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Archive for November, 2009

Reasons for Infertility – Ovulation Induction’s Role?

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One of the main causes of female infertility is the lack of ovulation. Ovulation is a very complicated cascade of events that we take for granted, like so many things in the world, that results in the production of an egg in the woman’s ovary, and then a release of that egg so that the egg can be picked up by the fallopian tube and then be fertilized. If this is not happening, we can augment the process by stimulating the ovary to release the egg.There are two general classes of medications that are available for this. One class of medication stimulates the body to make more of a particular hormone called FSH, follicle stimulating hormone. The body that makes the FSH, and the FSH stimulates the ovary to cause ovulation to occur. These medications are typically given in pill form, and they consist of clomiphene or Clomid, tamoxifen. There are the aromatase inhibitors. All of these drugs work the same way. They are given orally, they fool the body into thinking there is less estrogen than there should be, and the body makes more FSH, and causes the woman to ovulate. The majority of women with a condition such as polycystic ovary syndrome, PCOS, will ovulate in response to these oral agents. However, if these do not work, we have to move on to injectable medications. Injectable medications essentially are injectable FSH, follicle stimulating hormone, which is the hormone that stimulates the follicle to grow and then to release the egg. Injectable FHS can be given in a variety of doses, again, to help the ovary produce the egg. The trouble with FSH injections is, first of all, they are expensive. The woman has to take daily injections, and it’s quite difficult to control the production of a single egg. Most commonly, we get the production of multiple eggs. This is good if you’re doing high-tech fertility, but it’s not so good if you’re doing ovulation induction, where you really don’t want the woman to have more than one baby at a time. So it’s pretty tricky to control the dose just right to get her to ovulate that single egg. For this reason, that patient is required to have ultrasounds, blood tests, and so on, to monitor her response in the ovaries, whereas the orally active agents like clomiphene or tamoxifen typically do not require that type of monitoring. The patient can take the pill at home and then simply have intercourse at the time of ovulation.

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Hormone Infertility – Progesterone And It’s Role In Pregnancy

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Infertility Option – IVF Treatments Extremely Successful!

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Infertility has become an increasing concern all over the world. It is indeed one of the most common issues that couples deal with in this fast paced world of ours. Infertility problems have always existed. However, there were very few couples that would speak about the problem due to the social stigma associated with this medical condition. Also, people didn’t have as much faith and belief in medical science as they have today.

Due to the increased stress factors and anxiety in today’s fast paced world, people are now experiencing different physical constraints and infertility is on the rise. There are many couples trying to have a baby, but they have failed for one reason or another. The reason could be related to female infertility, male infertility, or a combination of both. It is also possible that there is an unknown explanation. Although the problems are real there is usually some good news for most couples. A large majority of infertility cases are treatable, either naturally or medically.

Although it is not usually the first option, there is one treatment that has been highly successful. That treatment is IVF or In Vitro Fertilization.

IVF is a unique reproduction technique in which the egg cells are fertilized outside of the womb. The procedure is carried out in a vitro or glass (laboratory dish). The male sperm and the female egg are manually combined and fertilized producing a viable embryo. After the fertilization is completed, the embryo is placed back into the female’s uterus. IVF is sometimes a last resort alternative for couples with specific infertility problems. An infertility specialist will usually place multiple embryos back in the womb, which may lead to multiple births. The reason for the use of multiple embryos may be related to either cost associated with the procedure or the specialist’s interest in building a higher success rate for his/her practice. Multiple births are the number one risk associated with this form of infertility treatment. Multiple births usually create a premature delivery, which in turn may be stressful on the unborn babies as well as the mom.

Infertility is caused due to various reasons as stated before, and sometimes without any diagnosable reason as well. IVF infertility treatment is a complicated and very expensive procedure that may or may not be covered by your insurance. This procedure is usually not recommended unless the couple has tried all other options available to conceive naturally.

IVF is not for everyone; there is an eligibility criterion that is used to determine who the best candidates are for this procedure. Those who are excluded from this treatment include women over the age of 40, women that have a damaged uterus and men who do not have potent sperm.

IVF infertility treatment is 5-step process. Here are the different steps:

1. Super ovulation (Ovarian stimulation)
2. Egg retrieval
3. Fertilization
4. Embryo culture (Selection of embryo quality)
5. Embryo transfer

These five steps are followed categorically one after the other to achieve the desired result, which is pregnancy.

IVF is a difficult procedure and should be carried out by a highly qualified infertility specialist. Work with your OB/GYN to get a referral before choosing the best specialist for you. Do your homework and make sure that you get a list of referrals that you can contact to get feedback from former clients. Not only are you about to spend a large amount of money but also the health concerns of your unborn child and yourself is at stack. Once you have found a specialist make sure that your OB/GYN councils with the specialist about your case. I don’t want to scare you, however since IVF has become so popular there are some scams being inflicted on unsuspecting couples. Do your research and make sure you have your OB/GYN involved in the selection process.

