17 CAUSES OF UNEXPLAINED INFERTILITY, HOW IT AFFECT YOU AND TREATMENT OPTIONS

17 CAUSES OF UNEXPLAINED INFERTILITY, HOW IT AFFECT YOU AND TREATMENT OPTIONS

Definition of unexplained infertility

Infertility cases in which the standard infertility testing has not found a cause for the failure to conceive. Unexplained infertility is also referred to as idiopathic infertility. Another way to explain it is the "doctors can't figure it out" group.

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What is standard infertility testing?

The definition of what "standard testing" consists of is not agreed upon by all experts. Medical studies have reported that 0-26% of infertile couples have unexplained infertility. The most commonly reported figures are between 10-20% of infertile couples. However, those percentages are from studies in which all the women had laparoscopy surgery to investigate the pelvic cavity for pelvic scarring and endometriosis. Laparoscopy surgery is no longer done as part of the routine fertility workup. Therefore, we are not finding all of the causes of infertility that we used to - leaving more couples in the unexplained category.


•The current rate of unexplained infertility is probably about 50% for couples with a female partner under age 35 and about 80% by age 40 (see discussion below about female age issues).

•In reality, there are probably hundreds of "causes" of infertility. What this means is that there are a lot of things that have to happen perfectly in order to conceive and have a baby.

As an overly simplified example of the science involved:

•The hormones that stimulate egg development must be made in the brain and pituitary and be released properly

•The egg must be of sufficient quality and be chromosomally normal

•The egg must develop to maturity

•The brain must release a sufficient surge of the LH hormone to stimulate final maturation of the egg

•The follicle (eggs develop in structures called follicles in the ovaries) must rupture and release the follicular fluid and the egg

•The tube must "pick up" the egg

•The sperm must survive their brief visit in the vagina, enter the cervical mucous, swim to the fallopian tube and "find" the egg

•The sperm must be able to get through the cumulus cells around the egg and bind the shell (zona pellucida) of the egg

•The sperm must undergo a biochemical reaction and release their DNA package (23 chromosomes) into the egg

•The fertilized egg must be able to divide

•The early embryo must continue to divide and develop normally

•After 3 days, the tube should have transported the embryo down into the uterus

•The embryo must continue to develop and expand into a blastocyst

•The blastocyst must hatch out of its shell

•The endometrial lining of the uterus must be properly developed and receptive

•The hatched blastocyst must attach to the endometrial lining and "implant"

•Many more miracles in early embryonic and fetal development must then follow...

A weak link anywhere in this chain will cause failure to conceive

The above list is very oversimplified, but the point is made. There are literally hundreds of molecular and biochemical events that have to happen perfectly in order to have a pregnancy develop. The standard tests for infertility barely scratch the surface and are really only looking for obvious factors, such as blocked tubes, abnormal sperm counts, ovulation problems, etc. These tests do not address the molecular issues at all. That is still for the future.


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Unexplained infertility and female age

The likelihood of a diagnosis of unexplained infertility is increased substantially in women 35 and over - and greatly increased in women over 38. The reason for this is that there are more likely to be egg quantity and quality problems as women age. Since we do not have a "standard category" called egg factor infertility, these couples sometimes get lumped in to the "unexplained" infertility category. Most women over 40 who try to get pregnant will have difficulty, and fertility over age 44 is rare - even in women who are ovulating regularly every month. The point is that the older the female partner, the more likely that there is an egg related issue causing the fertility problem. Unfortunately, there is currently no specific test for "egg quality".

Mild endometriosis

Some experts would also consider infertility associated with mild endometriosis to be in the "unexplained" category. This is because a cause and effect relationship has not been definitely established between mild endometriosis and fertility problems.

Chance for getting pregnant on own - without fertility treatment - for couples with unexplained infertility

The duration of infertility is important. The longer the infertility, the less likely the couple is to conceive on their own. After 5 years of infertility, a couple with unexplained infertility has less than a 10% chance for success on their own.

One study showed that for couples with unexplained infertility and over 3 years of trying on their own, the cumulative pregnancy rate after 24 months of attempting conception without any treatment was 28%. This number was found to be reduced by 10% for each year that the female is over 31.

(Reference: Collins, JA and Rowe, TC. Fertility and Sterility 1989;52:15-20.)


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Treatment options for unexplained infertility



Ovarian stimulation and/or intrauterine insemination, IUI

Intrauterine insemination vs. timed intercourse (sometimes called sex, or BD, baby dance) - no medications involved

This has been studied and there is an increased chance for pregnancy with IUI for unexplained infertility as compared to timed intercourse. However, intercourse should be more fun than IUI - and should be cheaper too.

Clomid and timed intercourse for unexplained infertility

3-6 months of treatment with Clomid pills (clomiphene citrate) might improve fertility by as much as 2 times as compared to no treatment. This is a very low level infertility treatment. Infertility specialists do not usually recommend Clomid treatment( without insemination) for unexplained infertility for women over the age of about 35. Most fertility specialists do not use it (without IUI) on any couples with unexplained infertility. If a woman is already having regular periods and ovulating one egg every month, giving Clomid, which will probably stimulate the ovaries to release 2 or 3 eggs per month (instead of one) is not really fixing anything that is broken - and is not likely to be successful.

