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Reproductive Consequences of Pediatric Disease, An Issue of Endocrinology and Metabolism Clinics of North America, E-Book

Reproductive Consequences of Pediatric Disease, An Issue of Endocrinology and Metabolism Clinics of North America, E-Book

Peter A. Lee

(2016)

Additional Information

Book Details

Abstract

This issue of Endocrinology and Metabolism Clinics of North America is devoted to Reproductive Endocrinology.  Guest Editors Peter Lee, MD and Christopher P. Houk, MD have assembled a group of expert authors to review the following topics: Fertility Among Females and Males with Congenital Adrenal Hyperplasia (21-Hydroxylase Deficiency); Reproductive Issues for Turner Syndrome; Fertility and Reproduction Among Childhood Cancer Survivors; Fertility After Crypotochidism; Male Obesity and Fertility; Fertility Issues among Transgender Individuals; Fertility Preservation in Pediatrics; Polycystic Ovary Syndrome (PCOS); Fertility Issues for Patients With Delayed Puberty (Constitutional Delay, Functional Delay, and Hypogonadotropism); Varicocele; Testis Development and Reproduction in Klinefelters Syndrome; and Fertility Issues Among Those With Disorders of Sex Development.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Reproductive Consequences of \rPediatric Disease i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITORS iii
AUTHORS iii
Contents vii
Foreword: Reproductive Endocrinology \r vii
Preface\r vii
Infertility and Reproductive Function in Patients with Congenital Adrenal\rHyperplasia: Pathophysiology, Advances in Management, and Recent Outcomes\r vii
Reproductive Issues in Women with Turner Syndrome\r vii
Gonadal Function and Fertility Among Survivors of Childhood Cancer\r vii
Cryptorchidism and Fertility\r viii
Male Obesity\r viii
Psychological Outcomes and Reproductive Issues Among Gender Dysphoric Individuals\r viii
Reproductive System Outcome Among Patients with Polycystic Ovarian Syndrome \x0B viii
Fertility Preservation in Children and Adolescents\r ix
Fertility Issues for Patients with Hypogonadotropic Causes of Delayed Puberty\r ix
Adolescent Varicoceles and Infertility\r ix
Testis Development and Fertility Potential in Boys with Klinefelter Syndrome\r ix
Fertility Issues in Disorders of Sex Development\r x
ENDOCRINOLOGY AND\rMETABOLISM CLINICS OF\rNORTH AMERICA\r xi
FORTHCOMING ISSUES xi
March 2016 xi
June 2016 xi
September 2016 xi
RECENT ISSUES xi
September 2015 xi
June 2015 xi
March 2015 xi
Foreword: Reproductive Endocrinology \r xiii
Preface xvii
Infertility and Reproductive Function in Patients with Congenital Adrenal Hyperplasia 705
Key points 705
INTRODUCTION 705
FERTILITY IN WOMEN WITH CONGENITAL ADRENAL HYPERPLASIA 707
Pregnancy and Fertility Rates 707
Proposed Factors Contributing to Reduced Fertility 707
Both classic and nonclassic congenital adrenal hyperplasia 707
Factors unique to classic congenital adrenal hyperplasia 708
Fertility Treatments 709
PREGNANCY AND ITS OUTCOMES 709
FERTILITY IN MEN WITH CONGENITAL ADRENAL HYPERPLASIA 710
Fertility and Fecundity Rates 710
Factors Contributing to Reduced Fertility 711
Testicular adrenal rest tumors 711
Leydig cell dysfunction 712
Sertoli cell dysfunction 712
Glucocorticoid overtreatment 713
Psychological factors and quality of life 713
Diagnostic Approach and Evaluation 713
