Doctor insights on:
Fertility Treatment For Endometriosis
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 moreSee 2 more doctor answers
Assisted reproduction is a field of study in which a person works to understand fertility problems and help couples overcome their difficulties in becoming pregnant. Methods of assisting reproduction include hormone therapy, "in vitro" fertilization outside the body, analysis or sperm and eggs, etc... A doctor of this specialty is ...Read more
Yes: There are many different treatments available for the treatment of endometriosis. Lupron (leuprolide) is a medicine that decrteases estrogen levels and causes endometriosis to shrink away in most woman. Lupron (leuprolide) is used to treat endometriosis pain and endometriosis lesions/endometriomas. It should not be used long term to treat infertility associated with endometriosis-consider other options such as surgery. ...Read more
NONE: Ectopic pregency of cervix is rare even rare going to full term, unless get implanted close to uterus, then a nightmare to managing team, always associated with bleeding, could be massive, usually aborts, or require urgent surgical intervention, and medical treatment has no role. Leave it to expert OB surgeon to handle the problem. ...Read moreSee 1 more doctor answer
Estrogen replacement: Depending on your symptoms that may be early ovarian failure, tests can be done to see if your estrogen level is low. You can also obtain an amh level to determine if your ovarian reserve is truly low. If you need to take estrogen supplementation, Progesterone will need to be given each cycle as well if you still have a uterus. Your age and any medical issues may determine if you can take estrogen. ...Read more
Outside body: In Vitro Fertilization (IVF) means that fertilization occurs "outside the body" (in vitro). We stimulate the woman's ovaries to mature multiple eggs. We retrieve them in the office with the woman under anesthesia to allow us to suction the eggs with a needle. We combine the sperm with the eggs and culture the embryos. We transfer 1-3 embryos based on woman's age and embryo quality. ...Read moreSee 1 more doctor answer
Quite likely 'yes': This is complicated depending on what services he/she provides and what your insurance covers, if anything. But simply 'yes, ' if you accept a service from a doctor you accept responsibility to pay for it. If you have no insurance benefit ('non-covered service') your doctor may bill you. Some insurance services are 'bundled, ' you would do well to talk with your insurance rep about these. ...Read more
Varied: For the pain of a current ovarian cyst, over the counter pain medicines and occasionally prescriptions are necessary. Toward prevention, i suggest regular exercise, limiting processed foods, carbs, artificial sweeteners, and caffeine in your diet. If these are unsuccessful, you may want to discuss w your doctor the option of taking hormonal therapy like birth control to ovulation and thus cysts. ...Read moreSee 1 more doctor answer
Safe; sometimes used: Progesterone or artificial versions (progestins) can be safely used to induce a period for women with pcos who have very few periods (less than 4 a year) or no periods. It does not improve your chances of conceiving because it induces bleeding, not ovulation (egg release). Progesterone can also be given for low Progesterone levels in the 2nd half of a cycle, or to support an early pregnancy. ...Read moreSee 1 more doctor answer
How does fertility treatment for lo-cah differ from fertility treatment for pcos? I'm young, normal-weight, ovulate rarely, and am otherwise healthy.
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
It may help: Lupron and Synarel (nafarelin) are both GnRh Agonist drugs that tend to block any progression of existing endometriosis, but may or may not help with the pain. If a 3 to 6 month course of Lupron doesn't alleviate the pain your MD may consider Laparoscopy with ablation as a method + pain medication. ...Read more
Nutritional Rx: Fibroids are a result of high estrogen levels. High estrogen can be caused by excessive carbohydrate intake (via competetive inhibition of glucoronidase enzyme) therefore a low carb diet is beneficial to reduce estrogen and help shrink fibroids. You may also have low iodine, thyroid problems, low progesterone. All of these things should be evaluated. All phytoestrogens should be avoided. ...Read moreSee 1 more doctor answer
I have history of ovarian cyst, just had sergury for endometriosis, and had fibroids. Will i be able to have kids? Or will i need fertility treatment?
Fertility treatment means some type of therapy that would increase the odds of someone becoming pregnant. There are many different types of treatment, including, and certainly not limited to, intrauterine insemination, usage of fertility medication, and in-vitro fertilization. I hope this ...Read more
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