Clomid plus insemination, IUI for unexplained infertility

Treatment with Clomid tablets plus IUI improves fertility rates. For unexplained infertility, studies have shown that for women under 35, monthly success rates for Clomid plus insemination are about 10% per cycle. This pregnancy rate holds up for about 3 tries and the success rate is considerably lower after that. More about success rates with IUIs is on the insemination page and on the Clomid for unexplained infertility page. The insemination component boosts fertility more than the Clomid does - but success rates are higher when both are used together.

Letrozole or Femara is another oral medication that is sometimes used to stimulate development of multiple follicles during infertility treatment

Injectable gonadotropins (shots of FSH hormone) plus intrauterine insemination, IUI

Several studies showed improved pregnancy success rates with injectable FSH plus IUI treatment as compared to no treatment.

Injectable gonadotropins plus intercourse

This is less extensively studied. It is not yet known whether the ovarian stimulation and the insemination have independent beneficial effects or whether their beneficial effects are only seen when they are used in combination. Most likely they both independently increase fertility potential, with relatively more fertility benefit coming from the IUI component.

Assisted reproductive technologies and IVF as treatment for unexplained infertility

In vitro fertilization (IVF) has high success in young women with normal ovarian reserve testing and unexplained infertility. Most couples with unexplained infertility with a female partner under age 40 will try about 3 artificial inseminations and if not pregnant - do IVF.

Culled from........http://www.advancedfertility.com/unexplai.htm

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For further informations , FREE CONSULTANCY and COUNSELLING , Contact JOAS MEDICAL DIAGNOSTIX

JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria, offer comprehensive infertility screening tests for both couples like Transvaginal Scan for uterine and ovarian functions,Ovulation/follicular tracking, HSG to evaluate the fallopian tubes, blood tests for hormone check, semen analysis etc. We also offer a simple assisted reproductive procedure like INTRAUTERINE INSEMINATION [IUI].

For accurate assessment of your fertility situation, contact us at JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria.

For FREE Consultation and FREE Counseling. Also for Quality and Accurate Medical Diagnostic Tests Contact

JOAS MEDICAL DIAGNOSTIX

JOAS MEDICAL DIAGNOSTIX-------WE ARE AN ULTRAMODERN MEDICAL IMAGING CENTER. WE ARE EXPERTS IN ULTRASOUND SCAN SERVICES, 3D/4D COLOUR DOPPLER SCAN SERVICES, X-RAY/RADIOLOGY SERVICES, ECG SERVICES, INFERTILITY SERVICES, HSG SERVICES, LABORATORY SERVICES,BLOOD BANKING SERVICES , DNA SERVICES, AND HEALTH CONSULTANCY/COUNSELLING SERVICES.

We are located at

JOAS HOUSE, 2, Okesuna Street,

Opposite The Synagogue Church Busstop,

Bolorunpelu, Ikotun, Lagos

Postcode: 100265

Nigeria.  

TEL:

08032509975,
08184590752,
08058166504,
08064981455

EMAIL:

joasmedicaldiagnostix@yahoo.com

joasmedicaldiagnostix@gmail.com

DISCLAIMER

The contents, blogs and postings provided in this site are offered strictly for informational purposes only and should not be construed as legal, medical nor financial advice on any matter. We have made every effort to ensure the accuracy of the information presented, and if you have any questions regarding the contents please contact us.

The informations provided in this site is subject to change without notice.

This site may contain links to other internet sites, we are not responsible for the privacy, practices nor the content of such sites, nor their relationships

HOW INTRAUTERINE INSEMINATION CAN SAVE YOUR MARRIAGE, AND GIVE YOU CHILDREN OF YOUR OWN

HOW INTRAUTERINE INSEMINATION CAN SAVE YOUR MARRIAGE, AND GIVE YOU CHILDREN OF YOUR OWN
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Couples that have been trying to conceive for a long time without success will likely eventually turn for help with conception. As assisted reproductive techniques have grown and expanded, infertile couples now have many different options to choose from, including fertility drugs like clomid and more intricate procedures such as IVF. Despite these advances, many couples still opt for one of the oldest and most reliable methods of assisted conception: intrauterine insemination.

What is Intrauterine Insemination?

Intrauterine insemination (IUI) is process whereby sperm are artificially placed in the uterus with the help of a catheter. This procedure helps to ensure that more sperm are available and able to access a woman’s egg, thereby aiding fertilisation and conception.

IUI is the updated name for what was once known as artificial insemination. The reason for the name change is that artificial insemination can now occur in four different locations: the vagina (intravaginal insemination), the cervix (intracervical insemination), the uterus and the fallopian tubes (intratubal insemination). While artificial insemination is seen as an umbrella term for these four methods, intrauterine insemination is the more exact name that refers to the specific method of placing sperm in the uterus. Of the four methods, IUI is the most commonly used while intratubal insemination is rarely used as it involves an invasive procedure.

Who Can Use This Treatment?
IUI is usually suggested for those couples who have been trying to conceive for a year or more without success and have been found to have infertility issues. It is always recommended to perform a complete infertility examination before undergoing this process.

