Female fertility treatment options,what to do to to get pregnant later,can you get pregnant first time after coming off the pill - .

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When a female is not able to conceive within one year after marriage without the use of contraceptives then it is a red signal. When is it time to contact an Infertility Specialist?When a female is not able to conceive within one year after marriage without the use of contraceptivesthen it is a red signal.
Blossom Fertility & IVF Center – Surat Call us on : +91 99799 46222, +91 261 2470444 Home About us Infertility Trip Why Blossom Fertility Center?
Clipping is a handy way to collect and organize the most important slides from a presentation. Yes, however many IVF clinics don't agree and so we recommend you find a clinic that is more open to Chinese herbal treatment.
First the patient's condition is being assesed correctly according to Hunyuan Medicine principles, and then a formula of herbs is being composed to fit the patient's individual condition. In addition Hunyuan FF Herbal Formula is given to the male and female partners to drink together (only available at our center). There are rarely any side effects from the intake of herbal medicine if administered correctly. Many patients we see, who have gone through several failed IVFs, get pregnant after taking herbs for 4-6 months and this is a fact. Feeling tired may be caused by various factors, among which the most common ones are energy and blood deficiency. I was told that my FSH levels were high and was disqualified for IVF, can Chinese medicine still help? Elevated FSH (Follicle Stimulating Hormone) levels represent a reproductive system deterioration. According to Chinese medicine the best time to have intercourse and try to conceive is in the morning.
Does Chinese Medicine offer specific treatments for problems such as PCOS (Polycystic Ovarian Syndrome), Elevated FSH, Fibroids and blocked fallopian tubes? To gain the true benefits of Chinese Medicine the patient must understand that there is a difference between Chinese medicine and Western medicine. The acupuncture protocol for IVF does not use the same acupuncture points for each patient. According to Traditional Chinese Medical Theory the male sperm is part of the Shao Yin energy. Ultrasound can be used to visualize the size of the ovaries and the number of fluid filled pockets within the ovaries (follicles) capable of creating eggs.
At The Fertility Center of Charleston, our team will assist you in coordinating the testing necessary to determine your ovarian reserve. The uterus is important with regard to the ability of the embryo to implant and continue to grow. In most cases a basic ultrasound will be conducted for visualization of the uterus at your initial visit to The Fertility Center of Charleston. Finally, the fallopian tubes are the route by which the sperm and the egg come together to create your baby.
Before agreeing to any treatment, be sure to inform yourself about what exactly is involved in the procedure, any possible side effects and likely costs. Female infertility caused by gynecologic disorders like endometriosis, uterine fibroids and ovarian cysts is not automatically treated with surgery. Laparoscopy is a surgical technique (also called keyhole surgery) which is used for many different types of surgery. Women with uterine fibroids may undergo a myomectomy which is a surgery that removes the fibroids but leaves the womb intact. In all cases if conception has not occurred within 6 to 12 months, IVF treatment will normally be recommended. If regular IVF fails, or it is not an option for other reasons, you may consider egg donation. Please Note: Information provided on this site is no substitute for professional medical help.
Treatments That WorkIt’s a myth that relaxing or “giving it time” will overcome infertility. Frederick Licciardi, MD, associate director, reproductive endocrinology, NYU Medical Center; associate professor, NYU School of Medicine. Regardless whether the problem of conceiving lays with the male or the female fertility we use the same procedure for both the female and the male to give the optimum chance of conception.
Infertility is defined as the inability of a couple to conceive a child after 12 months of regular and unprotected sexual intercourse.
The emergence of life remains a miracle, while non-appearance of a successor for a couple represents a problem. When the medical practitioner is facing with infertility, he has to address and investigate both partners.
If these results are normal, these tests (which are many, complex and often laborious) will head to the couple’s female factor. Male infertility treatment is aimed, primarily, to the etiologic agent, to the actual cause (if it can be put out), going along with partner treatment (if is required).
Good results have been cited in the following situations: nontesticulare endocrine disorders, varicocele, retrograde ejaculation, penile anatomical defects.
