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Posts Tagged ‘fertility specialist’

Cancer Treatments Can Affect Male Fertility, Too

Wednesday, September 14th, 2011

There has been a great deal of press recently over the realization and acceptance of cancer treatments during early childhood and adulthood as a contributor to female infertility. As a consequence, girls and women who choose to undergo radiation and chemotherapy treatments are often counseled as to their options regarding their future fertility.

But what about the men and boys with cancer?

Not surprisingly, male infertility can be exacerbated or caused by cancer treatments, especially if they’ve been given drugs such as melphalan, ifosfamide, cyclophosphamide and/or procarbazine. (Those medications have high alkaline levels.) And if they’ve needed to undergo surgery or targeted radiation to their reproductive organs as a result of cancer, they may be left without healthy sperm. Sometimes, male infertility can even come about from treatments to other areas of the body, such as the abdomen or brain.

So what are men with cancer who wish to have children later in life to do?

First, it’s important to tackle the cancer as a primary concern. Though male infertility may be a consideration, it is not the most pressing one. The cancer needs to be handled foremost. However, it’s definitely recommended that all men (or parents of boys) discuss how their treatments could have lasting effects on their fertility.

Next, if a man who has had cancer (even if it was as a young child) is having difficulty conceiving with his partner, it’s critical that he be upfront about his medical history with their fertility specialist. That way, the specialist can initiate tests to determine if the infertility is related to previous cancer treatments.

Finally, it’s not the end of the world. Many fertility specialists have found success with intracytoplasmic sperm injection (ICSI), a process that requires only one sperm for fertilization. There are other options as well, including the use of viable sperm donors.

If you’d like to learn more about male infertility matters as they relate to cancer and other conditions and you are within traveling distance of Wyomissing or Chesterbrook, we invite you to set up a consultation with The Reproductive Science Institute of Suburban Philadelphia, P.C. (RSI) today.

 

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Is Irregular Ovulation the Culprit behind Your Infertility?

Monday, September 12th, 2011

Many times, women who have trouble conceiving immediately assume the worst; but often, something as simple as getting them ovulating regularly can solve their fertility issues.

Ovulation occurs when the ovum is released from one of the ovaries. Typically, this happens mid-cycle; however, there are some women for whom it happens infrequently or at a different time of the month. Thus, they try to have a child, but at the inappropriate moment.

Making it even tougher to diagnose this as the heart of your fertility issues, the signs of ovulation may or may not be present. Commonly, those include any or all of the following symptoms:

  • Change in vaginal fluids making them take on an “egg white”, stringy appearance. (This should not be confused with a yeast infection or STD, which can cause thick, foul-smelling discharge.)
  • Change in basal body temperature. This is the temperature of your body, typically taken by women in the morning before they get out of bed. Those females who use the “rhythm method” of birth control often keep a chart of their basal body temperatures so they recognize when they need to abstain from sexual intercourse.
  • Light spotting or cramping. As a woman’s hormones shift, she may experience bleeding or muscle contractions. Bloating and breast tenderness can also accompany ovulation.

So what happens if you can’t be certain you’re ovulating? First, it’s a good idea to go to a fertility specialist or your gynecologist. He or she will help you figure out if you’re ovulating regularly.

Next, if you discover that you are not ovulating, a fertility specialist can prescribe medications to help your body “reset” itself. Drugs such as Clomid are used for this purpose and have had excellent results for females with fertility issues across the world.

Finally, if testing uncovers that you do not ovulate at all and you are unresponsive to medications like Clomid, other fertility options will be presented for your consideration.

If you’d like to discuss this topic further and you live in or within driving distance of Wyomissing or Chesterbrook, we invite you to make an appointment with the Reproductive Science Institute (RSI).

 

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7 Ways to Keep Your Relationship Strong throughout Fertility Treatments

Wednesday, September 7th, 2011

For couples undergoing fertility treatments, stressors can sometimes seem quite overwhelming. On one hand, any change in a partnership can be challenging, but on the other, infertility shouldn’t lead to the dissolution of a relationship.

