Reproductive Ageing

Part I. Background to Ageing and Demographics: 1. Ageing: what is it and why does it happen? Finbarr Martin and Jane Preston; 2. Culture and reproductive ageing Maya Unnithan; 3. Ageing; 4. What has happened to reproduction in the 20th century? Beverley Botting; 5. Trends in fertility: what does the 20th century tell us about the 21st? Stijn Hoorens; 6. Demographics; Part II. Basic Science of Reproductive Ageing: 7. Is ovarian ageing inexorable? Roger Gosden and Lucinda Veeck Gosden; 8. The science of ovarian ageing: how might knowledge be translated into practice? Stephen G. Hillier; 9. Basic science: eggs and ovaries; 10. Male reproductive ageing Herman Tournaye; 11. The science of the ageing uterus and placenta Gordon C. S. Smith; 12. Basic science: sperm and placenta; Part III. Pregnancy: The Ageing Mother and Medical Needs: 13. The effect of age on obstetric (maternal and fetal) outcomes Anna Kenyon and Susan Bewley; 14. The older mother and medical disorders of pregnancy Mandish K. Dhanjal; 15. The ageing mother and medical needs; Part IV. The Outcomes: Children and Mothers: 16. What is known about children born to older parents? Alastair Sutcliffe and Yasmin Baki; 17. Consequences of changes in reproductive patterns on later health in women: a life course approach Gita Mishra and Rachel Cooper; 18. The outcomes: children and mothers; Part V. Future Fertility Insurance: Screening, Cryopreservation or Egg Donors?: 19. Screening for early ovarian ageing Abha Maheshwari, Ahmed Gibreel and Siladitya Bhattacharya; 20. Egg freezing: the reality and practicality Helen Picton and Emma Chambers; 21. Assisted conception: uses and abuses Melanie Davies; 22. Future fertility insurance; Part VI. Sex beyond and after Fertility: 23. Contraception for older couples Diana Mansour; 24. Ageing, infertility and gynaecological conditions: how do they affect sexual function? Catherine Coulson; 25. Sex beyond and after fertility; Part VII. Reproductive Ageing and the RCOG: An International College: 26. What should be the RCOG's relationship with older women? Donna Dickenson; 27. Reproductive ageing and the RCOG; Part VIII. Fertility Treatment: Science and Reality - The NHS and the Market: 28. Evidence-based and cost-effective fertility investigation and treatment of older women: moving beyond NICE David Barlow; 29. Bang for the buck: what purchasers and commissioners think and do Berkeley Greenwood; 30. Fertility treatment: science and reality - the NHS and the market; Part IX. The Future: Dreams and Waking Up: 31. In our wildest dreams: making gametes Peter Braude; 32. The future: dreams; 33. Managing expectations and achieving realism: the individual journey from hope to closure Kate Brian; 34. Managing expectations and achieving realism: the 'realpolitik' of reproductive ageing and its consequences Zoe Williams; 35. The future: waking up; Part X. Consensus Views: 36. Consensus views arising from the 56th Study Group: Reproductive Ageing; Index.