Female Infertility - Causes and Investigation

 Most common causes of infertility in women are; absence of ovulation or insufficient quality of the eggs (oocytes) for fertilization. Additionally, many factors such as; age, stress, excessive use of tobacco and alcohol, sexually transmitted and infectious diseases, being overweight or underweight, athletic training, lack of the essential nutrients resulting from a poor diet and any factors leading to hormonal imbalances may act on a woman's fertility.

Aging has a crucial effect on a woman's fertility. After the age of 30, a woman's chance of having a baby decrease expeditiously each year. Mainly because the health of a woman's ovaries to release eggs and health of the eggs declines whereas, risks of having a miscarriage, as well as risks arising from a woman's personal health problems which may interfere with fertility increases. Therefore women in their 30's who have been trying to get pregnant for six months or longer should immediately consult their doctors for a complete fertility evaluation. As for most healthy women under the age of 30, should not worry unless they have been trying for at least a year.

Infertility testing and evaluation starts at your gynecologist's, where a sonogram will be used to find out the number of potential eggs in each ovary on the 2nd or 3rd day of your menstrual period. Besides, hormone testing will be useful in order to make an evaluation of your ovarian function including FSH, LH, Estradiol, Prolactin, TSH and AMH. Depending on the results, the most appropriate course of action will be decided.

For more information please visit: http://www.lowcostivf.net/causes-of-female-infertility.htm#.U3BgHdoayK1

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How do I administer the medication?

Administering medication is relatively easy given that the injections to be used are sub-cutaneous injections and are administered right under the skin. These injections are painless and easy to self-administer. Please refer to the link below for a complete explanation on how to mix and arrange the dose of your medication as well as how to administer it.

Once you watch this video, please contact us for any questions you may have.

You will notice that once you retrieve the necessary amount of medication from the vial, you will have some left over medication in the vial. You will store this in a refrigerator and use the next day.

For instance, a vial of Gonal-F 450 iu will give you 600 units of medication once mixed. If your daily dose is, say, 300 iu, you will use half of it and store the other half for the next day.

http://www.youtube.com/watch?v=nr6-3vJ4SpA

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A Quick Thank you!

Hi Angie,

Hope you are having a good New Year. I completely forgot to inform you guys about the Scan because I have been really under the Weather. Everything seems to be going smoothly, with the Doctors finding 2 sacs YIPEE!!  We have also seen both heartbeats, and are due for another scan on Tuesday.

I will keep you posted on my progress.

Thanks again for everything.

M. and T. 

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Another Pregnancy!

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Treatment Plan for IVF with PGD

Below is a typical treatment plan for IVF with PGD.

The dosage and medication is subject to individual hormone results and age.

Please contact us for further information - http://goo.gl/vUjGcY

Date	Use of Medication	Additional Notes
Day 1 of Menstrual Period	Start taking 1 tablet of Pregnacare every day.	Please inform us
Day 2 of Menstrual Period	1) Femara tablets (one in the morning)
Day 3 of Menstrual Period	1) Femara tablets (one in the morning) 2) Gonal-F 300 i.u. in the morning. 3) Menopur 150 i.u. at night.
Day 4 of Menstrual Period	1) Femara tablets (one in the morning) 2) Gonal-F 300 i.u. in the morning. 3) Menopur 150 i.u. at night.
Day 5 of Menstrual Period	1) Femara tablets (one in the morning) 2) Gonal-F 300 i.u. in the morning. 3) Menopur 150 i.u. at night.
Day 6 of Menstrual Period	1) Femara tablets (one in the morning) 2) Gonal-F 300 i.u. in the morning. 3) Menopur 150 i.u. at night.
Day 7 of Menstrual Period	1)Gonal-F 300 i.u. in the morning. 2) Menopur 150i.u. at night.	First sonogram day. You will need to see your gynecologist for follicle tracking. We will need to know how many follicles exist in each ovary and what their sizes are.
Day 8 of Menstrual Period	1) Gonal-F 300 i.u. in the morning. 2) Menopur 150 i.u. at night.
Day 9 of Menstrual Period	1) Gonal-F 300i.u. in the morning. 2) Menopur 150 i.u. at night. 3) Cetrotide 0.25 mg injection (1 hour after Menopur injection)	Second sonogram day. You will need to see your gynecologist for follicle tracking. We will need to know how many follicles exist in each ovary and what their sizes are. You are more than likely to start using cetrotide today, based on the scan results.
Day 10 of Menstrual Period	1) Gonal-F 300 i.u. in the morning. 2) Menopur 150 i.u. at night. 3) Cetrotide 0.25 mg injection (1 hour after Menopur injection)
Day 11 of Menstrual Period	1) Gonal-F 300 i.u. in the morning. 2) Menopur 150 i.u. at night. 3) Cetrotide 0.25 mg injection (1 hour after Menopur injection)	You should refrain from all sexual activity from this point onward.
Day 12 of Menstrual Period	1) Gonal-F 300 i.u. in the morning. 2) Menopur 150 i.u. at night. 3) Cetrotide 0.25 mg injection (1 hour after Menopur injection)	Arrival in Cyprus.
Day 13 of Menstrual Period		Third sonogram. You are likey to have your trigger injection done later on in the day. You will spend about 3 hours at the clinic, until 1 PM.
Day 14 of Menstrual Period		Enjoy Cyprus!
Day 15 of Menstrual Period	1) Crinone gel 8% applied one in the morning and one at night.	Expected day of your egg retrieval. Your husband will provide his sample today. Nurses will explain how the crinone gel will be used. You will spend about 4 hours at the clinic in the morning (9.30 AM – 130 PM)
Day 16 of Menstrual Period	1) Crinone gel 8% applied one in the morning and one at night.
Day 17 of Menstrual Period	1) Crinone gel 8% applied one in the morning and one at night.
Day 18 of Menstrual Period	1) Crinone gel 8% applied one in the morning and one at night.
Day 19 of Menstrual Period	1) Crinone gel 8% applied one in the morning and one at night.
Day 20 of Menstrual Period	1) Crinone gel 8% applied one in the morning and one at night.	This is the expected day of embryo transfer. You will start using aspirin tablets immediately after the embryo transfer. You will spend about 3-4 hours at the clinic in the morning.

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