In parallel with investigation of male infertility is necessary the testing of a possible female infertility, which can have many causes. The choice of appropriate therapy depends on a number of factors that meet the needs of infertile couples. Firstly a routine check should be done with gynaec and above all symptoms like abnormal bleeding, abdominal pain, fever, unusual discharge, pain or discomfort during intercourse and soreness or itching in the vaginal area then the female should contact the doctor or her infertility specialist at the earliest. Talk and discuss freely with your infertility specialist. Firstly a routine check should be done with gynaec and above all symptoms likeabnormal bleeding, abdominal pain, fever, unusual discharge, pain or discomfort during intercourse andsoreness or itching in the vaginal area then the female should contact the doctor or her infertilityspecialist at the earliest.Talk and discuss freely with your infertility specialist. Traditional Chinese Medicine and Fertility Herbs is very effective treatment modality for infertility. We recommend herbal treatment especially if you have previously failed IVF and you want to try another protocol. The patient then returns once a week for observation (long distance patients every 2 weeks) and the formula is being modified according to the progress made. In our clinic, patients suffering nightsweats, see their health improves and nightsweats stop.
This is a time when the body is most rested and refreshed as well as a time when Yang (active) energy rises. Chinese medicine has a complete system of physiology and pathology, which is different then Western medicine. In this questionnaire you will be asked a variety of questions ranging from past medical history, life style habits, symptoms you experience and specific questions concerning your infertility issues. When evaluating the causes of female infertility, The Fertility Center of Charleston focuses on three separate factors: The ability to make eggs (ovarian reserve), the uterine condition, and the condition of the fallopian tubes. The ovarian reserve can be assessed through evaluation of the patient’s age, ultrasound of the ovaries and blood tests to determine hormone levels. Two of the most important hormone predictors of ovarian reserve are follicle stimulating hormone (FSH) and antimullerian hormone (AMH).
Your nurse will assist you in scheduling an HSG or HSSG, as needed, on days 6 -9 of your menstrual cycle.
To conceive naturally or through the use of intrauterine insemination, the fallopian tubes must be open. There may be several options to choose from, but focus on one at a time to ensure maximum results. It is usually treated with infertility drugs that act like natural hormones to trigger ovulation (ovulation stimulation). It can be used to investigate and treat gynecologic disorders like endometriosis, as well as remove ovarian cysts and unblock fallopian tubes. Usually the donating couple has produced more embryos than they need in IVF and has no more use for them. Clinical Gynecologic Endocrinology and Infertility, 7th ed., Lippincott Williams and Wilkins, 2005. It is intended for general informational purposes only and does not address individual circumstances.
This procedure consists of a 90-minute consultation to establish your background and medical history and to assess your unique constitution.
Failure of conception creates a series of socio-emotional problems, feelings of guilt, worthlessness, social isolation, resulting in lower socio-professional performance and the emergence of tensions in the couple. Analysis is relatively simple, inexpensive, noninvasive and the result is obtained in a short time. If semen analysis is not normal, then will be done a series of tests designed to detect changes in sperm parameters. If the urological consultation do not indicate any cause, then should be sought a number of other laboratory explorations such as immunological tests, postcoital test, determination of sperm antibodies and eventually a testicular biopsy. In other situations were used in vitro fertilization, artificial insemination with sperm donor, intratubal gamete transfer or adoption. These factors include the relative effectiveness of therapeutic means, the complexity and cost of different treatment options, woman’s age and personal and emotional choices. It is a first step towards infertility treatment andparenthood.Earlier treatment and early diagnosis will lead into healthy pregnancy.
Realising your dream It is the dream of most couples to have their own children as part of their relationship. In most cases Chinese Herbal Medicine will be the treatment of choice, however at times Acupuncture treatments will be administered as well. The only precaution one must take is to stop any herbal intake three days prior to egg retrieval.


