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Infertility is defined as the inability to achieve pregnancy after 12 months of unprotected intercourse when the woman is less than 35 years of ageor after 6 months if the women is more than 35 years old.
A frequently ignored or misunderstood factor is the natural decline in fecundity (fertility rate per month) which occurs in women. To understand the causes of infertility, it is important to note that fertility in humans is not a very efficient process.
There are multiple causes of female infertility including structural factors such as adhesions or fibroids, infectious causes such as Chlamydia resulting in PID and tubal blockage, hormonal reasons such as polycystic ovaries and ovulatory problems, genetic factors causing premature menopause or embryo defects, and declining egg quality due to advancing age. Pelvic Inflammatory Disease (PID) - PID is the most common cause of infertility worldwide. Polycystic ovary syndrome (PCO) - This condition affects 5 million American women and is another major cause of infertility.
Fibroids - Fibroids, are usually benign growths that may form in the uterine muscle near the fallopian tubes, in the cavity of the uterus or cervix.
Premature Menopause - Some women may experience premature menopause, when their ovaries stop producing estrogen and progesterone and eggs. The etiology of male infertility can be classified into structural, infectious, congenital, anatomic and hormonal and more rarely, genetic causes. Vas deferens obstruction - The vas deferens that carries sperm from the testicles to the penis can be blocked for a variety of reasons including prior vasectomy, injury, infection or physical anomaly. Infections - There are many types of infections that might cause sterility or low sperm counts in men.
Chronic Disease - Diseases that can affect hormonal controls and sperm production, particularly when not controlled are also causes of infertility.
Erectile Dysfunction (ED) - Problems maintaining an erection or ejaculatory difficulties will result in sperm transport problems. Exposure to Harmful Substances - Environmental or work hazards such as solvents, radiation and high temperatures can affect sperm production. Injury - Traumatic injury to the testicles may lead to destruction of sperm producing cells.
Varicocele - This is a varicose vein located in the testes and can interrupt normal blood flow or increase the temperature surrounding the testes. Each male factor patient will receive individual recommendations for treatment options in conjunction with our staff Urologist. At West Coast Fertility Center we perform a systematic, well timed series of diagnostic tests called Level One Testing. Step 1.A  A thorough medical history is taken for the woman and her partner followed by a physical and a gynecologic exam. Egg Freezing allows freedom to preserve your fertility until you're ready to start a family. Los Angeles, Inland Empire and San Diego with Fertility and Egg Freezing Specialist Doctor David G.
Most prescription prenatal vitamins contain higher levels of folic acid than non-prescription formulas. Folic Acid (part of the vitamin B family) is very important for a strong pregnancy and healthy fetal development. Every year, approximately 2,500 babies are born with NTDs in the US, and many additional NTD-impacted pregnancies result in miscarriage or stillbirth. Numerous scientific studies emphasize the importance of folic acid and multivitamin supplementation in preventing birth defects and NTDs.