To help you keep your commitment strong throughout fertility treatments, we’ve come up with seven suggestions. Feel free to leave a comment if you have others that have worked for you!

1. Don’t make infertility the “center stage” of your relationship. If all you do is talk about not being able to conceive, it will overtake your time together.

2. Make plenty of time to be together as a couple. Go to the movies, take a walk in the park, stay overnight in a nice hotel… doing so will strengthen your bond and help rejuvenate you both.

3. Spend time apart with friends. Everyone needs and deserves some space. Making plans to hang out with people other than your significant other will help you recharge.

4. Talk about your emotions as you’re undergoing fertility treatments. It’s important not to make fertility treatments the “elephant in the room”. Be open about your feelings and you’ll reap the rewards.

5. Go to a counselor if the strain becomes too great. Don’t allow your relationship to simply become more and more strained. If it’s gotten to a serious point, seek out help. (Often, your fertility specialist can assist you in getting a referral.)

6. Eat well and exercise, even if you don’t feel like it. The healthier you are inside and out, the easier it will be to handle anything that comes your way. (And working out can be yet another “to do” item you can enjoy together!)

7. Take it day by day. When times are a bit challenging, it’s sometimes helpful to remember that “this too shall pass”. Each day is another opportunity to learn, grow and love.

 

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Could You Have an STD?

Monday, August 29th, 2011

Sexually transmitted diseases may not be discussed much among adults, but they’ve slowly crept into medical charts of the over 25-year-old population. Though gonorrhea diagnoses have lowered over the past several years, cases of chlamydia are on the rise. And that’s a cause for alarm among women and men who want to have children.

STDs like chlamydia have been known to cause infertility in both males and females. Whether complete or partial infertility, they are “hidden” causes. That’s because, surprisingly, many STDs have no (or very few) warning signs or symptoms.

So what can you do to protect yourself? There are several options:

  1. Don’t have sex with any partners who have not been screened for STDs.
  2. Always wear protection during any sexual intercourse and either abstain from oral sex or use protection during those acts as well.
  3. If you have had unprotected sex, get tested.

While it’s understandable that you may feel embarrassed to talk about STDs with your primary physician or fertility specialist, it’s necessary to remove the possibility that your infertility may be exacerbated by an undiagnosed condition such as chlamydia.

And be assured that reputable fertility clinics, like the Reproductive Science Institute (RSI) on the outskirts of Philadelphia, are staffed with trained professionals who pass no judgment and only want to help you achieve your health goals.

 

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The Latest Fertility Treatment News

Monday, August 22nd, 2011

As one of the Philadelphia area’s premiere fertility clinics, The Reproductive Science Institute (RSI) tries to keep you informed and up to date about all things related to fertility treatments, infertility and similar topic areas.

This week, we’d like to share some of the fertility “buzz” from around the Interwaves. As always, if you’d like to discuss your specific situation, please contact our offices to schedule an appointment.

Belfast: A new fertility test from Lewis Fertility Testing is being marketed across the UK and Ireland, as well as the rest of the world. Backed by Ulster Bank, the fertility test claims to provide couples with faster ways to discover whether or not they are fertile. With the test, men and women would have the opportunity to know earlier whether or not it would be a smart idea to contact a fertility specialist.

New York: Could male hormones (androgens) be the key to successful fertility treatments in women? Researchers are studying whether a combination of specific male hormones and FSH may in fact boost a female’s fertility ability, especially in patients who suffer from PCOS.

Internet: The Journal of Reproductive Medicine has printed a piece suggesting that women with infertility may in fact often also have undiagnosed celiac disease. This is re-fueling the chicken-versus-egg debate between celiac disease and infertility. Some scientists say the two have little in common, others say one may feed the other. In the study, the authors noted: “Women with unexplained infertility are at increased risk of having undiagnosed celiac disease, which may be a potentially modifiable (and treatable) risk factor.”

