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Infertility: Causes, diagnosis, risks, and treatments

The leading cause of infertility is ovulation disorders involving infrequent or absent ovulation. Polycystic ovarian syndrome, hypothalamic dysfunction (inability of the pituitary gland to produce hormones stimulating ovulation) and premature ovarian failure (premature egg loss due to genetics or an autoimmune response) are some conditions underlying ovulation disorders. Other reasons for infertility include blocked/damaged fallopian tubes, pelvic inflammatory disease, polyps, endometriosis, and cervical/uterine cancer. In some cases, women who want to get pregnant but can’t suffer unexplained fertility that prevents conception. When an ovulation disorder is responsible for infertility, ovulation induction, IUI or IVF procedures can help a woman get pregnant. How is Infertility Diagnosed? Your fertility doctor uses several…

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How is IVF done step by step?

In vitro fertilization (IVF) is a safe and effective assisted reproductive technology used by many women who want to get pregnant but have difficulty conceiving. Good candidates for IVF are women with missing or damaged fallopian tubes, suffer from endometrial scarring or have been diagnosed with the polycystic ovarian syndrome. IVF is also the preferred choice of couples involving men with low sperm counts and when infertility exists for no apparent reason. First Step in the IVF Process Several mature, healthy eggs are needed to complete initiate IVF. Stimulating production of a woman’s reproductive hormones begins an IVF procedure, with women needing injections of follicle stimulating hormones (FSH) and/or luteinizing…

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How life gets created

Can sperm cause ovulation?

In a study published by the Proceedings of the National Academy of Sciences, researchers have discovered what may be an ovulation induction factor (OIF) in semen. Women, like most female mammals, are spontaneous ovulators, which means eggs are released regularly regardless of sexual activity. Other mammals like rabbits and camels, release eggs only when hormones are released in response to the physical stimulation of sexual intercourse. They are referred to as "induced ovulators". New research results now indicate that human semen may have an OIF that could lead to enhancing the fertility of certain women experiencing problems getting pregnant. Why Do Scientists Think Sperm May Hold Ovulation Induction Properties? After…

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How serious is PCOS and what does it mean for me?

Characterized by excess amounts of testosterone in the bloodstream, menstrual abnormalities, and infertility, polycystic ovarian syndrome (PCOS) is commonly diagnosed in women between 18 and 45 years of age. Other symptoms of PCOS include the development of insulin resistance, weight gain unrelated to dietary changes, hirsutism (overgrowth of body hair) and acne on the back and face. While PCOS can be managed with medications and lifestyle changes, complications arising from insulin resistance and weight gain (specifically diabetes and cardiovascular disease), pose a serious health issue for women who with undiagnosed and untreated PCOS. In many cases, women do not know they are polycystic ovarian syndrome until they visit their doctor…

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Can Infertility Be Reversed?

Many couples who have problems with conception feel isolated – like they’re the only ones dealing with difficulty getting pregnant. In fact, infertility is surprisingly common. Studies show about 10 percent of couples have problems getting pregnant. Studies also show about a third of all infertility issues are related to the female partner, about a third are related to the male partner, and the remaining third have unknown causes. The good news: In nearly all cases, there are effective treatment options that can help couples overcome or reverse infertility so they can get pregnant and start or expand their families. State-of-the-Art Fertility Treatment in NYC At New York Reproductive Wellness,…

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When IVF Doesn’t Work, What’s Next?

Although it can be extremely disappointing, IVF does not always work the first time. However, our fertility doctor will be with you all the way. We can isolate the reason your treatment may have failed, and make corrections to increase your chance of success.  Common Reasons for IVF Failure Learning the reason for fertility treatment failure will help us determine the next steps to help you get pregnant. We may discover: Poor Medication Response: If your body doesn’t respond strongly (and produce enough eggs), we may need to change your fertility meds for another cycle, especially if you have a high FSH (level of follicle stimulating hormone) or you’re in your late 30s. Quality…

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Ovulation Induction: How Long Will It Be Before I Ovulate?

Lots of issues can contribute to a couple’s inability to conceive, including items that affect both the male and the female partner. Problems with ovulation are among the most common causes of infertility, and fortunately, they can also be treated relatively simply – and successfully – with a treatment called ovulation induction. The key to improving your chances for conceiving is to first determine the underlying cause of infertility so treatment can be optimized for your specific needs. Enhancing Fertility Before any fertility treatment begins, every patient undergoes a thorough fertility evaluation, including a physical exam and testing to help determine the underlying cause of infertility. Fertility evaluations can also…

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Can polycystic ovary syndrome develop later in life?

Polycystic ovary syndrome (PCOS) is a hormonal disorder involving excess androgens (testosterone and other male hormones) in the body. Signs of PCOS include absent or irregular menstrual periods, infertility, hirsutism (abnormal growth of body and facial hair), persistent acne and male pattern baldness. Ultrasound examinations of women with PCOS often find small cysts surrounding the ovaries as well. Although it is rare that women develop PCOS later in life, it is possible that women may not know they have polycystic ovary syndrome for years because the disorder mimics symptoms of other hormonal disorders. In many cases, reproductive-age women undergoing a comprehensive fertility evaluation will discover they have PCOS for the…

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How Can I Get Pregnant With Twins?

Couples are waiting longer than ever before to have children. However, this can present challenges when couples desire more than one child and the window for biologically optimal childbearing is waning. Getting pregnant with multiples can be a solution to growing a family with less time available. Although IVF, or in vitro fertilization, doesn’t guarantee multiples, there’s evidence that indicates multiple births are more likely with IVF. Ovulation induction and IUI, or intrauterine insemination, are other potential solutions for couples wishing to conceive multiples.  IVF and Multiples  In vitro fertilization is a type of assisted reproductive technology (ART) that improves a couple’s chances of conception. By placing an already fertilized embryo within…

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What are the chances of IVF working?

When you are trying to get pregnant, it seems like time stands still. Impatience is a natural response, and many couples find themselves feeling frustrated quickly. For most couples, pregnancy will occur naturally within a few months of trying. However, in other cases, getting pregnant can be more difficult. If you are unable to get pregnant on your own and less invasive methods like IUI are not effective, your doctor may recommend in-vitro fertilization or IVF.  What Is IVF? IVF works by joining the sperm and the egg outside the body to form an embryo, allowing it to develop for a few days and then transferring it back to the uterus…

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