Even though some patients do not succeed with conception, the overwhelming majority of patients finish the treatment much healthier then when they started. The weekly formula is in raw herbs form and cooked at home according to instructions provided. When taken without supervision of a competent herbalist the side effects can be significant and sometime dangerous. The difference is that at the end of herbal treatment cycle, the patient's health is much better. Treatment times are usually filled two to three weeks in advance, so you are best to book ahead for a time that suits your schedule.
This shortage of energy or blood can manifest itself in many shapes and forms including preventing the reproductive system from operating correctly.
Chinese Medicine works hard at restoring inner harmony and the innate natural health of the patient.
Each person has several hundreds of acupuncture points distributed on all parts of their body. During the protocol course the acupuncture points should be modified according to the patient's health and the progress of the IVF protocol. A reassuring ultrasound will reveal an ovary that is robust in size and holds multiple capable follicles. Follicle stimulating hormone is created by the brain to stimulate follicle development to create eggs. The ultrasound allows for visualization of the uterine wall and the basic lining of the cavity which will support implantation.
Of those who do choose treatment, nearly 90 percent are treated with conventional therapies like fertility drugs or corrective surgery to repair reproductive disorders.
During the surgery a long thin tube (laparoscope) is inserted through the belly button (picture). Several surgical techniques can be used to perform the operation, one involves laparoscopy, another involves hysteroscopy (where the surgical tools are inserted through the vagina). Others include zygote intrafallopian transfer (ZIFT) and gamete intrafallopian transfer (GIFT). Any resulting baby is considered the child of the woman who carries and gives birth to it - and not the child of the donating couple. The decision to give up trying for a baby is a highly emotional and personal decision to make.
It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. We will address any imbalances and issue you may have and provide the necessary ayurvedic herbal medication or treatments to correct these to bring you back to optimum health.
Another concept, fecundity, is expressing the chance to get a pregnancy to be completed with a child in a given menstrual period. Statistics show that 40% of infertile couples present a female etiologic factor, for the other 40% etiologic factors is masculine and for the remaining 20% is a combination of female and male factor.
It will indicate the male fertile capacity, expressed in sperm count, motility and morphology of sperm.
In addition, the therapy must be approached sequentially, should not be excluded the possibility of spontaneous conception and should be considered the cost-benefit-risk ratio.
When the cause of infertility existswithin the female partner, it is referred to as female infertility.
Since restoring patient's health and reproductive system ability are the goal, the scope of treatment is much broader, thus it requires longer time to obtain.
It targets improving the male's sperm quality and strengthening the bond between the partners.
Success rates for patients over 40 are actually much higher then IVF with patient's own eggs.
Occasionally there are cancellations and you may get in with shorter notice if you are flexible.
If you feel constantly tired you need to examine the following issues: Is your job too stressful, do you eat a healthy diet, do you exercise but not over do it, do you sleep well and finally how much emotional strain do you experience during these difficult trying times of infertility? When inner health is restored, it includes the health of the reproductive system and normal FSH levels.
The acupuncturist will use the information you provided and in addition will ask you a series of questions to gather further necessary information.
When these energies are vital, the Shao Yin functions are in order and the sperm tends to be vital and vibrant.
The reason that eggs have poor quality is not because we acquire them from an external bad source, it is because the body produces them not the way it should. No eggs are created after a woman is born and unfortunately the number of eggs within the ovaries decreases with age.
Antimullerian hormone is created by the cells that make up the follicles where the eggs are created.
The contrast which is placed into the uterine cavity will hopefully enter, travel through and exit each tube proving that the fallopian tubes are open and capable of allowing for fertilization of the egg by the sperm. In a small number of cases couples will opt for assisted reproductive technology (ART), including options like in vitro fertilization (IVF) and egg donation. It is similar to estrogen and is taken to stimulate two hormones (follicle stimulating hormone, FSH and luteinizing hormone, LH) to prompt the release of an egg. The laparoscope may have various pieces of equipment attached to it, such as a camera for viewing and cutting tools.