In general, artificial insemination is used when:

• Unexplained infertility
• Male infertility (mild)
• Failure to conceive after ovulation induction treatment
• Immunological (anti sperm antibodies)
• Ejaculatory failure
• Retrograde ejaculation

•A woman’s cervical mucus is scant or hostile to sperm. Through IUI, sperm directly reaches the uterus, bypassing the cervix and the cervical mucus.

•The man has a low sperm count, though the sperm should be healthy.

•Male infertility due to antibodies to his own sperm. Sperm not damaged by the antibodies will be separated and used in the IUI process.

•Ejaculation issues due to vaginal muscle contractions or psychological problems.

•Retrograde ejaculation, a condition where the semen goes back into the bladder rather than being expelled from the body.

•Couples who cannot naturally have intercourse due to disability, injury or premature ejaculation.

In the process of iui, the fertilisation of the egg and sperm occurs naturally, although the sperm is given a kind of "push" into the uterus. For this reason, both partners must meet certain criteria in order to have the best chances at success with IUI.

Male Partner Requirements

Tests down on sperm prior to IUI must reveal normal functioning in terms of:

•Sperm count

•Mobility (movement of sperm)

•Sperm morphology (shape of sperm)

If sperm are naturally not healthy or they are misshaped, even the use of artificial insemination cannot induce fertilisation. Under some circumstances, the treatment may also be done using donor sperms. This is called AID (Artificial Insemination by Donor) or TDI (Therapeutic Donor Insemination). If using donor sperm, make sure it is tested for mobility, shape as well as quarantined for 180 days before use. Tests for infectious diseases and disorders, including HIV, must be performed on the semen sample before it can be used.

Female Partner Requirements

Because fertilisation and conception are still expected to take place as normal, the female partner will be tested to ensure that she has:

•A normal ovulation cycle

•Open fallopian tubes

•A normal uterine cavity

Sometimes, woman with ovulatory disorders or those who ovulate irregularly can undergo IUI with the help of fertility drugs. These drugs stimulate the brain to produce hormones that in turn induce the ovary follicles to mature into eggs. Once the eggs mature, IUI can be used to introduce the sperm inside the uterus. The timing of this particular procedure is important, as it is only when the egg and sperm are both present that fertilisation will occur.

Woman suffering from endometriosis but who have a healthy pelvic structure may also benefit from IUI.

Unfortunately, those with damaged fallopian tubes, poor egg quality, are over the age of 40, or who are menopausal are not candidates for IUI, as the chances of conceiving are too low.

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The Procedure

Patency health tests

It is essential that your fallopian tubes are known to be open and healthy before the IUI process begins. A tubal patency test is usually carried out as part of your assessment by the fertility clinic.

The typical method for assessing the health of your pelvis and the patency of your fallopian tubes is Hysterosalpingogram [HSG] and dye testing or Sonohysterogram.

When the pelvis and tubes are healthy, dye passes freely through both tubes. There should be no adhesions present that might prevent an egg from having access to either tube from the ovaries. This is performed under a short general anaesthetic.

The test may show that you only have one open healthy tube although you may have both ovaries. IUI treatment can then only be carried out when there is evidence that ovulation is about to occur from the ovary that is on the same side as the open tube.

The second essential requirement is that there is no significant problem with sperm numbers or sperm quality.

Intrauterine insemination can be performed with or without the use of fertility drugs. However, using fertility drugs does increase the number of eggs your body matures and therefore increases the likelihood of conception. On the other hand, your risk of a multiple pregnancy is also increased. Discuss the pros and cons of using fertility drugs with your partner and your fertility specialist before deciding whether you would like to use fertility medications.

IUI begins with an ultrasound check-up of the female to determine the size of the follicles that can mature into eggs. She is then given oral fertility drugs, if she has decided to use these, to help stimulate a greater number of egg follicles to mature.

Next, with the help of ultrasound scanning and blood tests to check for oestrogen levels (estrogen is the hormone released by the female body to help the growth of the eggs), follicular growth is monitored. In women who have taken fertility medications, this also helps in individualising drug doses, keeping track of potential side effects and reducing the risk of multiple pregnancy.

In some cases, women undergoing IUI may receive an injection of human chorionic gonadotropin (hCG) hormone to stimulate egg growth and cause ovulation. Administering this hormone causes eggs to be released within 30 to 40 hours and provides a better assurance of an egg being present in the ovary when IUI takes place.

Timing is very crucial when dealing with IUI, as sperm has to be injected at the precise time when ovulation has occurred or is about to occur. Around the time of expected ovulation, a sample of fresh semen is collected from the male partner and processed in the lab by washing in a culture medium or using a density gradient column. This is done to obtain good quality sperm while minimizing the number of unhealthy, poor quality sperm. A prompt insemination after the processing is important to increase the success rate. Sometimes a sperm sample taken at an earlier date may also be frozen and later used for IUI.

Sperm is then inserted into the cervix and placed high inside the uterus by using a catheter. It is a painless procedure and does not take more than 20 to 30 minutes.

Once insemination is done, regular ultrasound monitoring and pregnancy tests are performed to find out whether the process was successful.

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Risk Factors

While IUI is a relatively straight forward process, there are risks involved. This can include infection, brief cramping of uterus, or transmission of venereal disease from donor sperms. However, the strict quarantine applied nowadays by sperm banks has decreased the risk of viral transmissions dramatically.

