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Doctor insights on: Managing Infertility

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What is fertility medicine? Rei? Reproductive health?

What is fertility medicine? Rei? Reproductive health?

Reproduction: All the terms are related to reproduction, especially female reproduction. A reproductive endocrinologist (rei) is an obstetrician gynecologist that has had sub specialty training in infertility and female hormonal management. ...Read more

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Dr. Khurram Rehman
1,249 doctors shared insights

Infertility (Definition)

Infertility = inability to conceive or if a woman under age 35 - not being able to get pregnant after having regular sex for a year without birth control use. For a woman over 35 years old is not being able to get pregnant after having regular ...Read more


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What's the biggest issue affecting IVF success for patients with endometriosis? Egg quality? Implantation?

What's the biggest issue affecting IVF success for patients with endometriosis? Egg quality? Implantation?

Inflammation: Endometriosis is an inflammatory disease. Ivf avoids the problems with fertilization and egg transport, but there absolutely still could possibly still be issues with egg quality and with implantation. ...Read more

Dr. Collin Smikle Dr. Smikle
<b>3</b> doctors agreed:
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Managing Infertility (Checklist)

Take antioxidants via supplements or foods
Daily
Get help with support groups
Weekly
Sleep 6-8 hours
daily
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Is varicocele embolization effective for treating aching + fertility?

Is  varicocele embolization effective for treating aching + fertility?

Yes: Surgical approaches or radiological approaches to varicocele treatment should be equally effective. The differences come with cost and complications and recurrences. The recurrent rate of varicoceles is higher after embolization (10-20%) than with surgery (1-5%). For more info, see: http://www.Theturekclinic.Com/varicocele-treatment.Html. ...Read more

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Acupuncture for infertility treatments?

Acupuncture for infertility treatments?

Uncertain if helps: Acupuncture for fertility is not supported by great evidence. One study performed in seattle had lower pregnancy rates in acupuncture group doing ivf compared to no acupuncture group http://bbc.In/hq1my7. Hard to do controlled trials: what's the placebo (fake treatment) group - needles in 'wrong places' or needles that retract? (still get acupressure not acupuncture). Chinese herbs not recommended. ...Read more

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Dr. Robert Kwok Dr. Kwok
<b>2</b> doctors agreed:
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Managing Acne (Checklist)

Use a gentle cleanser designed for acne-prone skin
Daily
Use over-the-counter or prescription acne drugs as your doctor advises
Daily
See your doctor to adjust medications and other treatments
Once
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What are some strategies for managing weight when diagnosed with polycystic ovary syndrome pocs?

What are some strategies for managing weight when diagnosed with polycystic ovary syndrome pocs?

Diet, Exercise, Meds: Many women with pcos gain weight or find it hard to lose. Moderately low carb diets (south beach, weight watchers), complex carbs instead of simple: brown rice, whole wheat bread/pasta, less sugars, more protein, can help, as well as portion control. Exercise - do weights and cardio at least 3 x a week: weights increase muscle mass, burns more calories. Some lose weight on metformin treatment. ...Read more

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Cure for infertility?

Cure for infertility?

Infertility: The first step is to see a fertility specialist to go thru testing (both female and male). Depending on the findings, most issues can be successfully treated. Age is a big factor for women, so don't delay. ...Read more

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Dr. Michael Fox Dr. Fox
<b>2</b> doctors agreed:
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Managing Endometriosis (Checklist)

See an endometriosis surgeon who performs complete excision
Once
Ask your doctor about estrogen replacement, as it decreases in your mid thirties
Once
Tell your doctor if you have increased period pain
Once
If you experience severe period pain, consider presacral neurectomy surgery
Once
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What medicines treat infertility in women?

What medicines treat infertility in women?

Wide range: Different medications are utilized in the treatment of infertility. It depends on the diagnosis and infertility treatment. They range from ovulation induction agents (clomid, letrozole), ovarian stimulation meds (fsh, hmg), Insulin sensitizing agents (metformin), adjunctive meds combined with the previous (dexamethasone, hcg, baby aspirin), etc. ...Read more

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Dr. Robert Kent Dr. Kent
<b>2</b> doctors agreed:
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Managing Bursitis (Checklist)

Discuss NSAIDs with your physician
Once
Ice affected areas
Once
Consider physical therapy to correct your posture or to modify the behavior to end the root cause
Once
If treatment does not work, consider steroid injections or Platelet-Rich Plasma treatment
Once
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Can laparoscopy treat infertility due too pid?

Can laparoscopy treat infertility due too pid?

Sometimes: Pid impairs fertility usually through adhesion formation and tubal damage: laparoscopy can often be effective for treating adhesive problems involving the ovaries, but very much less succesful at treating tubes damaged by inflammation. ...Read more

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There anyone with personal experience treating retinal cysts?

There anyone with personal experience treating retinal cysts?

May not be necessary: Cysts of the pars plana area of the retina generally do not require treatment. Macular cysts and holes need to be evaluated and treated by a retinal surgeon. A victrectomy and tissue glue may be necessary. This can be major surgery. Cystoid macular edema is a swelling of the macula that may occur after trauma or surgery, especially cataract surgery. It is usually treated with meds or surgery. ...Read more

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Managing Gastroparesis (Checklist)

Eat smaller meals
Once
Avoid hard food -- grind or puree it
Once
Take medications to help propel food
Once
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Best birth control pills for pcos. I deal with hair loss & painful ovarian cysts. ?

Best birth control pills for pcos. I deal with hair loss & painful ovarian cysts. ?

Trial and error: there is no one "best" pill for ANY condition, although the pill manufacturers may try to make you believe there is. You need to work with a doctor who can go through the process with you. Good wishes. ...Read more

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How often must IVF be used for couples with unexplained infertility? Is IUI usually effective.

