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Only women are blamed for infertility but half the time, it is the ... - Daily Times

Only women are blamed for infertility but half the time, it is the ...
Daily Times, Pakistan - Aug 23, 2008
Galactorrhea is another problem that impedes conception and this is something that some women hide even from their family doctors. While true infertility is ...

Publ.Date : Sat, 23 Aug 2008 22:28:13 GMT


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Welcome to Fertility Choices- an expansion of Free-Sperm-Donations.com!

Our Free-Sperm-Donations.com site was created by
Emma Hartnell-Baker - also known as The Child Listener - in 2004.

Fertility Choices is an expansion- bringing you information and
message boards also relating to adoption, surrogacy and
egg donation around the world. Fertility Choices will also offer more
helpful resources to help you with your subsequent pregnancy and journey into parenthood - we hope you enjoy our new
'A Focus on the Children' Section

 

Fertility Information

Defintion: Fertility is a measure of reproduction: the number of children born per couple, person or population. This is different to fecundity, which is defined as the potential for reproduction (influenced by gamete production, fertilisation and carrying a pregnancy to term). ...
en.wikipedia.org/wiki/Fertility

A woman under 35 is considered infertile if she fails to become
pregnant after 12 months of regular unprotected sex. But for those over 35, the threshold is six months instead of 12.

There are degrees of infertility. The majority of infertile couples are actually sub fertile – they produce eggs and sperm but have difficulty conceiving due to disorders such as hormone imbalances and problems of the reproductive tract. Cases of total infertility – where no eggs or sperm are produced – are rare.

After 12 months of trying to conceive you should consult your GP or gynaecologist for a referral to a fertility specialist. You and your partner will undergo a series of tests – sometimes your GP may conduct these tests. The test results will give clues to the type of infertility and ultimately a treatment plan to overcome the problem.

Firstly, the specialist will look at the couple's medical history. For the woman, this includes information on any previous pregnancies, the regularity of her periods; and whether she has had painful periods, pelvic pain, infections, or surgery. A specialist will want to know if the man has previously fathered children, suffered a testicular injury; or had any developmental problems, infections, surgery; or if he has been exposed to certain environmental factors.

Next there will be a physical examination, which may include:

Blood tests. A series of tests will establish if there is a hormonal basis for the couple's infertility – this may be corrected by hormonal supplements. Other tests will check for rubella, blood group, sperm antibodies and sexually transmitted diseases such as HIV, Hepatitis B and C.

Ultrasound examination. This gives information on what the ovaries and uterus look like. Your doctor will look at the growth of eggs, the thickness of the lining of the uterus (if thin, it can indicate hormonal problems), the presence of fibroids or polyps on the uterus, as well as signs of endometriosis or ovarian cysts. Surgical laparoscopy may also be used to identify endometriosis or blocked fallopian tubes.

Semen analysis. Men need to provide a semen sample this allows specialists to assess the number of sperm, how well they swim (known as 'motility') and the presence of sperm antibodies.

 

Still Having Problems?

Treatments

Identifying the cause of your infertility is important as it may affect the choice of treatment.

Ovulation induction

A series of hormone injections will be given to the woman in order to stimulate egg growth and ovulation. If ovulation can be successfully induced, conception may occur naturally.

Artificial insemination

Artificial insemination is used in cases where the male has a low sperm count, a high number of abnormal sperm or the woman has sperm antibodies present in her cervical mucus. Sperm is treated in the laboratory to increase the chances of fertilisation. Large numbers of sperm are then inserted directly into the uterus for easy access to the fallopian tubes.

IVF (In vitro fertilisation)

IVF is used to treat infertility that arises from blockages of the fallopian tubes, endometriosis, abnormal sperm, and some cases of unexplained infertility.

The woman is treated with hormones over a number of weeks to stimulate the growth of several eggs in the ovary. When ripe, the eggs are removed from the ovary and put into a dish with the partner's (or donor's) sperm. The fertilised eggs are then grown in the laboratory for a few days before being placed into the uterus.

GIFT (Gamete intrafallopian transfer)

This procedure is the same as that for IVF except that fertilisation takes place inside the body of the woman. The eggs and sperm are collected and placed directly into the fallopian tubes for fertilisation to occur. GIFT is used for cases of endometriosis, cervical disorders, and some types of male infertility. GIFT is suitable only for women with no abnormalities in the fallopian tubes.