The use of fertility drugs brings with it the risk of a multiple pregnancy. In order to reduce this risk, your doctor may stop your cycle midway. The chance of a miscarriage occurring and having a low birth weight baby is high in the case of multiple pregnancies.

Fertility medications may also cause a rare condition called ovarian hyperstimulation syndrome. Women affected by this will experience an enlarging of their ovaries and a collection of fluid in the abdomen. If this occurs, the IUI process may be stopped before insemination.

Success Rate

In a given cycle, the possibility of conception is 10% to 20% provided the sperm count is good and the female has a healthy fallopian tube. The woman’s age is also a deciding factor on the success rate, since advanced maternal age results in fewer follicles maturing into eggs.

Doctors usually recommend trying two to three IUI cycles before opting for another fertility treatment, such as IVF.

Cost of treatment

Compared to other fertility treatments, IUI is relatively less expensive. Depending on the facilities provided by the clinic, the cost may be between $500 and $1000. This may or may not include the cost of drugs, hormone treatments, donor sperms and other added treatments.

Culled from............http://www.womens-health.co.uk/iui.html

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For accurate assessment of your fertility situation, contact us at JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria.

For FREE Consultation and FREE Counseling. Also for Quality and Accurate Medical Diagnostic Tests Contact

JOAS MEDICAL DIAGNOSTIX

JOAS MEDICAL DIAGNOSTIX-------WE ARE AN ULTRAMODERN MEDICAL IMAGING CENTER. WE ARE EXPERTS IN ULTRASOUND SCAN SERVICES, 3D/4D COLOUR DOPPLER SCAN SERVICES, X-RAY/RADIOLOGY SERVICES, ECG SERVICES, INFERTILITY SERVICES, HSG SERVICES, LABORATORY SERVICES,BLOOD BANKING SERVICES , DNA SERVICES, AND HEALTH CONSULTANCY/COUNSELLING SERVICES.

We are located at

JOAS HOUSE, 2, Okesuna Street,

Opposite The Synagogue Church Busstop,

Bolorunpelu, Ikotun, Lagos

Postcode: 100265

Nigeria.  

TEL:

08064981455

08032509975

08184590752

08037668535

EMAIL:

joasmedicaldiagnostix@yahoo.com

joasmedicaldiagnostix@gmail.com

DISCLAIMER

The contents, blogs and postings provided in this site are offered strictly for informational purposes only and should not be construed as legal, medical nor financial advice on any matter. We have made every effort to ensure the accuracy of the information presented, and if you have any questions regarding the contents please contact us.

The informations provided in this site is subject to change without notice.

This site may contain links to other internet sites, we are not responsible for the privacy, practices nor the content of such sites, nor their relationships

PROTECT YOUR HEART AT EVERY AGE

Protect Your Heart at Every Age
By Woman's Day Staff





You're never too young—or too old—to start lowering your heart disease risk. Of course, exercising, eating healthy and reducing stress are key throughout life, but due to physiological changes that happen as we age, certain risk factors do become more of a threat.
In Your 20s

Stub Out a Social Smoking Habit
Smoking is enemy number one when it comes to heart disease, and even just a few cigarettes can do damage: New research from McGill University in Montreal found that smoking just one cigarette a day stiffens your arteries by a whopping 25 percent. Plus, smoking erases the hormonal advantage you have from estrogen, which can leave you vulnerable to a heart attack before menopause, explains Dr. Bonow.

Don't Ignore the Birth Control Factor
Remember that hormonal contraceptives slightly increase the risk of blood clots, so if you've ever had one, make sure to discuss it with your doctor before going on birth control. And if you're currently a smoker, don't take oral contraceptives, because the combo can be especially dangerous, says Sharonne N. Hayes, MD, director of the Women's Heart Clinic at Mayo Clinic in Rochester, Minnesota.

Watch Your Alcohol Intake
Moderate amounts of alcohol can have a beneficial effect on your heart. (By "moderate," we mean one drink a day or about 5 ounces—but many restaurants serve far more than that.) Overdoing it can raise triglycerides, increase blood pressure and lead to weight gain, thanks to all those empty calories.

In Your 30s

Get a Grip on Stress
When you're juggling career and family, it's crucial to find stress management techniques that work. "Untamed stress has a direct negative impact on heart health," says Dr. Stevens. "The constant bombardment of adrenaline raises blood pressure and destabilizes plaque in your arteries, making it likely to cause a clot or heart attack."

Lose the Baby Weight
No, you don't have to fit into your skinny jeans by the time the baby's 6 months old, but do aim to get back to your pre-pregnancy weight within one to two years. "Carrying around extra pounds can lead to high cholesterol, high blood pressure and other heart disease risk factors," Dr. Bonow says. Also remember that it's easier to lose weight in your 30s than in your 40s, when your metabolism slows down.

Stay Social
It's important to stay connected to friends and family for the sake of your mood and heart. Research at the University of Pittsburgh School of Medicine found that high levels of loneliness increase a woman's risk of heart disease by 76 percent. On the flip side, having strong social support can help lower your blood pressure and improve other cardiovascular functions. Set aside time once or twice a week to call friends, or make a monthly dinner date.