After this, the fertilized eggs are placed inside your uterus and the IVF cycle is completed.
You may decide eventually that your body has been through enough, or that your relationship cannot handle any more strain. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. We will also provide tailor made dietary and lifestyle advice for you to continue on your journey to a healthy pregnancy. The definition of infertility is rigid because it is related to a fixed period, of 12 months, but approximately 90% of couples conceive after one year of cohabitation, but there is a possibility of spontaneous conception in the coming years, although the rate decreases with each year of fecundity. It will be made hormonal dosage of: testosterone, free testosterone, SHBG (sex hormone binding globulin), FSH ( follicle stimulating hormone), LH (luteinizing hormone), prolactin, estradiol, thyroid hormones, adrenal hormones, etc. In parallel can be done investigations which assess the tubal patency, physiological condition of the cervix and endometrium (the exclusion of endometriosis is important).
One appointment or consultation with your infertility specialist can change you whole life.
Female infertility factors contribute toapproximately 50% of all infertility cases, and female infertility alone accounts for approximately one-third of all infertility cases.What causes female infertility?The most common causes of female infertility include problems with ovulation, damage to fallopiantubes or uterus, or problems with the cervix. Happily, two-thirds of couples treated for infertility are able to have babies.Treatment of infertility depends on the cause and the woman’s age. The Blossom Fertility and IVF Centre aims to reduce the stress and hassle associated with infertility investigations and treatment, by offering a one-stop diagnostic and treatment service for infertile couples.
It is important for every woman to exhaust her natural options first, before resorting to artificial medicine. After you have found the answers make some necessary changes to adjust and help the energy and blood recover. It is true that women at a certain age can no longer become pregnant, at which time the FSH levels are high. Depending on the acupuncturist and his philosophy, some like to use local acupuncture points on the lower abdomen and on the lower back, while other tend to use distal points on the arms and legs.
Other points are better during stimulation, while different points yet are preferred during post-transfer phase. On the other hand, when Shao Yin energies are lacking or deficient, the sperm tends to be deprived of life and ability. Many ART patients who produce excellent quality eggs still do not succeed with conception, while other patients with few or only one poor quality egg might succeed in getting pregnant. The quality of the eggs within the ovary also decreases with age meaning that those eggs that are present are less capable of creating a pregnancy as the woman ages. These hormone levels help to predict a woman’s ability to create eggs and therefore her ability to get pregnant. The hysterosalpingogram study (HSG) is a fluoroscopic x-ray that allows for the cavity to be filled with a contrast fluid so that we can determine the normal shape of the uterine cavity.
Again, your nurse at The Fertility Center of Charleston, will assist you in scheduling an HSG, as needed, on days 6-9 of your menstrual cycle. It is performed under general anesthesia and can take 1-2 hours, depending on the complexity of the case. Very occasionally it is necessary to perform open surgery (laparotomy) because the fibroids are so large (picture). ZIFT and GIFT are usually combined with intrauterine insemination (IUI), the artificial stimulation of the ovaries, followed by an injection of sperm directly into the womb. Thus in many cases becomes important cervical examination, a vaginal cytology examination, genital ultrasound, hysterosalpingography, endometrial biopsy and laparoscopy.
Age can contribute to infertility because as a woman ages,her fertility naturally tends to decrease.
Dealing with infertility can be extremely challenging, especially when there area multitude of questions that are left unanswered.The Blossom Fertility and IVF Centre aims to reduce the stress and hassle associated with infertilityinvestigations and treatment, by offering a one-stop diagnostic and treatment service for infertilecouples.
However in most cases it is prematurely elevated FSH levels that actually reflect a poor state of health, rather then inability to conceive.
However, Chinese medicine has its own causes and patterns of infertility, such as Shao Yin deficiency, origin Yang deficiency, Jue Yin malfunction etc.
In my practice, I support a traditional view of the meridians and the idea that the farther the points are located from the inner organs, the more energetically impact there is. Swelling, tingling, warmth and electricity-like sensations are sensations we call De Qi (pronounced Chi).


