News & Scope Handai Hospital No. 75
Alleviating Pain and Distress of Patients and Families – Palliative Care Center Opens –
Japan's rapidly declining birth rate is unparalleled in the world. Against this background, couples who desire to become pregnant but have been unable to do so, or couples who have repeatedly suffered miscarried, are estimated to be more than about 10% of all couples. It is important from the aspect of medical care, but also for suppression of decrease in birth rate, to establish a comprehensive policy for supporting these couples.
In the circumstances of recently-increased social needs for treatment of infertility/recurrent pregnancy loss, based on the above concept, the Center for Reproductive Medicine was formed centered on Urology and Obstetrics & Gynecology. We manage perinatal pregnancies and provide genetic counseling services in cooperation with the staff of Pediatrics, the Center for Maternal, Fetal and Neonatal Medicine, Pediatric Surgery, and the Department of Genetic Counseling. Such a system has been established so that infertility/recurrent pregnancy loss in patients suffering from underlying diseases in particular can be treated in organic and comprehensive cooperation with all the clinical sections.
In principle, to treat infertility and recurrent pregnancy loss, we examine a man and a woman as a couple. Conventionally, for couples who desire to have a child, first female patients have been examined by Obstetrics & Gynecology, and then the cause of infertility has been looked into at the infertility medicine clinic. Some examinations such as a semen test can be done on male patients in Obstetrics & Gynecology. However, a considerable number of male patients need to consult Urology. For these couples, the appointment is arranged so that they can receive counseling, consultation, and examinations by medical staff from Urology and Obstetrics & Gynecology at the same time on the appointed day.
Among couples requiring advanced reproductive medical techniques such as in-vitro fertilization and micro-insemination, male patients with oligozospermia and azoospermia from whom sperm need to be surgically collected by a surgeon of Urology are treated collaboratively by Urology and Obstetrics & Gynecology with the patient's informed consent. Patients who have repeatedly suffered miscarried are treated based on the results of examinations in Urology and Obstetrics & Gynecology and the evidence, and have counseling at the Department of Genetic Counseling if needed.
In some cases, patients may lose fertility due to chemotherapy, radiotherapy, etc. to treat malignant tumor in their childhood, or before becoming capable of pregnancy. To address this problem, we are preparing to conduct a clinical study on a method that enables the gonad glands of patients with tumor to be spared prior to treatment as far as possible for the potential to have a child, which is now at the stage of research.
Patients are accepted by the Urology and Obstetrics & Gynecology clinics. Please contact the Social Service Department, instead of directly to the above clinical sections, to make an appointment, insofar as possible.
|Urology||Every Monday, 2:pm -|
|Obstetrics & Gynecology||Every Monday, 2:pm -|
|First visit||8:30 am to 11:00 am|
|Revisit||8:30 am to 11:30 am|
|Revisit with appointment||8:30 am to 3:00 pm|
※First-time visitors to Osaka University Hospital must have a referral from a physician.
Monday to Friday
Saturdays, Sundays, Holidays New Year’s Holidays: Dec. 29 to Jan. 3