In a study by MRC Vitamin Study Research Group (1991), deficiencies of folic acid during pregnancy were associated with low birth weight and an increased incidence of neural tube defects.
In addition, a recent study found a link between Down syndrome and folic acid, showing that mothers of children with Down syndrome often cannot efficiently metabolize the B vitamin, folic acid. Folic Acid is a water-soluble B-vitamin - which means that it does not remain in the body for very long, so a regular, daily dosage is required. DreamBelly Butter is a natural stretch mark prevention and repair formula designed to soothe, nourish and protect your skin. Made from wildcrafted, organic herbs that have been used for centuries to relax uterine muscles, strengthen the womb and prepare the body for childbirth. Designed to meet the nutritional needs of nursing women and aid in boosting milk production. Information on this site is not meant to substitute for the advice of a physician or medical professional and should not be not used for diagnosing or treating a health problem or disease, or prescribing any medication.
Ultrasonography is a widely used ultrasound based diagnostic imaging tool used to view internal organs, muscles, bones and determinetheir size and structure and in turn diagnose a wide variety of diseases and conditions with real time tomographic images. Obstetric ultrasound technique is used routinely in obstetric appointments during pregnancy to detect conditions that would pose danger to the mother and the baby. This technique makes use of an abdominal or vaginal probe or transducer depending on the stage of the pregnancy. This test can be done at any stage of pregnancy although routine ultrasound in early pregnancy (less than 24 weeks) allows the determination of multiple pregnancies and earlier detection of fetal malformation at a time when termination of pregnancy is possible. Ultrasound technology is portable and relatively inexpensive, especially in comparison to other techniques such as magnetic resonance imaging (MRI) and computed tomography (CT). It causes anxiety and stress for parents who are given abnormal results or false positive findings. This section of our website is designed primarily for patients, visitors and members of the public and offers general information about the services we provide. This section of our website offers detailed information about the Trust’s achievements and what we are doing to maintain our high standards. It is generally accepted that after this time a couple should consult a fertility specialist to undertake Level 1 of pre-testing. Even among fertile couples, the likelihood of achieving pregnancy is only about 15% per month.
It's an infection of the pelvis involving one or more reproductive organs, including the ovaries, the fallopian tubes, the cul-de-sac, the cervix or the uterus. Endometriosis refers to a condition in which sections of the uterine lining implant inside the pelvis. As a result, the sperm or fertilized egg may not be able to reach the uterus or implant there.
Often the cause is unknown or may be due to a lower number of eggs a woman has in her life time.A  If this occurs, donor egg may be the best option for a successful pregnancy. Ovarian Function and Egg Quality Testing can be determined by measuring the blood levels of specific reproductive and metabolic hormones between the 3rd to the 5th day of the woman's menstrual cycle. The health of the woman's Fallopian tubes is determined by a dye test (HSG) performed in the x-ray department after the woman completes her menstrual period.
Folic acid has been shown not only to decrease the risk of neural tube birth defects like spina bifida, but it has also been shown to reduce other birth defects like congenital heart conditions. NTDs occur when the neural tube of a fetus does not grow properly early in pregnancy and the baby is born with a serious birth defect.

Further studies are being conducted to show if taking folic acid may prevent Down syndrome, which is responsible for a large percentage of miscarriages as well. During pregnancy, the body's requirement for this vitamin increases - and PregnancyPlus™ helps you meet these new nutritional needs.
With the rapid growth that takes place during the early part of pregnancy, there is a vital need for adequate folate levels in the bloodstream, especially at conception.
Prevention of neural tube defects: results of the Medical Research Council Vitamin Study.
Endorsed by a leading lactation specialist and MD, Nursing Blend is the ideal supplement for breastfeeding women. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease. In ultrasonography, high-frequency sound waves are bounced off through body tissues and the resulting echoes are recorded and transformed into graphic images.
The probe emits high frequency sound waves into the body which are allowed to bounce off different organs and are sent back as electrical signals. This is important because it is the basis of comparison with the success rate of fertility treatments offered at most clinics.
LH levels may be abnormally high while FSH levels are abnormally low; thus, normal follicle grow and ovulation do not produce occur. These implants eventually form cysts that grow with each menstrual cycle and may eventually create inflammation and scarring that can affect the egg capture by the fallopian tubes . Special water based dye is rinsed into the uterus to observe the passage of the fluid and confirm that the tubes are open.
Unlike sperm testing performed at a commercial lab, the semen analysis at WCFC is interpreted by a reproductive biologist with advanced expertise in the subtle forms of male infertility.
It is especially recommended that women increase their intake of folic acid even before trying to conceive - and with a “just right” formulation of folic acid (600 mcg), PregnancyPlus™ provides the ideal dosage for pregnant and trying-to-conceive women. Therefore, it is important for women to make prenatal multivitamins (containing folic-acid) a daily, dietary cornerstone during preconception, well before conception. In this study, fertility was slightly improved after periconceptional multivitamin supplementation. The scars can then block the passage of the egg, the fertilization of the egg, and possibly the implantation of the embryo. At the same time, x-rays are taken and given to our patients to be reviewed in our center. To achieve a satisfactory folic acid level it is suggested to begin folic acid supplementation at least 1-2 months prior to conception. Vaginal ultrasound is done earlier on in pregnancy and is also referred to as transvaginal ultrasound. Other hormonal problems may be linked to PCO like elevated testosterone which can contribute to medical problems like obesity, diabetes and Metabolic Syndrome. As many pregnancies are unplanned, experts even recommend that all women of childbearing age make increased amounts of folate (folic acid) a central and routine part of their diet.

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