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Chapter 1
Do you have an infertility problem ? When to Start Worrying!

Chapter 2
How Babies are Made - The Basics

Chapter 3
Finding Out What’s Wrong -- The Basic Medical Tests

Chapter 4
Testing the Man - Semen Analysis.

Chapter 5
Beyond the Semen Analysis

Chapter 6
Diagnosis and Treatment for Male Infertility -- More Confusion !

Chapter 7
The Case of the Man with a Low Sperm Count.

Chapter 8
Microinjection: The Latest Advance in Treating the Infertile Man.

Chapter 9
Ultrasound - Seeing with Sound.

Chapter 10
Laparoscopy -- The Kinder Cut

Chapter 11
Hysteroscopy

Chapter 12
The Tubal Connection

Chapter 13
Ovulation -- Normal and Abnormal

Chapter 14
The Older Woman

Chapter 15
Polycystic Ovarian Disease (PCOD)

Chapter 16
The Cervical Factor

Chapter 17
Hirsutism -- Excess Facial and Body Hair

Chapter 18
Endometriosis -- The Silent Invader

Chapter 19
Ectopic Pregnancy – The Time Bomb in the Tube

Chapter 20
Unexplained Infertility

Chapter 21
Secondary Infertility -- Caught Between Fertile And Infertile Worlds

Chapter 22
Empty Arms -- The Lonely Trauma of Miscarriage

Chapter 23
Understanding Your Medicines

Chapter 24
Intrauterine Insemination

Chapter 25
Test Tube Babies - IVF & GIFT

Chapter 26
PREIMPLANTATION GENETIC DIAGNOSIS - the newest ART
Chapter 27
Using Donor Sperm

Chapter 28
Surrogate Mothering

Chapter 29
When Enough is Enough - The Decision to End Treatment

Chapter 30
Adoption - Yours by Choice

Chapter 31
Childfree living - Life without children

Chapter 32
Stress And Infertility

Chapter 33
The Emotional Crisis of Infertility

Chapter 34
How to Cope with Infertility

Chapter 35
Infertility and Sexuality

Chapter 36
Support Groups-Self-Help is the Best Help

Chapter 37
Myths and Misconceptions

Chapter 38
Helping Hands - How Friends and Relatives can Help

Chapter 39
RIGHTS OF THE INFERTILE COUPLE - AND WHAT SOCIETY NEEDS TO DO ABOUT THEM

Chapter 40
Alternative Medicine: Exploring Your Treatment Options

Chapter 41
Making Decisions about Treatment

Chapter 42
How to Find the Best Doctor

Chapter 43
How to Make the Most of Your Doctor

Chapter 44
Let the reader beware - making sense of medical stories in the news

Chapter 45
THE INFERTILE PATIENT'S GUIDE TO THE INTERNET

Chapter 46
The Ethical Issues - Right or Wrong ?

Chapter 47
How Much Does Treatment Cost?

Chapter 48
Pregnant - At Last !

Chapter 49
Preventing Infertility

Chapter 50
The Infertile Patient's Prayer and Infertility "Defined"

Chapter 51
Making IVF affordable

Chapter 52
Why are women scared of IVF ?

Chapter 53
INFERTILITY RECORD SHEET


Chapter 54
Self-Insemination

Helping Hands - How Friends and Relatives can Help

This chapter is to help friends and family members to understand the needs of an infertile couple better. Sometimes it's difficult to know what to say to a couple who are confronted by an infertility problem because it's such a private matter, that you'd rather not intrude. And, sometimes, it seems as if no matter what you do or say, it's the wrong thing.

Here are a few suggestions which may help you provide the support they need.

1. Be ready to listen. Infertile couples have a lot on their mind and need someone to talk to - help them get things off their chest.

2. Don't offer advise unless you are very well informed . You may not be sure what their specific medical problem is - and in any case, if they need medical advise, they can get it from their doctor.

3. Be sensitive and don't joke about infertility. Remember, infertile couples are hypersensitive about many things - try to put yourself in their shoes.

4. Be patient. Infertile couples are on an emotional roller-coaster and often their moods and actions are unpredictable. Don't get hurt when they seem to be preoccupied with their problems - they are not rejecting you when they want to be alone.

5. Be realistic and supportive of their decisions. Once they've reached a difficult decision, support them, no matter what your personal feelings may be. After all, this is their decision , so don't say things like " I'd never consider doing that !"

6. Don't criticise their doctor or treatment choices. This only serves to aggravate their stress.

7. Understand that individuals and couples respond to infertility differently. Accept them for what they are, as they are, when they are.

8. Above all, be there when they need you and show them that you care.

There is rarely a quick or simple answer to infertility problems. Assessment and treatment procedures usually take considerable time. You can help by not forcing the issue with questions such as "When are you going to have a baby ?" They may not know if they can have a child, much less when it will be. You can help by allowing them to decide if and when they want to talk about it.

Each couple's experience of infertility is very real for them and cannot be compared with others as being more or less serious. The wish to have a baby, and the fear that it might not be possible, is of paramount importance. You can help by not comparing them with other people you may know about. Refrain from telling stories about other infertile couples - they are rarely helpful.

It is not helpful or medically sound to offer advice such as "relax", "take a holiday", etc. You can help by not giving misguided, albeit well intended, advice, and by helping to break down the myths that surround fertility difficulties.

Some people consider infertility to be a private concern. Yet others find comfort in being able to share it with close friends and family members. It is normal for people to feel sad, angry or depressed at times. You can help by respecting their need for privacy - or, by offering support if there is a need to talk about it. Be prepared to accept the expression of feelings such as anger, sadness and depression.

Those experiencing infertility often feel inadequate because they have no control over their reproductive system. You can provide support by recognising and helping them to see the strengths, qualities and achievements in other areas of their lives.

Some people experience fertility problems after having one child. This is devastating and frustrating for those who feel their families are incomplete. You can offer support by understanding what this means to them. Avoid comments such as "You're lucky to have a child at all!".

Your encouragement, understanding and support for your infertile friend or relative can help to guide them on their long road to resolving their infertility. This support is crucial to their emotional healing.

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