October is National Infertility Awareness Month. We are of course delighted to have the opportunity to educate the public about the issues and current advances in this area. The 2009 American Society for Reproductive Medicine Annual Meeting will be held in Atlanta from October 18-21. You can follow Twitter to see some of the issues discussed by typing # ASRM09 these days!
I want to give you some tips on how you can improve your fertility. This problem affects approximately 7.3 million women and men in Australia, which is 15% of couples of childbearing age.
AGEI wants to start with age because it's one of the big things. Women are born with 1 to 2 million eggs and at the age of 37 there are still 25,000. The quality of your reproduction depends on a number of factors, but one of the most important is the age factor. The quality of these eggs begins to deteriorate after 30 years and especially after 35 years due to the poor quality of the eggs. There is no way to change the quality of the eggs. Try to start a family sooner rather than later. If this is not possible, continuing to take oral contraceptives could improve egg viability in a woman's ovaries by resting. Seek help for infertility issues early rather than push them back. If you are over 35, create a well-defined aggressive treatment plan with a specific time frame. Don't let your doctor calm you down: "Everything is fine and you just have to wait for it to happen". Basically, I advise my patients over 35 years of age, if there is no pregnancy after 6 months, to consult a fertility specialist for a complete and thorough assessment (which should only take 1 to 2 months), to define a treatment plan in a timeframe, and one after the other Move level. For example, if you start inducing ovulation and intercourse, use it for 4 to 6 months, and then go to the IUI for only 4 attempts and then the IVF. Over time, even with IVF, your chances will only decrease.
HEALTH The main ingredient here is good health and exercise in the years before trying to conceive. It is recommended to exercise at least 5 hours a week. Good habits start early, but it's never too late to start! In some cases, weight can also affect your ability to conceive. If you are too much above or below your ideal BMI (Body Mass Index), this can be disadvantageous. Visit the National Institute of Health's website to calculate your BMI: Try to achieve an ideal BMI. However, do not delay pregnancy to lose weight if you are over 35.
DIETA good nutrition before you start your conception efforts is also important. It makes sense to eat lots of fruits and vegetables, but did you know that dairy and yogurt are just as important? A study by Harvard Medical School suggests that whole milk products without skim milk are responsible for protecting against ovulatory infertility. Another interesting discovery was that folic acid improves ovulation in women and men, the quality of the sperm! It can be considered a multivitamin and is found in foods such as oranges. Eliminating trans fats in women with diabetes also appears to be helpful. Moderate consumption of caffeine and alcohol is also important. Ideal weight is also an advantage here. No matter what someone says, there are no diets or foods that "improve" fertility, but a healthy diet can help overall.
SEXUAL TEMPORAL ACTIVITY Many couples are trying to imagine using over-the-counter ovulation kits. However, there are a few things to consider. Most women ovulate 14 days before their next period. For example, if your cycles last 25 days, you will most likely ovulate around cycle day # 11. Your fertile period would be CD # 9-13. These are the days when I would recommend intercourse. You must stop sex on CD # 7 and wait for CD # 9 to start. Have sex once a day in these five days, only one ejaculation a day. Start using your ovulation kit on CD # 9 (16 days after the end of your average cycle). Remember that once the egg is released from the ovary, it is only susceptible to sperm and can be fertilized for about 12 hours. If you have irregular cycles, you may have another problem and need to see a specialist to determine what's going on. But the absolute conclusion with the timing is that it's fun, NOT scientific! Her husband becomes a reluctant participant when forced. Don't tell him "honey, this is still my fertile time, we have to have sex", he shouldn't even know. You should only prepare the stage to make him interested, excited and "excited". That way, both of you will enjoy the experience and trying will not be a chore.
KICK THE SMOKING HABIT Almost all studies show that smoking affects fertility. In women, 10 or more cigarettes a day reduce the quality of the eggs. Post-conception smoking has been associated with miscarriages and ectopic pregnancies. In men who smoke, the sperm count and sperm motility decrease, which means less sperm functionality. The worst thing is smoking marijuana. Any chemical that gets into your body gets into your bloodstream, your cells, and your sperm and / or eggs. It is an absolute no! The same goes for other forms of recreational drugs, including large amounts of alcohol. My rule of thumb is: if it affects your brain cells, it also affects your reproductive cells.
RELAXATION Couples trying to conceive can be stressed out, especially if they have been trying for more than a few years. The bands for yoga, acupuncture, massage and meditation, which were specially developed for infertility patients, help. My patients are encouraged to use relaxation techniques. It helps them overcome the emotional ups and downs of the IVF process. The patients approach the day of the procedure much more calmly and relaxed. This can affect the manner of recovery and transfer. A visit to a therapist for massage therapy or meditation can also be insured if it can be shown that there is an anxiety disorder. As mentioned above, it's fun and enjoyable, not homework.
