Preface to Management of Infertility for the MRCOG and Beyond

Siladitya Bhattacharya*, Mark Hamilton

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingForeword/postscript


Infertility affects up to one in six couples and remains a major cause of distress in both men and women. Concerns about fertility continue to grow across the world along with economic and social pressures causing women to delay childbirth, and the impact of lifestyle factors such as obesity, smoking and alcohol intake. The last two decades have witnessed a shift towards evidence-based fertility treatment and greater awareness of the need to ensure the highest standards of safety. Management of infertility has moved away from an aetiological pathway where physicians identify and then treat an underlying pathology, to a prognostic approach where the decision to initiate treatment is driven by awareness of a couple's chances of spontaneous conception and what can be achieved with intervention. To address the changes in the way fertility problems are now diagnosed, investigated and managed, we have substantially redesigned the third edition of this book, enlisting a new cast of authors and expanding the scope of the text. While the evidence base underpinning the choice of tests and treatments is sometimes far from secure, clinical decisions should be made jointly with patients and should maximise health gains while minimising costs and risks. Infertility remains an integral part of core training for those taking the MRCOG examination. We hope that this book will provide a concise guide to fertility practice for trainees as well as for specialists.

Original languageEnglish
Title of host publicationManagement of Infertility
Subtitle of host publicationfor the MRCOG and Beyond
EditorsSiladitya Bhattacharya, Mark Hamilton
PublisherCambridge University Press
Number of pages1
ISBN (Electronic)9781107445178
Publication statusPublished - Jun 2014


  • Medicine
  • Obstetrics and gynecology
  • Reproductive medicine


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