Tag Archives | Infertility

Decreased Ovarian Reserve Associated with Increased Trisomy Regardless of Woman’s Age

The study used the following markers for decreased ovarian reserve: a history of ovarian surgery at the time of IVF treatment (such as the removal of benign ovarian cysts); the number of eggs (oocytes) retrieved during the fertility treatment; menopausal status at the end of the study period They found that a history of ovarian [...]

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Endometriosis Fertility Index

Adamson and Pasta propose a new scoring system for endometriosis. They propose an Endometriosis Fertility Index (EFI). The EFI is a combination of surgical factors and historical factors. The reviews and opinions expressed are mine alone and are personal to me and do not necessarily reflect or represent the views or opinions of my employer [...]

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Man Smoking Cigarette

Smoking Harms Sperm Directly

Two studies highlight the damage done by smoking on fertility. I learned of these studies from BioNews (click here for the link to the article). Everyone knows that smoking is generally harmful, but how it harms fertility is confusing. In this article, the authors show data that the proteins that compact the DNA is diminished [...]

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Woman Smoking Cigarette

Mother’s Smoking Reduces Fetal Sperm or Egg Numbers

Two studies highlight the damage done by smoking on fertility. I learned of these studies from BioNews (click here for the link to the article). Everyone knows that smoking is generally harmful, but how it harms fertility is confusing. In the this article, the study suggests a mechanism whereby the mother’s smoking habit can impair [...]

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Semen Analysis & Acrosome Reaction Test

Semen Analysis (SA) The semen analysis fundamentally seeks to tell us 2 important facts: 1) do you have any sperm that are alive and 2) do the sperm have normal function? The basic analysis is great at the first task, indeed almost anyone with a microscope can determine if the sperm are alive. The answer [...]

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Limit COH/IUI to 1-2 Cycles in Women 38+ years old

The combination of COH (controlled ovarian hyperstimulation) and IUI has been a mainstay of infertility treatment for about 20-25 years. The idea is that if we cause multiple follicles to ovulate and place more sperm in the reproductive tract than would normally swim in on their own then we increase the efficiency of the cycle [...]

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SHG Powerpoint Video Ultrasound

SHG Video

The SHG (Sonohysterogram, Saline Infusion Sonogram) is a valuable test for evaluating the endometrial cavity. Please refer to the main page for more details (Click Here). Here is the Powerpoint video, enjoy: Look this video slideshow to better appreciate the images that we are trying to achieve. The video is located on my account at [...]

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Multi-line pattern endometrium ultrasound

Endometrial Ultrasound Video

This blog post is primarily to allow tagging for look up later. Pages on the blog cannot be tagged. We use ultrasound to evaluate the implantation receptivity of the tissue. The measurements are actually quite crude since we are measuring: Thickness – normal = 8-12 mm Appearance – normal = multi-line or triple line pattern [...]

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CCT Video

Here is a Powerpoint video regarding the CCT (Clomid Challenge Test) and why we do it. Please see the page on the CCT for more details (click here). Quick reminder of details: Call us on the first day of normal menses We see you an menstrual cycle days 2-5 but preferably cycle days 2-3. Our [...]

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HSG Powerpoint Video

HSG Video

This post is simply to make it easier to find the HSG video page (Click Here). The HSG (Hysterosalpingogram) is an x-ray test performed to see the tubes. We schedule the test after menses and before ovulation We perform the test in radiology The test is great for the tubes but average for the uterus [...]

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