CHECK YOUR DOCUMENT You want a doctor who knows fertility from start to finish. Most of these types of doctors will be able to offer ALL levels of infertility treatment. Just as you don't want a doctor who only uses Clomid, you don't want a doctor who only uses IVF. You will be immersed in the only thing they can do for you, Clomid or IVF. This is easy to check. , , Just ask, "What levels and types of treatment can you do for me?" Above all, infertility should be diagnosed and treated by a doctor, not by general practitioners, nurses, medical assistants or medical assistants.
If everything else fails ... If your fertility path encounters too many roadblocks, you may need to explore other options. Remember that this is NOT the end of the way if you don't get pregnant naturally. I advise my patients: "Nowadays, almost everyone can get pregnant, it just depends on what I have to do to have a successful pregnancy." There are many reasons why a woman or a man can be sterile, and a visit to a good fertility specialist will surely reduce or localize the problem. Treatment often varies from person to person. So don't expect to find the answer in a forum or chat room! The blocked fallopian tubes, high FSH levels, abnormal sperm count or poor motility - all of this and much more - explain the problems of infertility in many couples.
A doctor's diagnosis is necessary to effectively identify the best practice for the couple seeking conception. But don't let your doctor treat you with Clomid for no reason. Clomid is NOT a miracle drug. It has a specific purpose, which is to induce ovulation in women who do not ovulate. If you have regular cycles, this is a sign that you are ovulating. This means the problem is different and Clomid won't change that. Make sure that the treatment you are receiving concerns a specific problem. Ask your doctor to explain his strategy, why he is using the treatment he recommends, and what he is treating. Treatment without a reason is a waste of time and money, as is treatment without completing a full infertility test. I can't tell you how many patients I have seen who have had multiple cycles of Clomid or IUI just to find out that his tubes are blocked!
Above all, stay positive, we are here to help you!
Treatment options for endometriosis infertility
There are various treatment options for endometriosis infertility in women who suffer from this disease. The type of treatment recommended by an infertility specialist usually depends on the age of the woman, the severity of the disease, the location, the symptoms and the duration of the infertility.
Diet, exercise and other natural methods
There is a lot of online literature that suggests that diet, exercise, acupuncture, herbal remedies, and homeopathy can help control the symptoms of this disease. It is true that this type of endometriosis treatment can help maximize the body's immune response and decrease active endometriosis. However, there is no scientific evidence of their effectiveness in treating or reversing infertility in these women. These types of treatments are often best used in conjunction with evidence-based approaches.
Several studies have looked at different types of drugs, particularly hormonal drugs used to treat infertility in endometriosis. Most often, these drugs aim to suppress the growth and symptoms of the uterine lining. No well-designed study has demonstrated its effectiveness in improving infertility when used alone. However, several recent studies have successfully improved fertility by combining drug therapy with surgery.
Depending on the extent of the disease, surgery may be recommended. The aim of the surgical intervention is to remove endometriosis and adhesions. If the disease has damaged the reproductive system, the surgeon will also try to repair it. Women with mild endometriosis have been shown to have better pregnancy rates after surgery. However, women with more severe forms of endometriosis show only modest improvements after surgery.
Assisted Reproduction Technologies (ART)
If a woman has not become pregnant with the above endometriosis treatment options, assisted reproductive technologies may be appropriate. Endometriosis can damage the reproductive system, reduce the quality of the eggs, damage the fallopian tubes, block the release of follicles and many other obstacles to pregnancy. Determining the type of damage done helps determine which ART technique is most likely to increase fertility.
Intrauterine insemination or IUI is a treatment that can be used. This is done by artificially introducing the partner's sperm into the woman's uterus. In some cases, before IUI treatment, a woman can be given fertility medication to mature multiple eggs and increase her chances of successful conception.
If a woman has healthy fallopian tubes, another possible treatment option for endometriosis is called Intrafallopian Gamate Transfer (GIFT). For this purpose, the woman's eggs and the partner's sperm are placed in the fallopian tubes to facilitate fertilization.
When a woman's fallopian tubes are damaged, in vitro fertilization (IVF) is the most effective treatment option for endometriosis. The mother's eggs are removed and fertilized with the partner's sperm outside of her body. The embryos are then implanted in the woman's uterus for pregnancy.
End of premature ejaculation - There are ways to stop premature ejaculation because this is actually a far more common problem than you think. Approximately 20 to 40% of all men suffer from it, and although it is not a health problem, it can be very frustrating and problematic in some relationships. Many people try very different techniques, but most are not as effective as described below
Enjoy longer lasting sex - It's always the same situation night after night - you tell yourself that you are not losing control of yourself, but you always stick to sex for a few minutes (or even less!). Premature ejaculation can be a true smell of sex life and frustrate your wife. However, the fact is there are many ways you can improve your ability to stay in bed, have sex longer, and save yourself from a broken relationship!