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 [...]
Tag Archives | Infertility

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 [...]
Share this:

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 [...]
Share this:

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 [...]
Share this:

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 [...]
Share this:

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 [...]
Share this:

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 [...]
Share this:

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 [...]
Share this:

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 [...]
Share this:

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 [...]
Share this:
Dr Michael Opsahl, MD
Board Certified in Reproductive Endocrinology and Infertility. My 32 year career provided me broad experience including Ovulation induction, IUI, PCOS, IVF, Donor Eggs-Embryos-Surrogacy, Fertility Preservation, and Surgery. My goal is building families for everyone who dreams of having children.
-
Growth of IVF & ICSI Children at Age 12
April 19, 2010
-
Endometrial Ultrasound Video
July 3, 2010
-
PGD for Gender Selection in the USA
April 19, 2010
-
PGD with Array-CGH Pregnancies
April 23, 2010
-
Telomere Length Measures Embryo Health
July 11, 2010
-
Canada Seeks Legislation to Slash Multiple Birth Rate
June 9, 2010
-
Rent-a-womb if you don’t have the time
June 8, 2010
-
Would you transfer only a single embryo for IVF?
May 4, 2010
-
Frozen Blast Transfer Reduces Ectopic Pregnancy Risk
May 24, 2011
-
ICSI Movie
May 23, 2010
-
Embryo Cohort Size Does Not Affect Rate of Normal Embryos
May 20, 2012
-
Hysterectomy Hastens Menopause by Compromised Ovarian Blood Flow
November 21, 2011
-
Metformin reduces OHSS risk in PCO patients during IVF cycles
November 16, 2011
-
Individualized Ovarian Stimulation Best
September 26, 2011
-
Hysteroscopy More Accurate than HSG for Uterine Cavity
August 1, 2011
-
Frozen Blast Transfer Reduces Ectopic Pregnancy Risk
May 24, 2011
-
The radiosensitivity of the human oocyte
April 6, 2011
-
AMH as a Predictor of Natural Fertility
April 5, 2011
-
Frozen-Thawed Donor Eggs Work as Well as Fresh Eggs
April 3, 2011
-
Effect of Age and Embryo Quality on Outcomes in Frozen-Thawed Single Embryo Transfers
April 2, 2011
- Reproductive Science Advancements in the Last Twenty Years | Park Baby: [...] the embryo is replaced with using the frozen...
-
BeeBug08: Thank you very much for taking the time to respond...
-
Dr. Michael Opsahl: Good question. We know that a thin lining is a ser...
-
BeeBug08: Great blog and information. I was just watching yo...
-
Dr. Michael Opsahl: Remember that the uterus is a muscle and it contra...
- Fall 2011 FET - Frozen Embryo Transfers (FET) Forums: [...] 859 Jdub, it looks like you are rig...
-
Johnexo: Most women with Turner's syndrome have ovarian dy...
- PGD for Gender Selection in the USA | Dr Opsahl's Infertility … | Gender Selection Web: [...] is the original post: PGD for Gender Selecti...
- PGD for Gender Selection in the USA | Dr Opsahl's Infertility … | Gender Selection Web: [...] from: PGD for Gender Selection in the USA | ...
- PGD for Gender Selection in the USA | Dr Opsahl's Infertility …: [...] Go here to see the original: PGD for Gender ...
AVVO: Ask a Question
HealthTap Feed
Twitter @DrOpsahl
Follow @@DrOpsahl on Twitter


Dr Opsahl AVVO Profile