ZIFT (Zygote intrafallopian transfer)

The same procedure as IVF except the very early embryo (zygote) is placed directly into the fallopian tube. This procedure is undertaken when there are abnormal sperm and/or problems with the ability of the sperm to fertilise the eggs.

ICSI (Intracytoplasmic sperm injection)

This is a technique in which a single sperm is inserted directly into the egg. Eggs are obtained the same way as for IVF and then fertilised by injecting a single sperm into them. The fertilised eggs can be transferred to the woman's fallopian tubes or grown in the laboratory for a couple of days and then transferred to the uterus.

Epididymal and testicular sperm extraction

Sperm are removed from the epididymis or directly from the testis using a needle. Fertilisation is performed by ICSI (see above). This treatment is used in cases of male infertility (azoospermia), and spermatic cord abnormalities. Usually enough sperm can be collected so that samples can be frozen for later use if required.

Freezing of sperm and embryos

If more embryos are produced through IVF than are needed for transfer into the uterus of the patient, the extra embryos can be frozen. The stored embryos can be used later if the patient fails to become pregnant or if the couple wishes to have more children through IVF at a later date.

There is a limit to the number of years embryos can be stored frozen and laws governing this may differ in each state (see Costs & legal issues).

Similarly, sperm can be frozen for use in subsequent IVF cycles or as insurance against infertility due to procedures such as cancer therapies, vasectomy or prolonged absence from a partner (such as men in military service may experience). Sperm can also be frozen and kept in sperm donor banks.

Donor eggs, embryos and sperm

For women who have ovarian failure, men who do not produce sperm, or couples whose eggs fail to fertilise, the use of donor eggs, embryos or sperm may be an option. Older women may also wish to use donor eggs from younger women to overcome the problems of ageing.

Each state has its own laws relating to the use of donor eggs, embryos and sperm (see Costs & legal issues).

Egg donation is a big business in the United States. Women advertise the sale of their eggs in magazines, over the internet and in college newspapers, with price tags of US$6,000 upwards. For a larger fee, there are also 'egg brokers' who can arrange to recruit, screen and collect eggs from donors

 

 

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Fertility Questions


What Does a Faint Line Mean on a Pregnancy Test?

On a pregnancy test, a faint test line - or color band - is usually indicative of a positive result, as long as it's read within the time frame - or reaction time of the test (usually at 5-10 minutes). If you perform the pregnancy test properly and read results within the recommended time frame, then a faint or weak color band in the test area is very likely a positive pregnancy test.

Evaporation Lines

Evaporation lines, however, can confound results if tests are not interpreted within the clinically recommended time frame. An evaporation line develops when the urine on the test area begins to dry, leaving a faint, usually colorless line. Evaporation lines appear to show up (or not show up) as a result of the composition of the particular urine specimen - and they may appear on any test regardless of brand.

Explanations for Faint Positives

Testing Too Early: If you test too soon, hCG may not be at a sufficient level for test detection. See the section above on determining when to take a pregnancy test.
Low Test Sensitivity: Different tests detect hCG at different levels, from 20MIU to 100MIU or more. 20 MIU tests will display a faint line when when hCG levels are at 20 MIU, while less sensitive tests will display a negative result. At 50 MIU levels, a 20 MIU test will show a stronger color band while a 50 MIU test will show a very faint band.
Dilution of Urine Specimen: Urine specimens may be diluted due to frequent urination or consumption of liquids. First morning urine is recommended for pregnancy testing as it contains the most concentrated presence of hCG.
Chemical pregnancy: Sometimes an early pregnancy is detected - followed by negative test results. A chemical pregnancy means implantation takes place (hCG is produced for a short time) followed by a miscarriage (generally, before any other pregnancy symptoms are detected).
Evaporation Lines: Always read your test results within the test reaction time (usually 5 minutes) as evaporation lines can develop as the urine dries on the test area. Evaporation lines appear to show up (or not show up) as a result of the composition of the particular urine specimen - and they may appear on any test regardless of brand.

Remember, a pregnancy test does not function like "light switch" - and just turn on: different hCG levels will produce different gradients of color bands (from very light, faint lines early in pregnancy to dark, rich color lines later on as hCG develops).

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A very conceivable diet

by Peter Lavelle / Published 08/11/2007/ Source

Infertility affects one couple in six, but simple lifestyle measures can help many couples conceive, say US researchers.