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Signs of Infertility – Treatment and Your Health

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Infertility treatment plans are based on the origin or the many causes of infertility. It also depends on just how far you want to take the treatment. This is a very emotional time and can be financially stressful as well. You should consider all the alternatives and discuss and end point. Insurance will cover some of the cost but not all and then there are possible surgery and IVF treatments to consider. So, try and set the emotions a side and at least come up with a preliminary plan. You can always make adjustments to the plan along the way.

Low-tech and natural forms of treatments are being used widely all over the world. Natural remedies such as vitamins to help promote ovulation or increase semen, acupuncture is being used for males and females and treatments as simple as eliminating lifestyle issues that may be creating infertility issues.

Then there are the traditional fertility specialist forms of treatment such as medications and surgery that make up more than 85% of the treatments for couples dealing with infertility. This does not mean that all of these couples require medication or surgery this is just the method that they chose to improve fertility for them. However, 3% of infertile couples will resort to using Assisted Reproductive Technologies such as IVF. Couples that begin treatment for infertility are likely to improve their health condition and more than two-thirds of these couples are also likely to have a child.

Some of the common methods of infertility treatment are:

Drugs or Medications: Fertility medications are very usually prescribed to woman experiencing ovulation disorders. More than 25% of the reported cases of infertility worldwide are due to ovulation disorders and prescription drugs are considered to be the first line of treatment for this condition. Fertility medications are believed to have helped more than 80% of the women to ovulate on time. Some of the common drugs in this category are Clomid, Arimidex, Femara, Gonadotropuns and others. Taking prescription medication is not always enough. To help promote proper ovulation many times lifestyle changes are need as well so that the patient will respond well to the treatment.

Surgery: Fallopian tubes obstruction is the leading cause of infertility that requires surgery. In over 35% of the case of female infertility, the fallopian tubes are either blocked or are not functioning properly. There could also be problems with the abdomen and the pelvis as well. A test is conducted to see if the internal organs are functioning properly or not. If there is a blockage, a laparoscopic surgery may help in removing the obstruction and repair any damage within the tubes. This procedure will allow the patient to get back to a normal life very soon.

Assisted Reproductive Technologies (ART): ART refers to the infertility treatments involving the embryos or the eggs. This technology includes different treatment options like GIFT, ZIFT and IVF. IVF is a very common infertility treatment and is one of the most successful as well. IVF is most effective when a woman is under the age of 35; the success rate is 35% during this stage. However, as a woman ages the success rate of this method declines.

Intrauterine Insemination (IUI): Also known as artificial insemination, this procedure involves the placing of sperm into the female uterus directly. This method is commonly used in treating unexplained infertility, problems with male infertility and cervical mucus in woman. The success rate of this infertility treatment has been quite high. However, this treatment also requires adequate care.

Infertility treatments vary from patient to patient. Many natural forms of therapy are available, however in some more severe cases couples may require medical treatment and possibly even surgery. As always a patient needs to consult a doctor for his or her proper diagnosis and treatment.

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Reasons for Infertility – Essential Diet May Help!

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Infertility is described as the incapability of a couple to conceive after twelve months of unprotected sexual intercourse. It affects more than five million couples in the United States alone and many millions more worldwide. Due to the lack of knowledge of treatment options, just 10% seek aid from fertility specialists. The majority of couples experiencing infertility seek out non-medical therapies. One such therapy that has been explored in great depth recently is that of nutrition and diet. Having a nutritional and well-balanced meal plan may have a wonderful effect on your ability to conceive and also on your overall health. With infertility, your diet could play a significant role in your ability to conceive and have a healthy pregnancy. That is why it is important to be aware of what foods you should stay away from as well as the proper foods and nutritional supplements that are necessary for you to get the nutrients needed to encourage conception. The following are the proper food groups needed to improve your fertility:

