zFrance$zLa Riche$xHistory 607 $aLa Riche (France)$xBuildings, structures, etc$xHistory 607 $aLa Riche (France)$xBuildings, structures, etc$xAntiquities 615 0$aReligious architecture$xHistory. 615 0$aMonasteries$xHistory. 615 0$aPriories$xHistory. 700 $aDufay?$b Bruno$01291562 906 $aBOOK 912 $a9910908993103321 996 $aLe prieure? Saint-Cosme pre?s de Tours (La Riche, Indre-et-Loire)$94383074 997 $aUNINA LEADER 04790nam 22006015 450 001 9910300164003321 005 20200706023719.0 010 $a3-319-18654-X 024 7 $a10.1007/978-3-319-18654-2 035 $a(CKB)3710000000460305 035 $a(EBL)3568052 035 $a(SSID)ssj0001546583 035 $a(PQKBManifestationID)16141496 035 $a(PQKBTitleCode)TC0001546583 035 $a(PQKBWorkID)14796537 035 $a(PQKB)10776248 035 $a(DE-He213)978-3-319-18654-2 035 $a(MiAaPQ)EBC3568052 035 $a(PPN)188456961 035 $a(EXLCZ)993710000000460305 100 $a20150804d2015 u| 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aOvulation Stimulation with Gonadotropins /$fby Jean-Claude Emperaire 205 $a1st ed. 2015. 210 1$aCham :$cSpringer International Publishing :$cImprint: Springer,$d2015. 215 $a1 online resource (182 p.) 300 $aDescription based upon print version of record. 311 $a3-319-18653-1 320 $aIncludes bibliographical references at the end of each chapters. 327 $aForeword -- Preface.- Past and Present: Evolution of ideas.- Physiology: The ante-hypophysis ? ovarian follicle couple.- Follicle Stimulating Hormone (FSH).- Luteinizing hormone (LH).- Human Chorionic Gonadotropin (hCG).- Which Gonadotropin? FSH. LH. hCG. Practical considerations.- Prior to the stimulation -- Looking for other infertility factors.- Assessment of the patient?s status.- Assessment of the ovarian status.- The Monitoring; Hormonal (functional) monitoring; Sonographic (morphological) monitoring; Monitoring post-hCG?.- The Triggering of Ovulation.- The ovulatory process.- Spontaneous triggering of ovulation -- Therapeutic triggering of ovulation.- The luteal phase support.- Mono- and pauci- follicular stimulation.- Multi-follicular stimulation.- The Prevention of Complications.- Multiple pregnancy.- The ovarian hyperstimulation syndrome.- Classic Stimulation.- mono-, bi- or pauci- follicular.- The objectives.- The means.- The Stimulation of the ovulatory Patient.- Monofollicular stimulation.- Bifollicular stimulation.- Paucifollicular stimulation.- The Stimulation of the anovulatory patient.- The diagnosis of anovulation; Hypogonadotropic anovulation -- Normogonadotropic anovulation -- Hypergonadotropic anovulation.- Multifollicular Stimulation.- Past and present.- Handling the multifollicular stimulation.- Poor ovarian responses -- Conclusion. 330 $aHow does one learn to stimulate ovulation? Often by oneself, when there is no opportunity to benefit from a mentor?s experience. But options abound regarding the evaluation strategy, protocol design, gonadotropin preparations, posology, treatment duration, and when and how to trigger ovulation. Proper, safe stimulation requires critical anticipation of ovarian reactions. There seems to be little evidence-based consensus in the field of ovarian stimulation. Though they all face the same situation, there seem to be nearly as many procedures as there are clinicians in the field; as a result, approaches may vary within a given fertility center or even in the same team. Even though efforts have been made to arrive at a general consensus, the basic guidelines are often reinterpreted according to individual inclinations; hence the need to turn to experience-based decisions. This book is based on the author?s experience gathered over forty years and more than 30,000 cycles of classical and IVF ovulation stimulations, particularly the thousand most recent cycles that resulted in a clinical pregnancy. It is not intended as a ?perfect solution?, as other approaches certainly remain valid. Rather, the book presents the author?s own analysis and insights gained from managing thousands of stimulation cycles. 606 $aGynecology 606 $aReproductive health 606 $aMedicine 606 $aGynecology$3https://scigraph.springernature.com/ontologies/product-market-codes/H26006 606 $aReproductive Medicine$3https://scigraph.springernature.com/ontologies/product-market-codes/H56002 606 $aBiomedicine, general$3https://scigraph.springernature.com/ontologies/product-market-codes/B0000X 615 0$aGynecology. 615 0$aReproductive health. 615 0$aMedicine. 615 14$aGynecology. 615 24$aReproductive Medicine. 615 24$aBiomedicine, general. 676 $a610 700 $aEmperaire$b Jean-Claude$4aut$4http://id.loc.gov/vocabulary/relators/aut$0271149 906 $aBOOK 912 $a9910300164003321 996 $aOvulation Stimulation with Gonadotropins$92510878 997 $aUNINA