In our parents' day most women were married and had at least one kid by the age of 25. That seems like a lifetime ago.

These days in Australia most women give birth in their 30s. While they may be in a better position financially and perhaps mentally – in a more stable relationship, with a higher income – they're much less likely at that age to actually fall pregnant.

Women are most fertile between 17 and 25. Over the age of 35, one woman in three will have trouble getting pregnant.

It's not always the woman's fault – in 40 per cent of cases the finger can be pointed at the male. (In 40 per cent of cases the problem lies with the woman; in 10 per cent there is a problem with both partners and in another 10 per cent, the cause is unknown.)

There are various reason why a woman finds it harder to conceive in these later years – there may be a structural problem with the reproductive organs, like blocked fallopian tubes, or a disease of the uterus like fibroids or endometriosis.

Most cases, though, are due to a failure of ovulation – eggs just don't ripen and release when they're supposed to. This is usually because of a hormonal imbalance – at an older age, the body isn't producing enough sex hormones at the right time and in the right amounts to ovulate successfully.

For these women, IVF (In Vitro Fertilisation) is an option, but it's not the preferred one: apart from anything else, it's time consuming, expensive and has a high failure rate.

But there's some good news this month from the US. Researchers from the Harvard School of Public Health and Harvard Medical School say that adopting a few lifestyle measures can drastically improve the chances of getting pregnant, at any age.

They followed a group of 17,544 married women who were infertile due to ovulation failure but who were trying to get pregnant. The women were part of a larger study of women's health called the Nurses' Health Study II, based at the Brigham and Women's Hospital at Harvard. The researchers followed them over an eight-year period, looking in particular whether or not they followed a range of dietary and lifestyle measures. They looked at:

  • the ratio of mono-unsaturated to trans fats in their diet
  • protein consumption (and whether it came from animals or vegetables)
  • carbohydrate consumption (including the amount of fibre they ate, and whether high or low glycaemic index)
  • consumption of dairy products (and whether low or high-fat)
  • iron consumption
  • use of vitamin supplements
  • body mass index (BMI, i.e. weight in kilograms divided by the square of the height in metres) and
  • degree of physical activity.

The researchers took into account whether a woman smoked, drank alcohol or coffee, and/or had used oral contraceptives in the past.

Those women with the lowest rate of infertility (and most likely to fall pregnant) were those who ate less trans fat, less sugar, ate food with a low glycaemic index such as pasta and whole grains, ate more protein from vegetables than from animals, had a good iron intake, took multivitamins, exercised daily, kept their BMI between 20 and 25, and (surprisingly) consumed more high-fat dairy products and less low-fat dairy products.

The more of these measures they adopted, the lower the infertility rate and the higher the pregnancy rate. This was regardless of the woman's age, or whether she'd had children before.

For example, those who adopted just five of these measures had a 69 per cent reduced risk of infertility compared to those who adopted none of the measures.

Even following just one of these lifestyle measures reduced the risk of infertility by 30 per cent compared to those women who followed none. Of all the lifestyle measures, weight and diet, rather than exercise, were the most important.

Blood sugar and insulin

Why should these measures improve fertility? It's believed they improve insulin resistance – that is, they help regulate insulin and blood sugar levels and this in turn may help the sex hormones to regulate ovulation successfully.

Why high fat dairy products help remains a mystery though.

Now adopting these measures won't necessarily work for other types of infertility, such as blocked fallopian tubes. But what it does mean is fertility due to ovulation problems – which account for most infertility cases – can be partly prevented through modifications of diet and lifestyle, the authors say.

As an added bonus, these measures are also good for the pregnancy if a woman does conceive, they say. Taking multivitamins containing folic acid helps prevent neural tube defects in the foetus. And keeping weight down reduces the chances of pregnancy complications like gestational diabetes or pre-eclampsia.

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Do read emails from some of our previous FSDW members..

Hi Emma,

Just wanted to tell you the brilliant, fantastic and marvellous news that I'm pregnant! 

Took your advice and got clinic to inseminate me on first day of ovulation instead of second even though they were really unhappy about it. Also inseminated at home the day before and day after.
I am completely over the moon and thank you and the site from the bottom of my heart.

I am posting a notice on the pink sofa to tell women about your site! Once again thanks Emma, Your site is brilliant and the donors on it are brilliant. I have met two lovely men and am amazed and astounded by their generosity.
x

 


JustAnswer.com

 

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