According to centuries long experience under such conditions, the acupuncturist will use the correct acupuncture points to strengthen the Shao Yin energies and by that help the sperm regain vitality.
The patient's age is a factor, yet the patient's health is even a bigger factor with the production of quality eggs and the success of conception and pregnancy. In some cases, further evaluation of the uterine cavity is recommended using a saline sonohysterogram (HSSG).
One of the risks of the medication is an increased chance of becoming pregnant with twins or multiples. The surgeon can combine it with laser surgery, electrocautery or curettage (scraping) to remove endometrial cysts, lesions or adhesions (picture).
With IVF the woman's eggs are mixed externally with the sperm and then the complete embryo is implanted. If there are establish changes, the endocrinology treatment will be adapted to the hormonal disorders which are found. If after all these complex examinations can not determine the cause of female infertility, then will be made immunological determination, especially the dosage of sperm antibody.
Dealing with infertility can be extremely challenging, especially when there are a multitude of questions that are left unanswered. The Blossom Fertility and IVF Centre aims to reduce the stress and hassle associated with infertility investigations and treatment, by offering a one-stop diagnostic and treatment service for infertile couples. Female infertility can also result from physical problems,hormone problems, obesity and environmental factors. These infertility causes belong to Chinese medicine and cannot be treated with Western medical technologies, because of a simple reason that these causes are not part of a Western medical system. I thus tend to use different acupuncture points that are located on the arms and legs below the knees and below the elbows. It is off course important to assess the harmony in the entire body, as disharmonies with other organs might affect the Shao Yin and sperm as well. The goal of Chinese herbal formulas is to restore the patient's health and to increase by that the chances of conception and successful pregnancy.
This test is a transvaginal ultrasound during which salt water is placed into the uterine cavity to allow for better and more sensitive evaluation of the uterine cavity as needed. Additionally women who take clomiphene as well as the drug metformin for polycystic ovary syndrome (PCOS) or insulin resistance can ovulate more frequently.
If the problem is to do with a blockage in one of the fallopian tubes, the surgeon may be able to dilate the tube or create a new opening. Lifestyle factors like smoking, alcohol,consumption of drugs and caffeine and excessive diet or exercise also affects womens infertility. In fact the main reason that IVF success rates increase dramatically when administered in conjunction with acupuncture and herbs is the rapid improvement in the Qi (energy) following treatment. Bottom line is that both medical systems try their best to diagnose and treat infertility, however, mixing the two together will not necessarily produce the best results. Tubal surgery is usually more successful if the blockage is nearer the ovaries than the womb.
If a woman is over 35 or has an irregular menstrual cycle, and has been trying for 6 months, it’s best to see a doctor as soon as possible. For 3,000 years Chinese medicine has worked wonderfully by following Chinese medical guidelines and treatment principles. The acupuncturist should be notified and the needle depth reduced until the pinching disappears. If you are having an acupuncture treatment, extra fine disposable sterile needles will be inserted to specific acupuncture points. The Shao Yin sustains general health and in return general health will strengthen Shao Yin. We have had numerous patients who have reported bad egg quality who later on succeeded with natural conception or produced excellent egg quality by following cycles of ART.
If you don't become pregnant within the first 3 months, your dose of clomiphene will be increased. Where the blockage is severe the doctor may recommend removing the tube(s) altogether (salpingectomy) because it can improve your chance of pregnancy by In vitro fertilization (IVF). A patient suffering elevated FSH levels or PCOS may think that these are the only causes, however, she must realize that elevated FSH levels are caused by her own body and the same goes for PCOS and blocked fallopian tubes.
Normally 6-8 needles are used in each treatment and the treatment lasts from 30-40 minutes depending on the acupuncturist's assessment.
If this does not work, the next step may be to take injectable HCG (brand names Pergonal, Ovidrel, Pregnyl) or FSH (brand names Gonal-F, Bravelle, Follistim).
If they do, they will be placed directly into the woman's uterus within a few days of retrieval.