 

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What are the Advantages of Blastocyst Embryo Transfers?

Friday, August 19th, 2011

If you’ve been to a fertility specialist like the Philadelphia region’s Reproductive Science Institute (RSI), you may have been introduced to the procedure known as blastocyst embryo transfers or “blast transfers”, for short.

Though blastocyst embryo transfers are not for every person or every couple, they can be advantageous.

Below is a list of some of the “pros” of undergoing blastocyst embryo transfers as opposed to some other methods of producing viable embryos for fertility treatments:

1. The blastocyst embryo transfer happens close to the time when an embryo would naturally “implant” in the woman’s body. Thus, it mimics nature, which can be a definite asset.

2. Fertility specialists select blastocyst embryo transfers using specific criteria. Consequently, success rate percentages tend to be relatively high.

3. Blastocyst embryo transfers have gained a tremendous amount of popularity, which means the process has been and continues to be state-of-the-art.

4. With blastocyst embryo transfers, patients can practically eliminate the concern over multiple pregnancies, which can be a deciding factor for many couples.

5. A smaller number of embryos are needed for the blastocyst embryo transfer process. (This dovetails with #4.)

6. Because the embryos are allowed to grow for 2-3 days longer than they would with other types of embryo transfers, there is a better chance for implantation.

Of course, there are “cons” to blastocyst embryo transfers as well. That’s why it’s important to discuss this procedure in depth with your preferred fertility specialist. Only then can you make the best, most informed decision for you and your partner.

 

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Who’s a Good Candidate for a Blastocyst Embryo Transfer Process?

Wednesday, August 17th, 2011

Perhaps you’ve heard friends or relatives who have gone through fertility treatments rave about blastocyst embryo transfers. If so, you might be wondering whether it’s a good option for you and your partner to consider.

However, the truth is that not everyone (or every couple) is a good candidate for a blastocyst embryo transfer. Typically, fertility specialists relegate this procedure for patients with specific characteristics, conditions, desires etc.

Some of the following criteria are typical of patients for whom the blastocyst embryo transfer process is recommended:

1. Women for whom cleaved embryo transfers repeatedly have failed. (Cleaved embryo transfers are often a “first line” type of fertility treatment procedure.)

2. Couples who do not want to have extra embryos frozen (for whatever reason.)

3. Women who do not want to risk having multiple births or for whom multiple births are a significant possibility. (These women usually fall in the under age 35 category.) Objections can be related to religious preferences, social preferences, familial expectations, financial considerations, health issues/complications, etc.

4. A couple that is able to produce many embryos, giving fertility specialists the option of blastocyst embryo transfer.

If you still feel that you might wish to consider blastocyst embryo transfers, it’s time to talk with your fertility specialist. You need to make sure you are fully prepared for the procedure and understand all the potential risks as well as the possible rewards.

As a premiere fertility clinic in the Philadelphia, Pennsylvania, area, The Reproductive Science Institute of Suburban Philadelphia, P.C. (RSI) would be happy to engage you in a face-to-face discussion about blastocyst embryo transfers. Feel free to contact our offices today.

 

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Eating Disorders and Fertility Treatments

Friday, August 5th, 2011

As if women needed another reason to deal with eating disorders, a new British research study has concluded that females with eating disordered pasts tend to have trouble getting pregnant quickly… or at all. Thus, many women who had anorexia and/or bulimia may find themselves turning to fertility treatments later in life.

During the study, UK scientists tracked over 11,000 mothers and discovered that those who had experienced eating disorders lagged behind in conceiving by about six months. Mathematically, this led many to seek fertility treatments.

So what does this mean for you if you have a history of anorexia or bulimia and you want to have children now or in the future?

1. Get your eating disorder under control before attempting to conceive. This is healthy for you, your relationship with your partner and your future child(ren).

