How to Be Your Own Fertility Expert At Home

Dec 09, 2009 | Fertility Care
Why would an infertility doc want to teach patients how to be their own fertility experts? The reason is this: times are tough. People are delaying the time they would normally take to see an infertility doctor because they are afraid of the price tag associated with the cost associated with consults, ultrasounds and treatments. Depending on your insurance benefits, a visit to an infertility doc and treatments may cost hundreds to thousands of dollars. Did you know that there are products that you can buy online that will help you determine the reason why you may not be getting pregnant? Believe it or not – you can do an at home semen analysis and hormone testing (FSH = follicle stimulation hormone) for less than 100 dollars each. None of these tests are close to as helpful as (more…)

Alphabet Soup of Infertility Treatment

Dec 08, 2009 | Fertility Care
You just had your first visit with your infertility doc to talk about a plan. She rattles off the following: “you can either do OI or COH and it’s up to you if you want to do an IUI. But I would do an HSG in this cycle before your ART treatment. During the treatment, we will do scans to make sure your ovaries are responding the way we want them to and after we trigger you with HCG we will do your IUI. Then check a UPT 14 days after your IUI. And no need to do BBT or OPK during treatment but some women do. We can also move right to IVF with ICSI. But given your story – don’t recommend PGS for you.” Got that? Well if you didn’t, I’m going to break it down for you. When you do infertility treatments you can do anything from take pills to shots just below your skin. In the “old days” the shots were given in the muscle and very painful. Not so anymore. Sub-q is how we refer to the location where the shots are given now – just below the skin. Let’s define some terms that you...

Preparing for Pregnancy

Dec 07, 2009 | Fertility Care
Notice that the title of this blog post is “preparing” for pregnancy – NOT “planning” a pregnancy. You can plan a wedding, plan a party, plan your summer vacation – you can’t plan a pregnancy. You can be prepared for a pregnancy. By preparing you will optimize your chances. Depending on your medical history, you will also be able to improve your chances of having a healthy pregnancy. When you plan for a trip – what do you do? Well, some of us make a “to do list.” You check things off on your to do list – to make sure your trip is as uneventful as possible and you don’t forget anything that can put your trip in jeopardy. For example, you are going on Safari to Africa. What do you do beforehand? You get all the recommended vaccinations for each of the countries you are visiting. If you have this mentality when preparing for a pregnancy, you will hopefully increase your chances of having a healthy pregnancy. I am starting your “To Do List” for planning your pregnancy: Start taking folic acid. If a prenatal vitamin is too much to swallow right now – just take folic acid....

Questions you should ask your infertility doc before you leave the office

Dec 06, 2009 | Fertility Care
So you’ve spent about a year trying to get pregnant and you’ve now found yourself in a very overwhelming situation – you have to take fertility drugs. You always thought getting pregnant was going to be easy for you…..but you’re now having to inject yourself with medications that have names that you can’t pronounce with 5 syllables and you have no idea why you’re taking them. Empower yourself. The more you know about what you’re doing and why – the more successful your treatment will be. Ask your doc the following questions: What is my infertility diagnosis? (more…)

Basic Infertility Evaluation – What you should know

Dec 05, 2009 | Fertility Care
This is what I tell everyone who comes to see me for their first infertility evaluation, “It takes three things to get pregnant: 1. Sperm 2. Tubes that are open (this includes a normal uterus) and 3. Ovaries that are working.” If you remember those three things and look into possible problems with the three areas I just listed – you will know (most of the time) why things just aren’t working. So the question is: How do you know if there is a problem? 1. Let’s talk about sperm. The magic number for sperm is a total motile count of 40 million. If you have a total motile count that is less than 40 million, your chances to conceive are going to be reduced. There’s more to sperm than just the count and the motility and a lot of people miss this very important point. So not only are we looking for a total motile count of 40 million – take the % normal morphology (this is the percentage of sperm that are normally shaped) and multiply it by the total motile count – if it is > 40 million – you may not need my help. If it...

Possible Reasons for Infertility

Maybe you and your partner are wondering if something is wrong. After all, you may have been trying to conceive for a while without any luck. It may be helpful to review some basic biology of fertility and conception. Or maybe you're not having intercourse at the right time during the female partner's reproductive cycle. Monitoring the basal body temperature (BBT) or cervical mucous changes will help to pinpointovulation times. On the other hand, something physical may be wrong. What follows is an overview of conditions that may negatively affect the fertility of males and females. As you read, don't jump to conclusions and self-diagnose. If you suspect something, you should talk to your healthcare provider orfertility specialist. Female When it comes to fertility, the hormonal control of the menstrual cycle can be extremely complex. Below is a short list of conditions that can cause fertility problems. If you're concerned that one of them may affect you, speak to your healthcare provider. The good news is that treatments may be available for many of these conditions. Ovulatory problems Approximately 33% to 50% of all infertile women have problems with ovulation. The normal ovarian cycle is so complex that even small changes may disrupt the cycle...

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