That means that your own body causes these problems and that they are not introduced from the outside. Some acupuncture points are more sensitive then others and you might experience stronger sensations that we name De Qi (reaching energy). These drugs carry a much higher risk of multiple births as well as less pleasant side effects like large ovarian cysts (picture).
These tests are not the same as those your doctor gives you.  Ovulation Problems?If your doctor finds you don’t ovulate normally, medication can help. In Chinese medicine we say that, for example, Jue Yin malfunction will cause intra-menstrual bleeding, which is a similar symptom occuring with fibroids.
When Jue Yin malfunction has resolved, intra-menstrual bleeding stops and may not come back.
Be aware that you are more likely to get pregnant with twins (or more!) because it makes the ovaries release more than one egg at a time.
This may or may not have implications in regards to fibroids, such as the body stop producing them. Injectable HormonesIf you don’t get pregnant after taking clomiphene for 3 to 6 months, your doctor may recommend fertility hormone shots to encourage ovulation. Western medicine removes fibroid surgically while Chinese medicine aims at curing theJue Yin malfunction. Surgery for Blocked Fallopian TubesIn some women, scars prevent eggs from traveling down the fallopian tubes.
Western medicine will treat PCOS, blocked fallopian tubes and hormonal imbalances, while Chinese medicine will treat Jue Yin, Shao Yin etc. It can happen if you have endometriosis (the overgrowth of tissue that lines the uterus, growing in areas it should not) or if you have had pelvic infections or surgeries in the past. Doctors can attempt take out that scar tissue with surgery, which could boost your odds of having a baby. An Alternative to IVF: Intrauterine Insemination (IUI)Intrauterine insemination (IUI) is a popular procedure for many fertility problems. Doctors place the man’s sperm into the woman’s uterus, but not into the egg itself, while she ovulates. IUI is less expensive and simpler than IVF (in vitro fertilization), but pregnancy rates are much lower. You and your partner may want to see a counselor first, to make sure you’re both ready to raise a child who is not biologically related to the father. In Vitro Fertilization (IVF)This option offers hope when other infertility treatments don’t work.
In 2012, pregnancy rates per IVF cycle ranged from 10% for women ages 43-44 to 47% for women under 35.   What is “ICSI”?Doctors can inject the sperm directly into the egg in a lab. This technique, called “ICSI” (intracytoplasmic sperm injection), helps when a man’s sperm count is very low or his sperm don’t move well. When the fertilized egg is ready, it goes into the woman’s uterus through the normal IVF process.
IVF With a Donor EggWomen who are over 40, have poor egg quality, or have not had success with previous cycles may consider an egg donor. If the procedure works, the woman becomes pregnant with a child who is biologically related to her partner but not herself. IVF RisksTo boost the odds of success, it’s common to transfer two to four embryos at a time.
Carrying multiples raises the risk of miscarriage, anemia, high blood pressure, and other complications during pregnancy. IVF With Blastocyst TransferIn standard IVF, doctors transfer embryos to the womb when they reach the two- to eight-cell stage.
Doctors call them “blastocysts” at that stage, and they choose the healthiest one or two to move to the woman’s uterus. Using Donor EmbryosIf you have not had success with IVF or want for a less expensive option, you might consider using donor embryos. If successful, the woman will get pregnant, though the baby will not be biologically related to her or her partner. What to Know About SurrogacyWhen a woman cannot carry her own pregnancy to term, some work with another woman who agrees to be a gestational surrogate.
Infertility treatment is a long-term process, and you want to feel comfortable with your choice.
Now, some couples are trying this popular form of traditional Chinese medicine to address infertility. Research suggests it may improve sperm quality and blood flow to the uterus, help smooth out irregular ovulation, and boost IVF success rates. Moving OnIf treatments become too heavy of a burden -- physically, emotionally, or financially -- it may be time to consider alternatives. Costs range from nearly nothing, if you go the foster care route, to as much as $40,000 for a private one.



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