2. Seek fertility treatments sooner rather than later if you’re having trouble getting pregnant. And don’t assume “the worst”. Sometimes, a round of a drug like Clomid (which helps to regulate ovulation) can be all that’s needed to get your body on track.

3. Connect with a counselor when you do become pregnant, as the weight gain associated with pregnancy can be a trigger for someone with an eating disordered past.

Fortunately, former anorexics and bulimics have many choices when it comes to having kids of their own. Visit a fertility specialist such as the Philadelphia region’s Reproductive Science Institute (RSI) for more information on your options.

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Focus on Male Infertility – Lifestyle Changes for Higher Success Rates

Friday, July 29th, 2011

If you’re a man who has been told (or who believes) he has male infertility, it may be wise to make some lifestyle changes. Though such changes may not alter the infertility enough to enable you to conceive without reproductive technology assistance, they have been shown to make your body produce better quality sperm to be used during such procedures as in vitro fertilization (IVF).

Working with your fertility specialist, you may be asked to make some or all of the following daily habit modifications. Be open to them; they are meant to combat the effects of male infertility, not to make your day-to-day experiences difficult!

1. Smoking cessation – Smoking has been known to reduce the quality of sperm, so if you’ve been looking for a reason to quit, now is the perfect time.

2. Reduction or elimination of alcohol consumption – Alcohol may contribute to male infertility, so opt for another drink while you’re working with a fertility specialist.

3. Elimination of drugs – Obviously, illegal drugs are not to be taken under any circumstances, but some over-the-counter medications may also be counterproductive to dealing with fertility issues. Make sure you let your fertility specialist know everything you’re taking so he or she can make recommendations.

4. Reduction of intercourse or ejaculation – Though it might seem counterintuitive, it’s not necessarily a good idea to ejaculate every day. Depending upon what your physician suggests, you may be asked to have sexual intercourse on a very strict schedule, thus increasing the chances that your sperm will be more viable.

5. Reduction of stressors – This can be easier said than done, of course. But it’s important for men and women struggling with infertility to reduce the stressors in their lives as much as they realistically can.

6. Modification of exercise habits – It’s been shown that excessive exercising can be harmful to sperm quality, and some exercises, such as cycling, have been linked to male infertility (due to pressures on the testes.)

7. Reduction of weight – Though weight plays more of a role in female infertility than it does in male infertility, it’s still a good idea to lose extra pounds, especially if your BMI has reached a rating that would qualify you as extremely overweight or obese.

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Focus on Male Infertility – The Courage to Take Action

Wednesday, July 27th, 2011

For many men, taking the first trip to a fertility specialist can seem embarrassing or uncomfortable. That’s likely due to the media’s focus on female infertility rather than male infertility. However, it’s important for guys to be open to finding out why they’ve been unable to conceive.

Many individuals are surprised to learn that male infertility is the primary issue in at least one third of all cases of infertility between couples. (Some statistics report this number to be 40 percent or higher!) Just hearing this fact is calming for many male fertility patients, as it eases the psychological burden of them feeling like they are “alone” in their fertility struggles or that they “cannot perform”.

Still, it’s not unusual for us at RSI, one of the premiere fertility clinics in the Philadelphia, Pennsylvania, area, to come against some resistance when men initially arrive at our facility. This is especially true when they have been brought by the women in their lives; for men, this can feel akin to being “pointed at” in a crowd.

Guys, the bottom line is this: We understand. Male infertility is one of our specialties; therefore, we are sensitive to the emotional considerations that accompany the diagnosis. If you’re feeling irate, standoffish, sad or uncomfortable, it’s okay. We as fertility specialists are not here to push you in one direction or another; we’re here to make sure you have all the facts and can proceed as makes sense for you and your significant other.

The upshot – and it’s a great one! – is that we’ve successfully helped many couples with their infertility issues, whether they stemmed from female infertility or male infertility. But it’s necessary for patients to take the first step and give us (or a preferred, reputable fertility clinic) a call.

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