Fertility Treatments 713
REFERENCES 715
Reproductive Issues in Women with Turner Syndrome 723
Key points 723
INTRODUCTION 723
OVARIAN DEVELOPMENT IN WOMEN WITH TURNER SYNDROME 724
PUBERTAL MATURATION IN TURNER SYNDROME 727
Gonadotropins and Ovarian Hormone Production 727
Ovarian and Uterine Growth 727
Menstrual Function 727
PREGNANCY IN TURNER SYNDROME 728
Assisted Reproductive Technology 728
Pregnancy Outcomes 729
RISKS AND COMPLICATIONS OF PREGNANCY 730
Cardiovascular Disorders 730
Hepatic Disease 731
Thyroid Disease 731
Diabetes and Glucose Metabolism 731
Cesarean Section Delivery 732
Prepregnancy Counseling 732
PROFESSIONAL SOCIETY RECOMMENDATIONS 732
SUMMARY 734
REFERENCES 734
Gonadal Function and Fertility Among Survivors of Childhood Cancer 739
Key points 739
INTRODUCTION 739
FERTILITY IN MALE LONG-TERM SURVIVORS 740
Chemotherapy 740
Gonadal damage and alkylating agents 740
Gonadal damage and stem cell transplantation with high-dose chemotherapy 740
Fertility and alkylating agents in the Childhood Cancer Survivor Study 741
Fertility and stem cell transplantation 741
Radiation Therapy 742
Gonadal damage and radiation exposure 742
Fertility and gonadal radiation 742
Fertility and cranial radiation 742
FERTILITY IN FEMALE LONG-TERM SURVIVORS 743
Chemotherapy 743
Gonadal damage and alkylating agents 743
Gonadal damage and stem cell transplantation with high-dose chemotherapy 744
Antimüllerian hormone 744
Fertility and alkylating agents in the Childhood Cancer Survivor Study 744
Radiation Therapy 745
Gonadal damage and radiation exposure 745
Fertility and gonadal radiation 745
Fertility and cranial radiation 746
SUMMARY 746
REFERENCES 746
Cryptorchidism and Fertility 751
Key points 751
GERM CELL PROLIFERATION DURING CHILDHOOD 751
GERM CELL LOSS IN CRYPTORCHIDISM 752
EFFECT OF TREATMENT ON GERM CELLS—HUMAN CHORIONIC GONADOTROPIN, GONADOTROPIN-RELEASING HORMONE 752
PATERNITY RATES 752
SPERM CONCENTRATION AND ADULT TESTICULAR SIZE AFTER CRYPTORCHIDISM 753
ACQUIRED CRYPTORCHIDISM AND FERTILITY 755
SUMMARY 756
REFERENCES 756
Male Obesity 761
Key points 761
INTRODUCTION 761
SCOPE AND RESEARCH QUESTIONS 762
OBESITY IN CHILDHOOD AND ADOLESCENCE 763
MALE PUBERTY 764
MALE FERTILITY 765
CHILDHOOD GROWTH, FAT MASS DEVELOPMENT, AND MALE PUBERTY 765
EFFECTS OF PUBERTY ON OBESITY 766
PUTATIVE INFLUENCE OF OBESITY ON TIMING OF PUBERTY 766
EFFECTS OF OBESITY ON MALE REPRODUCTION 767
MOLECULAR MECHANISMS OF ADIPOSE TISSUE MODULATION OF MALE PUBERTY AND REPRODUCTION 768
SUMMARY AND RESEARCH AGENDA 770
ACKNOWLEDGMENTS 770
REFERENCES 770
Psychological Outcomes and Reproductive Issues Among Gender Dysphoric Individuals 773
Key points 773
INTRODUCTION 773
EPIDEMIOLOGY 774
ETIOLOGY 774
DIAGNOSIS 775
TREATMENT 775
Completely Reversible Interventions 775
Partially Reversible Interventions 777
Irreversible Interventions 779
PSYCHOLOGICAL OUTCOMES 779
REPRODUCTIVE AND FERTILITY OUTCOMES 781
SUMMARY 782
REFERENCES 783
Reproductive System Outcome Among Patients with Polycystic Ovarian Syndrome 787
Key points 787
REPRODUCTIVE OUTCOME IN POLYCYSTIC OVARY SYNDROME: ANOVULATORY AND OVULATORY PATIENTS 787
MECHANISMS OF ANOVULATION IN POLYCYSTIC OVARY SYNDROME 788
IMPROVEMENT OF FERTILITY DURING LATE REPRODUCTIVE AGE IN POLYCYSTIC OVARY SYNDROME 790
MENOPAUSAL AGE IN WOMEN WITH POLYCYSTIC OVARY SYNDROME 792
A RATIONALE APPROACH TO INFERTILITY TREATMENT IN POLYCYSTIC OVARY SYNDROME 793
