Endometriosis May Cause Infertility

Endometriosis may cause infertility

Endometriosis is a chronic disease whose etiology is not completely understood. Endometriosis is prevalent affecting 25% to 50% of infertile women and approximately 30% to 50% of women who have endometriosis are infertile. Endometriosis may cause infertility by: distorting pelvic anatomy causing endocrine and ovulatory abnormalities inhibiting implantation impairing egg and embryo quality altering peritoneal […]

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Fertility Status

fertility status

Many women are not ready to conceive but are very curious about their fertility status. In today’s society, women often delay childbearing until later in their reproductive years. The reasons for this shift are complex, but are often related to social, educational, and economic factors. This trend toward delayed childbearing has resulted in an increased number of women […]

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Ovarian Reserve Markers

ovarian reserve

Ovarian reserve is a term that is used to determine the capacity of the ovary to provide eggs that are capable of fertilization resulting in a successful pregnancy. Several noninvasive ovarian reserve markers have been proposed to assess ovarian reserve including serum levels of follicle stimulating hormone (FSH), serum anti-mullerian hormone (AMH), luteinizing hormone, estradiol, […]

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Women Who Smoke

Smoking and Fertility

Women who smoke experience a one year’s delay to conception.  This delay can be greater with more cigarettes smoked daily and for a longer duration of time.  Women who smoke have twice the risk of a reduction in ovarian reserve, the egg pool that is called upon monthly.  These delays and effects are secondary to […]

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Do I Still Have Healthy Eggs?

affordable egg freezing

Do I still have healthy eggs is a question that many infertile women ask, particularly those who are over 35 years of age. Most women today are aware that fertility declines after age 30 and significantly declines after age 35. While this is true, most women remain very fertile till age 39. Certainly after age […]

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IVF is a Very Good Treatment for Infertile Women With Endometriosis

endometriosis and ivf

Endometriosis is a significant cause of infertility. Until recently surgery was thought best for treating this terrible disease. However, recent studies have shown that surgical removal of endometriosis from the ovaries called endometriomas can reduce ovarian reserve and impair the number of eggs retrieved after ovarian stimulation. A recent study published in Fertility and Sterility […]

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“Decreased Ovarian Reserve”: Is there a “best test”?

IVF egg retrieval and best test for ovarian reserve

The American Society of Reproductive Medicine (ASRM), the professional committee for experts in reproductive endocrinology and infertility medicine, put out a committee opinion this month on testing and interpreting measures of ovarian reserve. A woman’s eggs, or oocytes, are the greatest when she is a fetus and decline in number as she ages. Ovarian reserve […]

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Anti-Mullerian Hormone as a Marker of Ovarian Reserve

Anti-mullerian hormone (AMH), also known as mullerian inhibiting substance, is a regulatory protein found in the ovary.  It is synthesized in the granulosa cells of antral follicles (see drawing below).  AMH is thought to play a role in coordinating follicular development within the ovary; there is a “give and take” between follicle stimulating hormone (FSH) […]

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The Reproductive Life Cycle

There are five reproductive stages in a woman’s reproductive life cycle.  These include premenarche (before the first menstrual period) stage; the reproductive, premenopausal stage; the early menopausal transition stage; the late menopausal transition stage; and finally, menopause.  There is no single test to determine reproductive potential, but the menstrual cycle pattern and hormone levels can […]

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Ovarian Reserve

“Ovarian Reserve” is a term referred by many infertility specialists to describe the size, quality and developmental potential of the eggs remaining in the ovary. As a woman age’s ovarian reserve diminishes and the chance of a chromosomal abnormal egg and thus the potential for miscarriage increases. As a result, older women are less likely […]

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