Any and all topics infertility-related, including treatment, emotions, and questions.
Sat Jan 18, 2014 9:23 pm
If you have been TTC for a year or more and have found yourself not yet pregnant then you could be facing infertility issues. If you are 35 or older and have been TTC for 6 months or more you could also be facing infertility issues. This is a hard road if you have gotten to this point, and having knowledge in what is effecting you or your partner will help you overcome infertility!
The first step in facing infertility issues is deciding how intensive you and your partner are willing to be tested, and if you are ready emotionally, physically, and financially for infertility treatments. If you have not all ready, now would be a great time to start charting your temperature, using OPKs, and monitoring your cycles to see if you are ovulating and if your cycles are regular. All this information will further help your doctor if you decide to take that step.
If you and your partner have decided to see a doctor and have some basic testing done, these are usually the initial basic testing that is recommended.
Those tests usually include for your partner:
~A semen analysis. You will want that to include, the count, morphology, and motility.
~Testosterone blood test for you partner to make sure his levels are adequate.
Testing usually recommended for you:
~CD3 hormone testing that includes, LH, FSH, TSH, Estrodial, Prolactin, and AMH.
~CD3 baseline sonogram ultrasound, that checks the ovaries for cysts, uterus, and antral follicle count.
~CD21 / 7DPO progesterone check. Doctors generally will test on CD21, but you want to actually have this test done 7 days after you ovulate.
~HSG, this is recommended before trying any fertility meds. This test checks to see if your tubes are open.
If you are found to have issues that are effecting you or your partner's fertility there are treatments available to overcome this.
Common treatments for couples facing infertility:
~Ovulation inducing medicines. These can include oral or injectable medication. Usually oral medications are tried before injectable medications.
~Clomid can be prescribed to your partner if he has low testosterone and his sperm count is low.
~A laproscopic surgery may be necessary if your tubes are blocked, you have cysts, endometriosis, or fibroids.
~A hysteroscopy may be necessary if you have any polyps in your uterus.
~IUIs can be used if your partners sperm count, motility, or morphology is low or if there is a need to bypass your cervix.
~IVF is usually done when IUIs have failed.
Tue Jan 21, 2014 8:38 pm
Great info, Maddy! It is hard to know where to begin when first faced with infertility so this should be a big help for many. Thanks for posting!
Sun Jan 26, 2014 9:56 am
Yes! what Vanessa said! Thanks, Maddy, for posting.
Sun Jan 26, 2014 4:33 pm
Thanks Maddy! I'm going to the doctors this Tuesday so this helps out a lot. On cd 21 I know about getting your progesterone levels checked but wondering if there are any other tests to ask for on that day or is that the only thing you can get tested on cd 21 and everything else on cd 3 ?
Mon Jan 27, 2014 7:45 am
Progesterone is pretty much the only thing they check on CD21, the rest they do on CD3. If you get a CD12 or so ultrasound they might also check your estrogen and progesterone levels then as well just to see where you're at for ovulation.
Mon Jan 27, 2014 8:44 am
bren36, not sure how old you are or if you are worried about testing your egg reserve but I know AMH can be tested at any day in your cycle.
Thu Apr 09, 2015 2:57 pm
If headlines are any indication of what's hot and what's not, it's easy to believe that infertility treatment is strictly a modern day science, made possible solely through the courtesy of high-tech medicine.
But as good as modern science is, many couples trying to get pregnant find themselves turning to an age-old treatment for help -- one so steeped in tradition it's about as far from life in the 21st century as one can get.
That treatment is acupuncture, and today, even high-tech reproductive specialists are looking to the somewhat mysterious world of Chinese medicine to help those fertility patients for whom western science alone is not quite enough.
"Most of our patients are referred to us by reproductive medicine specialists -- they are usually women who have failed one or usually more than one attempt at IVF (in vitro fertilization), and their doctor is looking for something to help implement the success of their treatment, over and above what the protocols alone can accomplish," says Raymond Chang, MD, the medical director of Meridian Medical and a classically trained acupuncturist as well as western-trained medical doctor.
Acupuncture is an ancient Chinese medicine treatment that relies on the painless but strategic placement of tiny needles into a "grid-like" pattern that spans the body, from head to toe. The needles are used to stimulate certain key "energy points" believed to regulate spiritual, mental, emotional, and physical balance. And, for many women, it's often just what the doctor ordered.
"It can allow you to cross the line from infertile to fertile by helping your body function more efficiently, which in turn allows other, more modern reproductive treatments, like IVF, to also work more efficiently," says James Dillard, MD, assistant clinical professor, Columbia University College of Physicians and Surgeons, and clinical adviser to Columbia's Rosenthal Center for Complementary and Alternative Medicine.
Indeed, in a study of 160 women, published April 2002 in the reproductive journal Fertility and Sterility, a group of German researchers found that adding acupuncture to the traditional IVF treatment protocols substantially increased pregnancy success.
Good Luck Ladies!
Tue Mar 29, 2016 4:23 am
Thanks for giving nice information!!
Thu Apr 20, 2017 7:25 am
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Wed Jun 28, 2017 6:38 am
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Fri Jan 12, 2018 3:08 am
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Fri Feb 09, 2018 11:35 pm
Hey there maddy! Thankyou so much for sharing this with us. This is something every women is aware of. You should know what tests can help you and what treatments you can do. We need more moderators like you, who are active and can help people with these problems. Stay blessed hon! Much Love!
Tue Mar 06, 2018 8:14 pm
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Mon Mar 12, 2018 3:16 am
Infertility treatments are available for both under male infertility treatment (semen analysis) and female infertility treatment (Ovulation testing, Hormone analysis, and Ovary examinations)
Studies have shown that if one is facing problems in getting pregnant then the semen report of the partner (male) is equally important as the man or woman any person can be an infertile one.
The semen analysis is the primary factor for analysis of male infertility. This standardization is required to make an assessment of the fertility parameter of the male partner. The infertility treatment primary requires a report of the fertility tests of male and female partners.
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