REFERENCES 794
Fertility Preservation in Children and Adolescents 799
Key points 799
INTRODUCTION 799
INDICATIONS FOR FERTILITY PRESERVATION 800
GAMETE CRYOPRESERVATION 802
Ethical and Psychosocial Considerations for Fertility Preservation 803
Evaluation of Fertility Potential 803
Fertility Preservation Counseling 804
Fertility Preservation Treatment Options 806
Prepubertal Boys 807
Testicular tissue freezing 807
Spermatogonial stem cell transplantation, xenotransplantation, and in vitro maturation of sperm 807
Postpubertal Boys 807
Sperm cryopreservation 807
Testicular sperm extraction 808
Prepubertal Girls 808
Ovarian tissue cryopreservation 808
Ovarian transposition/oophoropexy 808
Postpubertal Girls 809
Mature oocyte cryopreservation 809
In vitro maturation of immature oocytes 810
Embryo cryopreservation 810
Trachelectomy 811
Medical gonadal suppression 811
Uterine transplantation 812
Posttreatment options 812
SUMMARY 812
REFERENCES 812
Fertility Issues for Patients with Hypogonadotropic Causes of Delayed Puberty 821
Key points 821
INTRODUCTION 821
IS SELF-LIMITED DELAYED PUBERTY BENIGN? 822
Adult Height 823
Bone Mineral Density and Fracture 823
FUNCTIONAL HYPOGONADOTROPIC HYPOGONADISM 824
Resumption of Menses 824
Observational studies 824
Interventional studies 825
Pregnancy 826
Prognostic Factors for Recovery 826
IDIOPATHIC HYPOGONADOTROPIC HYPOGONADISM 827
Women 828
Men 828
Prognostic Factors for Fertility 828
SUMMARY 830
REFERENCES 830
Adolescent Varicoceles and Infertility 835
Key points 835
INTRODUCTION 835
PATHOPHYSIOLOGY OF VARICOCELES 836
INDICATIONS FOR TREATMENT OF VARICOCELES 837
Varicocele-Associated Pain 837
Varicocele-Associated Hypogonadism 837
Varicocele and Adult Male Infertility 837
Adolescent Varicoceles 838
APPROACH TO VARICOCELE REPAIR 839
SUMMARY 840
REFERENCES 840
Testis Development and Fertility Potential in Boys with Klinefelter Syndrome 843
Key points 843
INTRODUCTION 843
EPIDEMIOLOGY 844
CLINICAL FEATURES 844
PATHOPHYSIOLOGY 845
TESTICULAR DEVELOPMENT, FUNCTION, AND PATHOLOGY 845
Fetal 846
Infancy 846
Prepubertal Childhood 850
Puberty 850
Adulthood 851
MEDICAL MANAGEMENT 851
Infancy 851
Childhood 852
Puberty 852
Adults 853
FERTILITY AND REPRODUCTION 853
FUTURE CONSIDERATIONS/SUMMARY 856
REFERENCES 857
Fertility Issues in Disorders of Sex Development 867
Key points 867
INTRODUCTION 867
46,XY DISORDERS OF SEX DEVELOPMENT 868
Complete Forms of 46,XY Disorders of Sex Development 868
Partial forms of 46,XY Disorders of Sex Development 868
Partial gonadal dysgenesis 870
Partial androgen synthesis defects 871
Luteinizing hormone receptor 871
Steroidogenic acute regulatory protein and cholesterol side-chain cleavage 872
Cytochrome P450c17 872
P450 oxidoreductase 872
3β-hydroxysteroid dehydrogenase type 2 872
17β-hydroxysteroid dehydrogenase type 3 872
5α-reductase type 2 872
AKR1C2/AKR1C4 873
Androgen receptor 873
Anti-Müllerian hormone/anti-Müllerian hormone receptor 2 873
46,XX DISORDERS OF SEX DEVELOPMENT 873
Congenital Adrenal Hyperplasia 873
11β-hydroxylase 875
3β-HSD2 875
P450 oxidoreductase 875
Aromatase Deficiency 875
Management of Fertility Issues 876
OVOTESTICULAR AND TESTICULAR DISORDERS OF SEX DEVELOPMENT 876
Ovotesticular Disorders of Sex Development 877
46,XX Testicular Disorders of Sex Development 877
SUMMARY 877
REFERENCES 877
Index 883