  • Necessary Fatty Acid: Essential fatty acids are very important in regulating the creation of prostaglandins hormones. Fatty acids metabolism through the liver, thus increasing the flow of blood in the body that comprises the blood flow to reproductive organs and protecting the body from inflammation resultant in increasing the possibility of fertility and decrease the danger of hormonal imbalance. It is suggested to take cold-water fish should be a mainstay of your diet to boost necessary Omega 3 and 6 fatty acids.
  • Dairy products: Dairy products include high amounts of trans fat that may interfere with the metabolism of fat and protein in the liver.
  • Meat: Lamb is a good choice for protein and according to ancient Chinese medicine it can help improve fertility. The Chinese believe that lamb includes fertility enhancing enzymes that are beneficial to men. Lean or organic grown lamb is best to avoid feeding contamination.
  • Vegetables and Fruits: Fruits and vegetables include high amounts of bioflavonoid, vitamins and antioxidants that are very important for overall health and have been found in studies to be beneficial to the reproductive system.
  • Seeds and Nuts: Seeds and nuts contain high amounts of important fatty acids and vitamins; in addition they are also good sources of protein. Seeds and nuts are necessary to preserve our overall health and proper body functions like maintaining the production of hormones (estrogen balancing as well as production of good prostaglandins hormones) which are imperative for fertility procedure.
  • Healthy Carbohydrates: Carbohydrates are a significant source of energy for the body however they can fluctuate your blood sugar level. Stay with whole grain carbs with a low GI index and always eat protein along with carbs to keep your blood sugar level from fluctuating up and down.
  • Legumes: Legumes are categorized as a low GI index food and are very important for balancing levels of estrogen, thus decreasing the danger of infertility due to estrogen imbalance. Legumes would include beans, lentils, peanuts, dried fruit, etc.

Diet and lifestyle alterations may play a significant factor in improving a couple’s ability to conceive without medication or surgery. There are many foods and nutritional supplements recognized to improve male as well as female infertility. Acupuncture, hypnotherapy and other natural remedies are available to you now. There are alternatives to infertility specialist that may be investigated before investing in an expensive form of therapy such as IVF.

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Signs of Infertility – What To Expect From A Diagnosis

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Infertility can be caused due to problems with the male, the female or a combination of both partners. It is only after the necessary evaluations that a doctor can identify who is actually infertile. Due to the cost of testing and treatment being the most expensive for women the male partner is usually asked by the physician to be tested first to evaluate his sperm. The process of testing a male can be up to 6 months since the potency of the sperm can fluctuate do to various outside conditions. Once the male has been evaluated whether positive or negative the female will then be evaluated. During that evaluation time the male may begin treatment if testing negative.

Although the female may not be tested for infertility during the testing period of the male partner she may be examined for various issues that would cause infertility such as endometriosis. After various evaluations and the completion of testing on her partner then the female will be infertility testing. Until the true cause of the condition is determined it would be a waist of money and stress on the patient to implement any course of therapy.

If a woman is diagnosed as infertile, she is given various infertility drugs along with a combination of different techniques to encourage pregnancy. Female fertility drugs are given under two conditions – one in which the woman fails to ovulate and the egg cells needs to be developed with the help of drugs, and the other condition is when the female partner can ovulate but there are some other complications. These problems are medically known as ovulation and super ovulation diagnosis.

Because infertility is a very difficult condition to diagnose and treat, different methods are now being implemented for diagnosing the condition first. Once the cause of infertility is determined after comprehensive testing and procedures, the best course of pharmaceutical treatment is prescribed and the necessary methods of additional treatments are planned out in a schedule that will give the couple the optimum chance for a successful conception.

One of the first courses of action for most infertility specialist will be to give Clomiphene and similar other similar medications to the female partner. If this fails to work, some more advanced treatments, such as Human Chorionic Gonadotropin (HCG) is usually prescribed along with a combination of other infertility drugs.

Clomid (Clomiphene) is one of the most popular female infertility drugs currently being used today since it is an oral medication and is relatively inexpensive. It is one of the big three as far as infertility specialists are concerned. It has also become a first line medication for treating male infertility as well. Being one of the first successful classes of infertility drugs, Clomid still rules. The side effects of Clomid are very minor and well worth the discomfort for the positive effects that it has on fertility and it is undeniably one of the best infertility drugs still around. Besides Clomid, HCG is also an outstanding fertility medication. However, since it is prescribed in the form of an injection it can be very costly. HCG must also be injected under the guidance of a nurse or physician and therefore requires a visit to the specialist which also drives up the cost and increases the inconvenience of the medication.

All fertility medications increase the risk of multiple births. Fertility drugs are to be used carefully. Monitoring the hormone tests, blood tests and the ultrasound measurements properly are extremely important. If you have too many fetuses it would increase the chances of pre-mature labor. Pre-mature babies are more vulnerable to illnesses and other developmental problems.

Pregnancy is all about emotions. Hormones and fertility medications do not help the situation either. Make wise decisions for your personal health as well as the health of your unborn child. Consult your physician with any questions that you have and find yourself a support group to talk with while you go through this process. Learn from others and lean on their experience to help you through this process. Best of luck.

If You’re Finished for Good With all the Hype, Claims and “Quick Fix Cures” That Have Failed You in the Past and You’re Ready to Do it the Right Way, Then This is the Honest and Effective Infertility Solution You’ve Been Searching For

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