Vitamin D deficiency during the first trimester of pregnancy has been linked with a significantly increased risk for the development of diabetes in pregnancy (known as gestational diabetes) by the second trimester in a study of 655 pregnant women. This makes sense because we already recognize that Vitamin D plays a role in insulin resistance in that women with insulin resistance (a risk factor for gestational diabetes) have also been known to be at higher risk of vitamin D deficiency. Please read a great summary of this research here and get your vitamin D checked: http://www.obgynnews.com/index.phpid=11192&tx_ttnews%5Btt_news%5D=137721&cHash=ec5a7da3e345c382660d95dbeb23e0a5
I've blogged about BPA exposure before: https://draimee.org/the-bpa-study-released-today-what-you-should-know/ A new study shows that women with the highest BPA levels during their IVF cycle had the fewest number of eggs retrieved and the lowest fertilization rates (percentage of eggs that became embryos). The researchers didn't have access to pregnancy data so they couldn't comment about any possible relationship to pregnancy rates. While the study design can't show a cause and effect relationship it certainly hints that higher BPA levels can lower fertility rates. Read more about the study here: http://www.foxnews.com/health/2012/10/10/bpa-may-worsen-women-fertility-problems/
Intrauterine insemination (IUI) refers to a procedure where semen is separated from sperm cells and sperm cells are then placed at the top of the uterus through a long thin catheter to get sperm cells as close to the eggs as possible. Have you been through multiple IUI cycles without success? If you're a patient of mine, and we've done IUI without success, we will meet and talk about why IUI may not be working for you. Understanding basic reproductive physiology like where the egg and sperm come together is important. When an egg is released from the ovary, it travels into the fallopian tube. Sperm cells travel through the cervix into the uterus to also make it into the tube where they meet and hopefully fertilize an egg. Once an egg gets fertilized, an embryo then grows and travels down the tube over the course of a few days before landing and implanting in the uterus. This is how a pregnancy starts. IUI puts the sperm at the top of the uterus. That's it. When you do IUI you aren't fertilizing an egg. You rely on nature to take care of the following 3 steps: 1. Egg makes it...
http://www.modernmedicine.com/modernmedicine/article/articleDetail.jsp?id=784908 Great article on how endometrial injury may improve your chances of pregnancy with assisted reproductive technology (ART). ART refers to IVF procedures. We have already incorporated this into our practice and we are noticing great results. Hope this helps!
Ovarian reserve testing refers to measurements that will help us assess how much "battery" a woman has left in her biological clock and will also help your doctor predict what your pregnancy chances are based on the results. Click here for a great review of ovarian reserve testing. http://www.obgmanagement.com/pages.asp?id=10745 You will read very thorough and accurate explanations about: AMH levels, FSH levels, Clomid challenge tests as well as antral follicle counts. I hope this helps!