In Your 40s

Make Sleep a Priority
Thanks to peri-menopause, fluctuating hormone levels can interfere with a good night's sleep. But not getting at least seven hours of shut-eye regularly can lead to increased blood pressure, low-grade inflammation and higher levels of the stress hormone cortisol, all of which are harmful for your blood vessels and heart, explains Jennifer H. Mieres, MD, a cardiologist at New York University School of Medicine and coauthor of Heart Smart for Black Women and Latinas. Lack of sleep has also been linked to weight gain. So establish good habits: Turn in (and wake up) at the same time every day—even on weekends—and do your best to relax before going to bed, whether it's watching a favorite funny TV show or reading.

Reassess Your Risk Factors
You may discover that your cholesterol, blood pressure and blood sugar levels have changed in this decade, even if you aren't doing anything differently, says Dr. Hayes. In fact, 22 percent of 40-something women have high blood pressure and 50 percent have high cholesterol (a jump from 38 percent of women in their 30s), according to the National Heart, Lung, and Blood Institute. Also, be sure to get your thyroid checked around 45; hypothyroidism (an underactive thyroid gland), which becomes more common as women get older, can negatively affect your cholesterol levels as well as your heart.

Step Up Strength Training
You start to lose muscle mass more rapidly in your 40s, which causes your metabolism to slow down since muscle burns more calories than fat. Unfortunately, this makes it harder to stave off those extra pounds. To help maintain muscle and keep your metabolism going, aim for two 15-minute sessions weekly of lifting weights, using a resistance band or doing other toning exercises.

Carve out Personal Time
"Between the demands of work and family, it becomes even more challenging to find time for yourself in your 40s," says Dr. Mieres. But it's crucial to do so—not only to help ease stress but also to guard against depression, which commonly crops up in this decade and can raise your risk of heart disease. "Find at least 10 minutes of ‘me' time every day to do something—even if it's just chatting on the phone with a friend—that helps you destress and regroup," says Dr. Mieres.

In Your 50s

Move More
Around menopause, you tend to gain extra weight around your belly, which can lead to insulin resistance, inflammation and heart strain. Cardiovascular fitness also starts to decline, particularly if you're not that physically active to begin with. "Unfortunately, at this point, women have to burn more calories to stay at the same weight," Dr. Stevens says. Start taking the stairs instead of the elevator whenever you can, walk faster around the mall, or jog to the mailbox to send letters instead of sticking your hand out the car window as you drive by. Small changes really do add up.

Have an ECG
Silent heart abnormalities become more common in your 50s, and an electrocardiogram (ECG) to check your heart's electrical activity can pick them up, says Dr. Goldberg. Also ask your doctor if you should have a stress test; this is especially important if you're just starting to exercise.

Add Fiber
Besides being good for your cholesterol and blood sugar, pumping up your fiber intake (think whole grains like oatmeal, brown rice and flaxseeds, as well as beans, fruits and veggies) can help prevent constipation, which becomes more of a problem as you get older and your digestive system starts to slow down.

In Your 60s

Get Even More Vigilant About Screenings
After you go through menopause and get older, your blood pressure and cholesterol tend to go up, and blood vessels get stiffer. "Have your blood sugar, blood pressure and cholesterol measured yearly," advises Dr. Goldberg.

Consider Medication
If you have hypertension or high cholesterol, the way you've been managing it before may not be enough. "As you get older, you may need more aggressive therapy," Dr. Bonow says. "High blood pressure that was controlled with one medication may now require three to control it." Talk to your doctor about whether you need to add to or adjust your medications to control your risk factors.

Be Alert to Symptoms
Now is when the first noticeable symptoms of heart disease may appear, so it's important to know what's normal for your body and be on the lookout for worrisome signs like chest discomfort, shortness of breath or changes in exercise tolerance—meaning you suddenly feel winded going up a flight of stairs or feel unusually tired for no apparent reason, says Dr. Mieres. If these appear, see your doctor pronto!
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Culled from........http://health.yahoo.com/featured/82/protect-your-heart-at-every-age/

For further informations , FREE CONSULTANCY and COUNSELLING , Contact JOAS MEDICAL DIAGNOSTIX


JOAS MEDICAL DIAGNOSTIX...................WE ARE AN ULTRAMODERN MEDICAL IMAGING CENTER. WE ARE EXPERTS IN ULTRASOUND SCAN SERVICES, 3D/4D COLOUR DOPPLER SCAN SERVICES, X-RAY/RADIOLOGY SERVICES, ECG SERVICES, INFERTILITY SERVICES, HSG SERVICES, LABORATORY SERVICES,BLOOD BANKING SERVICES , DNA SERVICES, AND HEALTH CONSULTANCY/COUNSELLING SERVICES.
We are located at
JOAS HOUSE, 2, Okesuna Street, Opposite Synagogue Church Busstop, Bolorunpelu, Ikotun, Lagos, Nigeria, WestAfrica.

