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What next? Tests and treatments that may be necessary to achieve pregnancy


Even though you and your partner have made the commitment to begin a family, it may not be as easy to make a baby as you thought it would be. You may have done everything right, like consulting with your doctor and reading the latest medical information on how to get ready for the big event, but still find that you're one of the millions of couples struggling with infertility. Some common infertility Diagnosis for women For a woman having difficulty getting pregnant, visiting a family doctor or gynecologist is often the first stop. If problems continue or are out of the scope of their physician, they may also need a referral to see a reproductive endocrinologist or urologist. Once a woman begins seeking assistance, there are several tests that can be performed to help pinpoint the causes of their infertility. Pelvic exam and ultrasound: Along with the medical history questions, the doctor will usually schedule a pelvic exam and ultrasound for the woman. These tests will check: • Reproductive organ development - The woman's reproductive organs need to be formed properly and with the proper size so that the sperm and egg have the best chance of meeting. • Mobility - A woman's reproductive organs should move freely within the pelvic cavity. If they do not, it could signal extensive scarring. Blood tests: There are many blood tests doctors may order during the diagnosis and treatment of infertility. Blood tests can detect abnormalities that may signal hormone problems or the presence of other diseases. Blood tests also can help determine when a woman is ovulating and if she is pregnant. Some of the things a doctor may check are: • Complete blood count (CBC) - This is a blood test which gives an overview of how your body is functioning. It shows the level of different blood cell types. • Hormone levels - Many hormones are involved directly with your fertility such as FSH, testosterone, estrogen, LH, TSH, prolactin, DHEAS, and progesterone. If one of them is out of balance, the doctor can prescribe it as a pill or shot.


• Clomiphene citrate challenge test (CCCT) - The CCCT is done to see how well your body will respond to fertility drugs. You will first receive a shot of clomiphene citrate, and then the doctor will perform a blood test to make sure your body is producing the correct hormones in response. If everything is working properly, you will ovulate. Postcoital test of mucus: Women make cervical mucus that can help or hinder sperm from reaching the egg. This test is a method of testing the mucus and examining its reaction to the sperm. This test must be performed near ovulation, or it will not be accurate. As a result of this, it is possible the couple will become pregnant from the test. The woman must have a pelvic exam within one to twelve hours of having sex. Some of the most common infertility treatments for women Ovulation prediction The simplest way to help fertility is to pinpoint when a woman is ovulating. A woman is most fertile for the two days preceding ovulation and can remain fertile for up to one day after ovulation. All ovulation kits measure LH. They can give a false positive on those occasions where a woman's LH hormone is produced, but she does not ovulate during the cycle for other reasons. Drugs • Birth Control Pills - As strange as it sounds, one of the first treatments prescribed for a woman with fertility problems may be birth control pills. The birth control pills are useful in that they allow women to establish a consistent cycle. After a few months, the woman will stop taking the pills and transition into fertility treatments. • Preventing Premature Ovulation - Some women release the egg before it is ready to be released. Drugs like Lupron, Antagon, and Centrotide prevent women from ovulating too soon. • Stimulating Ovulation - Some drugs work well to stimulate ovulation in women with high estrogen levels. • Egg Maturation - All of the drugs that help mature the egg are made from HCG. Some examples are Pregnyl, Novarel, Profasi, and Ovidrel. Like drugs


that stimulate ovulation, HCG based drugs can cause an increase in multiple births. • Egg Retrieval - If you need to have in vitro fertilization (IVF), you and your spouse will be placed on an antibiotic such as tetracycline to prevent you from getting an infection. The drug Medrol will prepare the woman's uterus for the procedure. • Implantation - Baby aspirin or low dose aspirin is used to help an embryo from IVF implant in the uterus by increasing the blood flow. Progesterone helps improve the lining of the uterus and estrogen can prepare the lining for implantation. Surgical repairs When the reproductive system of a woman is blocked or in need of a repair, surgery is the only way to return fertility. • Tuboplasty - This is when a woman has her fallopian tubes reconstructed surgically. It is more successful if the area of the tube that is blocked or damaged is closer toward the ovary. • Hysteroscopy - This method of surgery is used to repair fibroids, scarring, and benign tumors inside the uterus. • Laparoscopy - The laparoscope is used primarily for repairing damage within the pelvic cavity on the outside of the reproductive organs. In a woman, it can be used to remove endometriosis or fibroids. Artificial insemination Intrauterine insemination (IUI) is one of the oldest methods of reproductive technology. It has been used in animals for thousands of years and has had over a century of use in humans. IUI ensures that a greater proportion of sperm reach the uterus than what would reach it during normal intercourse. This increases the number of sperm reaching fallopian tubes and the egg. • Egg donation - Some women cannot produce eggs and choose to use donated eggs. The cost of egg donation is higher because of the risks involved. Unlike sperm or embryos, unfertilized eggs do not survive freezing processes. This means that this method increases the risk to the woman receiving the donation because the egg donor cannot undergo extensive


medical testing for diseases. It also means that when the donation is made, the new mother's womb must be ready to accept it. • Cryopreservation - Although eggs do not freeze well, doctors can create embryos with your eggs that can be frozen for future use. Sperm can also be saved with cryopreservation. • In vitro fertilization - Since its successful creation in the 1970s, it has caused a stir around the world for one reason or another. After the sperm and egg are extracted from the parents or donors, they are placed in a Petri dish. In a few days, doctors can spot fertilized eggs because they will have multiple cells. The embryos are rated by fertility specialists based on their development and perceived ability to survive. Then, the couple is allowed to select which ones they would like to try. The selected embryos are transferred back into the woman where they will hopefully implant in her uterus. The woman can be expected to be on bed rest and restricted duty for up to nine days after the procedure. Now that you know the most important treatments you can adopt to ensure a healthy pregnancy and increase the odds of getting pregnant, it's time to learn a few of the advanced techniques you can use to boost the odds. Here is a report that will clear all your misconceptions on achieving pregnancy and will let you know about things 90 percent of people don't know yet. Read on to know more about conceiving faster at http://www.geeyo.com/b/ep/.


Tests and treatments that may be necessary to achieve pregnancy