It is a choice?: 6 cycles of IUI on injectable medications costs around the same as one cycle of ivf. One takes 6+ months and ivf takes 6 weeks. Here is the "rub". 6 cycles of IUI is not as successful as 1 cycle of ivf. So it is a choice. By doing iui, you "gamble" that it works in 2-3 attempts and save money; but if not, than ultimately it costs more because when IUI does not work, you have to go to ivf. ...Read more

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Dr. John Landi Dr. Landi
<b>2</b> doctors agreed:
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Managing Gallstones (Checklist)

Have a gall bladder ultrasound
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See a general surgeon if symptomatic
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3rd iui with clomid (clomiphene) and ovidrel and unexplained infertility, wife is 34. Low chance of success? Losing hope and ashamed.

3rd iui with clomid (clomiphene) and ovidrel and unexplained infertility, wife is 34.   Low chance of success?  Losing hope and ashamed.

Don't lose hope...: pregnancy only occurs in 20% of IUI cycles, have faith and keep on trying! Try speaking with your doctor or their nurse for encouragement if needed, infertility is tough mentally and most couples can use some extra emotional support! ...Read more

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Managing Menopause (Checklist)

See your doctor
Once
Consider taking hormones
Once
Exercise more often, including weightlifting
Once
Improve your diet
Once
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What are catholic attitudes to infertility treatments?

What are catholic attitudes to infertility treatments?

Vatican guidelines: There is a specific policy of the catholic church - eggs from the wife and sperm from the husband should be fertilized within the body. Ivf, donor eggs and donor sperm use is not sanctioned. Iui is generally accepted as well as the gift procedure where fert occurs in the body. Not many centers still perform gift. Interpretations and adherence to this policy vary. Seek advice from your priest. ...Read more

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Dr. Lori Wagner Dr. Wagner
<b>5</b> doctors agreed:
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Managing Atherosclerosis (Checklist)

Consider taking a statin
daily
Take a baby aspirin
daily
Engage in any activity daily
daily
Dr. Adam Lewis Dr. Lewis
<b>1</b> doctor agreed:
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Managing Anger (Checklist)

Be aware of internal stress and anxiety and count to 10
Once
Identify the source of stress; that is 90% of the solution
Once
Join a support group to help you cope
Once
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Any success treating arachnoiditis?

Any success treating arachnoiditis?

Tough case: Sorry to hear you have this condition. Since it is not correctable surgically you are really stuck with managing the symptoms. There are some interventional pain management techniques that may help. Spinal cord stimulation is an excellent option as an addition to medication management and psychological counseling for coping techniques. ...Read more

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Will birth control help with fertility issues?

Will birth control help with fertility issues?

No: Birth control will prevent you from getting pregnant while you are taking it. Birth control does not increase your fertility later on if that is what you are asking. ...Read more

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Can i be infertile?

Infertility: If you have been having sex for one year and not doing anything to prevent pregnancy, then you are considered infertile. Some couples just take longer to get pregnant, it doesn't mean there is any problem. If the woman is over 35, we recommend testing after 6 month, you don't have to wait a full year. ...Read more

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Is infertility hereditary?

Possibly: Some forms of infertility are hereditary. For instance some forms of male infertility have genetic components that are automatically passed to male children (y chromosome microdeletions). Endometriosis definitely has a hereditary component. Pcos also runs in families. And fragile x which can affect egg production is hereditary as well. The vast majority of time infertility is not hereditary. ...Read more

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Dr. Gary Sandler Dr. Sandler
<b>2</b> doctors agreed:
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Managing Teething (Checklist)

Let your baby chew on a wet washcloth that has been kept in the freezer
Once
Try a chilled teething ring
Once
Let your baby bite on your washed finger
Once
Ask your pediatrician about using acetaminophen
Once
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How do you detect infertility?

Detect infertility: You detect infertility when you have had intercourse but never pregnant. If this persists over time please see a gynecologist. You should go together with your significant other because the problem may be on his side not yours. ...Read more

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How to know you are infertile?

How to know you are infertile?

Infertile: If you are concerned regarding fertility, quite simply, see a Board Certified Gynecologist. The workup will involve Semen Analysis, Blood Hormone profiles, an ultrasound, an XRAY to view the uterine cavity and to see if your tubes are open. In addition, a full history and physical exam will be performed including a pap smear and screening for sexually transmitted infections. ...Read more

Dr. Jan Lei Iwata Dr. Iwata
<b>1</b> doctor agreed:
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Managing Glaucoma (Checklist)

Reduce doctor visits if your glaucoma is stable
Once
Use eye drops
Once
Take a visual field test
Yearly
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Might infertility be hereditary?

Might infertility be hereditary?

Sometimes: Some causes of infertility (ovulatory disorders, uterine abnormalities, "possibly" endometriosis) can be inherited; some not. "infertility" is not inherited, it's too general a term. ...Read more

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What causes men to be infertile?

What causes men to be infertile?

Many things can.: Things that can cause infertility in men include overall health, sexually transmitted infections, lifestyle choices such as smoking and alcohol and drug use, obesity, testicular injury, exposure to chronic high heat, and reproductive toxins in the workplace such as heavy metal exposure, radiation, and pesticides. ...Read more

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Managing TMJ (Checklist)

Rest your mouth from hard foods
Daily
Try over-the-counter pain medications
Daily
Get a treatment from an experienced dentist
Once
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Incredibly fearful of infertility?

Seek Support: It sounds like now might be a good time for you to seek some support. If you have been struggling with infertility, http://www.resolve.org list providers and support groups. ...Read more

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