TEL:
 +23418112054
+2348023069403

EMAIL:
info@joasmedical.com
joasdiagnostix@yahoo.com
joasmedicaldiagnostix@yahoo.com
http://www.joasmedical.com/
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DISCLAIMER

The contents, blogs and postings provided in this site are offered strictly for informational purposes only and should not be construed as legal, medical nor financial advice on any matter. We have made every effort to ensure the accuracy of the information presented, and if you have any questions regarding the contents please contact us.
The informations provided in this site is subject to change without notice.
This site may contain links to other internet sites, we are not responsible for the privacy, practices nor the content of such sites, nor their relationships

ULTRASOUND FOR INFERTILITY

ULTRASOUND FOR INFERTILITY
By Bets Davis, MFA; Sandy Jocoy, RN

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Exam Overview


Ultrasound technology provides a nonsurgical way of viewing a woman's pelvic organs during various infertility tests and procedures. It uses high-frequency sound waves that travel at different speeds through body organs and tissues. The waves are then reflected back to a detector where they are converted into pictures. The probe (transducer) that is used to assess and help treat infertility-related conditions is placed within the vagina (transvaginal).


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A hysterosonogram is done to evaluate the inside of the uterus (endometrial cavity) by filling the uterus with fluid during a transvaginal ultrasound. This procedure is also known as a sonohysterogram.



Ultrasound used for monitoring of ovarian follicle development can provide information about the number and size of developing follicles, the reaction of the uterine lining (endometrium) to follicle growth, and when to schedule artificial or intrauterine insemination just before you ovulate. Transvaginal ultrasound is better than transabdominal ultrasound for monitoring follicle growth, counting the number of follicles, and evaluating the thickness and pattern of growth of the uterine lining.



Ultrasound is a rapid, vaginally invasive procedure, is usually not painful, and requires no special dietary preparations. It is performed on an outpatient basis. Results are interpreted by a radiologist or a gynecologist. Testing requires that you empty your bladder and takes about 20 minutes.


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Why It Is Done

Transvaginal ultrasound may be done to:



■View the external structures of the uterus, fallopian tubes, and ovaries.

■Monitor the development of follicles in the ovary leading to ovulation. This helps to know when to schedule artificial or intrauterine insemination just before you ovulate.

■View the uterus and uterine lining.

■Guide the needle used to remove eggs to be used in assisted reproductive techniques.

■Count the number of egg follicles in the ovaries, which, along with your age and blood tests, may be used to give an estimate of treatment success.

For a comparison between ultrasound and laparoscopy, see ultrasound and assisted reproductive techniques.



Results

Findings of ultrasound may include the following.



Normal

The uterus, fallopian tubes, and ovaries are of normal size and shape with no visible growths or scar tissue or injury site (abnormal attachments to the wall of the abdomen). Follicle number and development appear normal.



Abnormal

Problems may include:



■Abnormally thick or deformed uterine lining.

■Structural defects or enlarged uterus.

■Growths within the organs, such as uterine fibroids or ovarian cysts.

■Abnormalities of the fallopian tubes, such as hydrosalpinx.

■Few visible egg follicles in the ovaries.

What To Think About

Small tumors and scars as well as some internal structures, such as a dividing tissue growth (septum) within the uterus, may not be visible with ultrasound.


Culled from..........http://health.yahoo.com/reproductive-diagnosis/ultrasound-for-infertility/healthwise--hw201998.html

===> ==> CLICK THIS LINK TO GET FREE ACCESS TO DOWNLOAD THE SECRET FERTILITY SYSTEM

For accurate assessment of your fertility situation, contact us at JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria.

For FREE Consultation and FREE Counseling. Also for Quality and Accurate Medical Diagnostic Tests Contact

JOAS MEDICAL DIAGNOSTIX

JOAS MEDICAL DIAGNOSTIX-------WE ARE AN ULTRAMODERN MEDICAL IMAGING CENTER. WE ARE EXPERTS IN ULTRASOUND SCAN SERVICES, 3D/4D COLOUR DOPPLER SCAN SERVICES, X-RAY/RADIOLOGY SERVICES, ECG SERVICES, INFERTILITY SERVICES, HSG SERVICES, LABORATORY SERVICES,BLOOD BANKING SERVICES , DNA SERVICES, AND HEALTH CONSULTANCY/COUNSELLING SERVICES.

We are located at

JOAS HOUSE, 2, Okesuna Street,

Opposite The Synagogue Church Busstop,

Bolorunpelu, Ikotun, Lagos

Postcode: 100265

Nigeria.  

TEL:

08064981455

08032509975

08184590752

08037668535

EMAIL:

joasmedicaldiagnostix@yahoo.com

joasmedicaldiagnostix@gmail.com

DISCLAIMER

The contents, blogs and postings provided in this site are offered strictly for informational purposes only and should not be construed as legal, medical nor financial advice on any matter. We have made every effort to ensure the accuracy of the information presented, and if you have any questions regarding the contents please contact us.

The informations provided in this site is subject to change without notice.

This site may contain links to other internet sites, we are not responsible for the privacy, practices nor the content of such sites, nor their relationships

INSEMINATION PROCEDURES FOR INFERTILITY

Insemination procedures for infertility
By Bets Davis, MFA; Sandy Jocoy, RN
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Treatment Overview
An insemination procedure uses a thin, flexible tube (catheter) to put sperm into the woman's reproductive tract. For some couples with infertility problems, insemination can improve the chances of pregnancy.

Donor sperm are used if the male partner is sterile, has an extremely low sperm count, or carries a risk of genetic disease. A woman planning to conceive without a male partner can also use donor sperm.

