Abstract
Family planning, desire to have children and fertility in
older woman Older couples who wish to have children are not the exception
in gynecological practice. It is crucial for these patients
to commence basic diagnostics as soon as possible and to
start the required treatment immediately. It is also of fundament
importance to estimate the slender prospects of
success of conventional therapies, such as clomiphene stimulation
and intrauterine insemination, realistically.Care
should be taken not to spend too much time on measures
that have little prospect of success.
From the beginning, couples should be made aware of the
limited perspective, even if advanced techniques such as in
vitro fertilisation (IVF) and controlled ovarian hyperstimulation
are employed.
Beyond that, pregnancy loss and chromosomal anomalies
represent a further psychological burden that increases Wolf Michel Gynaekologicum Hamburg, Praxis für gynäkologische Endokrinologie und Reproduktionsmedizin, Hamburg Reviewer:Thilo Schill, Hannover und Andreas Tandler-Schneider, Berlin
CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2008; 4(2): 104-114
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