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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
1,240 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 in 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 Kent Dr. Kent
<b>2</b> doctors agreed:
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Managing Bursitis (Checklist)

See your physician for appropriate diagnosis
Once
Discuss NSAIDs with your physician
Once
Ice
Once
Consider PT to correct posture/modify behavior to end root cause
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. 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 the doctor advises
Daily
See the doctor to adjust medications and other treatments
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. Michael Fox Dr. Fox
<b>2</b> doctors agreed:
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Managing Endometriosis (Checklist)

Be seen by endometriosis surgeon that performs complete excision
Once
Know estrogen decreases in the mid 30's and will need replacement
Once
Ask your doc about increasing period pain in mid 30's (adenomyosis)
Once
For severe period pain, consider presacral neurectomy surgery
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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Managing Atherosclerosis (Checklist)

Follow your treatment regimen as prescribed
daily
Enjoy friends and family
daily
Eat fruits and vegetables
2x day
Notify your doctor of mild symptoms
once
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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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