Prior to insemination, the sperm usually are washed and concentrated (placing unwashed sperm directly into the uterus can cause severe cramps). Concentration is accomplished by selectively choosing highly active, healthy sperm that are more capable of fertilizing an egg.

===> ==> CLICK THIS LINK TO GET FREE ACCESS TO DOWNLOAD THE SECRET FERTILITY SYSTEM


Intrauterine insemination (IUI)
Intrauterine insemination (IUI) is the placing of sperm into a woman's uterus when she is ovulating. This is achieved with a thin flexible tube (catheter) that is passed into the vagina, through the cervix, and into the uterus.

IUI can use sperm from the male partner or a donor. It is often combined with superovulation medication to increase the number of available eggs.

Artificial insemination (AI)
Artificial insemination (AI) is another name for intrauterine insemination but can also refer to placing sperm in a woman's vagina or cervix when she is ovulating. The sperm then travel into the fallopian tubes, where they can fertilize the woman's egg or eggs.

AI can be done with sperm from the male partner or a donor, and can be combined with superovulation.

What To Expect After Treatment
These techniques are done on an outpatient basis and require only a short recovery time. You may experience cramping during the procedure, especially if sperm are inserted into your uterus. You may be advised to avoid strenuous activities for the remainder of the day.

Why It Is Done
Intrauterine insemination or artificial insemination may be done if:

■Tests have shown no cause for a couple's infertility (unexplained infertility).
■A man releases semen and sperm into the urinary bladder instead of out the penis (retrograde ejaculation). Sperm are collected, washed, and used for insemination.
■A man's sperm are absent, low in quantity, or poor in quality. In this case, your doctor may recommend that you try ICSI. ICSI stands for intracytoplasmic sperm injection.
■There is a problem with a woman's cervix, as from prior surgery, that prevents sperm from traveling through it.
■A woman does not have a male partner.
How Well It Works
Insemination procedures can improve your chances of becoming pregnant, especially when combined with superovulation treatment.1 Treatment success is strongly influenced by a woman's age (an aging egg supply decreases pregnancy rate, and miscarriage risk increases with age).

Note: Most of the following success rates are given in terms of pregnancies conceived; they do not reflect the fact that some pregnancies miscarry. In any group of women, live birth rates are lower than early pregnancy rates.


Treating unexplained infertility
■Superovulated IUI offers a greater chance of pregnancy than does superovulated AI.1
■Without superovulation, IUI, AI, and well-timed intercourse produce similar pregnancy rates.1
Treating male infertility
■For mild male infertility, IUI has produced double the pregnancy rate (6.5%) of AI or well-timed intercourse (3%).1
■Superovulation may only slightly increase the chance of conception when using IUI for mild male infertility.1
Treating endometriosis-related infertility
■For infertility caused by mild endometriosis, women treated with IUI combined with gonadotropin superovulation had a much higher birth rate than those receiving no treatment.1
Studies have found no benefit to the practice of performing two IUI procedures per cycle for "subfertile" couples (who have not naturally conceived in 1 year but have no severe causes of infertility).

===> ==> CLICK THIS LINK TO GET FREE ACCESS TO DOWNLOAD THE SECRET FERTILITY SYSTEM


Risks
Insemination combined with superovulation increases the risk of multiple pregnancy (conceiving more than one fetus).1Multiple pregnancy is high-risk for mother and fetuses. For more information, see the topic Multiple Pregnancy: Twins or More.

Insemination procedures pose a slight risk of infection.

Some women experience severe cramping during insemination.

There is a slight risk of puncturing the uterus during intrauterine insemination.

There is a slight risk of ovarian hyperstimulation syndrome if superovulation is used together with insemination.

What To Think About
Insemination procedures are the simplest and least expensive methods of assisted reproduction. No anesthesia or surgery is needed.

Use of donor sperm
If donor sperm are necessary, you can choose a known or anonymous donor who is willing to provide sperm.

■Donor sperm from a male who isn't a sex partner (as from a sperm bank, friend, or relative) must remain frozen for at least 6 months before it can be used. This is done so that the donor can be tested twice over 6 months to ensure that he does not have any number of infectious diseases, including the human immunodeficiency virus (HIV).3
■Frozen sperm are less effective than fresh sperm.
■A couple may choose to use sperm from a donor who resembles the male partner.

Culled from........http://health.yahoo.com/reproductive-treatment/insemination-procedures-for-infertility/healthwise--hw202610.html

===> ==> CLICK THIS LINK TO GET FREE ACCESS TO DOWNLOAD THE SECRET FERTILITY SYSTEM

For accurate assessment of your fertility situation, contact us at JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria.

For FREE Consultation and FREE Counseling. Also for Quality and Accurate Medical Diagnostic Tests Contact

JOAS MEDICAL DIAGNOSTIX

JOAS MEDICAL DIAGNOSTIX-------WE ARE AN ULTRAMODERN MEDICAL IMAGING CENTER. WE ARE EXPERTS IN ULTRASOUND SCAN SERVICES, 3D/4D COLOUR DOPPLER SCAN SERVICES, X-RAY/RADIOLOGY SERVICES, ECG SERVICES, INFERTILITY SERVICES, HSG SERVICES, LABORATORY SERVICES,BLOOD BANKING SERVICES , DNA SERVICES, AND HEALTH CONSULTANCY/COUNSELLING SERVICES.

