Journal of Minimally Invasive Gynecology (2006) 13, 79
Overcoming Infertility: A Guide for Jewish Couples By Richard V. Grazi, MD, The Toby Press, New Milford, CT, 2005, 537 pages, $29.95 This wonderfully planned, somewhat lengthy book provides a scholarly, in-depth review of the impact of Jewish law (Halacha) on the lives of orthodox Jewish couples in the diagnosis and management of their infertility problems. The chapters are filled with many references from centuries of rabbinical debate, complemented by adequate quotes from modern scientific literature. It forms a wonderful reference for couples, their physicians, and rabbis. Respect for their medical needs and awareness of the limitations imposed by Jewish laws must be addressed to effectively provide adequate treatment for these couples. It is a must-have reference text for all rabbis counseling Jewish infertile couples as it provides many resources regarding pathophysiology and therapeutic options related to these matters. For all doctors who may treat orthodox Jewish couples, it provides insight guiding their knowledge and sensitivity to the manner in which these patients’ religious observance clearly affects their level of participation in their care.
1553-4650/$ -see front matter © 2006 AAGL. All rights reserved. doi:10.1016/j.jmig.2005.10.001
Dr. Grazi provides extensive reviews and references on the Halacha and direction on how to address fundamental issues such as timing of ovulation, methods of collection of sperm for insemination, the impact of cryo-preservation of sperm in accordance with Jewish law, and a directive as to what may or may not be performed on the Sabbath and Jewish holidays. Deep insight regarding ethical interpretations related to donor oocytes, donor sperm, artificial insemination, and all aspects of assisted reproductive technology are provided in a balanced and scholarly manner. This book is a must-read for all health care providers in the reproductive field who care for orthodox Jewish couples. It will facilitate elevation in the level of care by the health care provider, who will be better equipped to communicate with the patients and their rabbis to maximize their participation in the effort to resolve their problems. Brian M. Cohen, MBChB, MD Cohen Center Medical City Hospital Clinical Professor UTSW Medical School Dallas, TX