We are located at

JOAS HOUSE, 2, Okesuna Street,

Opposite The Synagogue Church Busstop,

Bolorunpelu, Ikotun, Lagos

Postcode: 100265

Nigeria.  

TEL:

08064981455

08032509975

08184590752

08037668535

EMAIL:

joasmedicaldiagnostix@yahoo.com

joasmedicaldiagnostix@gmail.com

DISCLAIMER

The contents, blogs and postings provided in this site are offered strictly for informational purposes only and should not be construed as legal, medical nor financial advice on any matter. We have made every effort to ensure the accuracy of the information presented, and if you have any questions regarding the contents please contact us.

The informations provided in this site is subject to change without notice.

This site may contain links to other internet sites, we are not responsible for the privacy, practices nor the content of such sites, nor their relationships

TIPS FOR BETTER SLEEP

TIPS FOR BETTER SLEEP
By Simeon Margolis, M.D., Ph.D.
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Like millions of other Americans, I often have trouble with insomnia — either I can't fall asleep, or I awake prematurely and am unable to get back to sleep. The following sleep tips, compiled from various sources, may prove helpful to some of my fellow insomniacs.

===> ==> CLICK THIS LINK TO GET FREE ACCESS TO DOWNLOAD THE SECRET FERTILITY SYSTEM


■Only use your bed for sleeping or having sex, not for reading, doing paperwork, watching TV, snacking, or making phone calls.

■If you've been lying in bed but are beginning to fear you're not going to drop off, try some of these techniques: Count sheep or count backwards from 100 (one of my favorites) to stop yourself from thinking about the problems of yesterday or tomorrow; breathe deeply for awhile; or visualize some peaceful place.

■If you can't get to sleep after lying in bed for 30 minutes or more, get up for awhile. What to do? Try reading something incredibly boring.

■Develop a bedtime routine.

■Keep regular bedtime hours.

■Before bedtime, avoid tobacco and caffeinated beverages (not just coffee, but other drinks like tea, cola, and Dr. Pepper).

■Avoid alcohol right before bedtime — a nightcap might get your mind fuzzy enough to put you to sleep, but such sleep may be interrupted by periods of awakening. By contrast, the stress-lowering effect of a drink with dinner may help to promote sleep later.

■Avoid naps (or falling asleep in front of boring TV programs, as I do).

■Try to get up at the same time every day rather than sleeping in on weekends.

■Exercise every day, but not shortly before bedtime since exercise gets the adrenaline going.

■If you use an illuminated clock for a wakeup alarm, place it where you can't keep looking at it to check the time.

■Buy a firm mattress and keep your bedroom well ventilated (a cool temperature works best for me).

■And you might also try some of these: a warm bath, warm milk, light bedtime snack, massage, or quiet music (which turns itself off automatically).

■Use earplugs for extreme quiet.

■If you have a painful joint or a headache, take a pain pill before bedtime (but be sure it doesn't contain caffeine).

■Avoid stimulating reading or television shows late at night.

If the insomnia stubbornly persists, check with your doctor to make sure some underlying health problem (such as depression, anxiety, hyperthyroidism, heart failure, or chronic obstructive pulmonary disease) isn't keeping you awake. If all is well, you might ask for one of the several types of prescription sleeping pills that can be useful in the short term.

culled from........http://health.yahoo.com/experts/healthnews/13364/tips-for-better-sleep/

===> ==> CLICK THIS LINK TO GET FREE ACCESS TO DOWNLOAD THE SECRET FERTILITY SYSTEM

For accurate assessment of your fertility situation, contact us at JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria.

For FREE Consultation and FREE Counseling. Also for Quality and Accurate Medical Diagnostic Tests Contact

JOAS MEDICAL DIAGNOSTIX

JOAS MEDICAL DIAGNOSTIX-------WE ARE AN ULTRAMODERN MEDICAL IMAGING CENTER. WE ARE EXPERTS IN ULTRASOUND SCAN SERVICES, 3D/4D COLOUR DOPPLER SCAN SERVICES, X-RAY/RADIOLOGY SERVICES, ECG SERVICES, INFERTILITY SERVICES, HSG SERVICES, LABORATORY SERVICES,BLOOD BANKING SERVICES , DNA SERVICES, AND HEALTH CONSULTANCY/COUNSELLING SERVICES.

We are located at

JOAS HOUSE, 2, Okesuna Street,

Opposite The Synagogue Church Busstop,

Bolorunpelu, Ikotun, Lagos

Postcode: 100265

Nigeria.  

TEL:

08064981455

08032509975

08184590752

08037668535

EMAIL:

joasmedicaldiagnostix@yahoo.com

joasmedicaldiagnostix@gmail.com

DISCLAIMER

The contents, blogs and postings provided in this site are offered strictly for informational purposes only and should not be construed as legal, medical nor financial advice on any matter. We have made every effort to ensure the accuracy of the information presented, and if you have any questions regarding the contents please contact us.

The informations provided in this site is subject to change without notice.

This site may contain links to other internet sites, we are not responsible for the privacy, practices nor the content of such sites, nor their relationships