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Archive for the ‘male factor infertility’ tag

Infertility Podcast Series: Journey to the Crib: Chapter 6 Have You Had A Fertility Workup?

By David Kreiner MD

March 18th, 2013 at 7:33 pm

Welcome to the Journey to the Crib Podcast.  We will have a blog discussion each week with each chapter.  This podcast covers Chapter Six: Have You Had a Fertility Workup? You, the listener, are invited to ask questions and make comments.  You can access the podcast here: http://podcast.longislandivf.com/?p=43

Have You Had A Fertility Workup?

A fertility specialist called a Reproductive Endocrinologist, who has performed a three year fellowship training in IVF and infertility after an Obstetrics and Gynecology residency, will initiate the fertility workup by conducting a history and physical examination.  The exam includes a pelvic ultrasound of a woman’s uterus and ovaries to determine if there are any abnormalities that may affect implantation or pregnancy, as well as assess ovarian activity and the presence of endometriosis.

Different causes of infertility will be tested.  The most common factor, that affecting the male, is easily tested with a semen analysis.  Tubal obstruction preventing a woman’s eggs from reaching the sperm can be ascertained by a hysterosalpingogram, a radiograph of the uterus and fallopian tubes performed after injecting radio-opaque contrast through the cervix.

Other tests to better delineate problems in the uterine cavity may be performed such as a hydrosonogram, where water is injected through the cervix and the cavity inspected by vaginal sonography or with hysteroscopy, where a scope is placed through the cervix to directly inspect the uterine cavity.

Blood tests may be performed to assess ovarian activity, in particular day 3 FSH and estradiol levels and AntiMullerian Hormone.  Prolactin and TSH levels are checked to rule out other hormonal disorders that may affect ovulation and fertility.

Treatment can be directed at the cause of infertility, such as ovulation induction for women with ovulatory disorders or surgery to remove uterine polyps or it may be independent of the cause such as with ovarian stimulation and intrauterine insemination or IVF which will improve success rates regardless of the cause of infertility with some exceptions.  IUI will have limited success for tubal factor, male factor infertility and endometriosis.  IVF will have limited success in women who have diminished ovarian reserve or abnormal eggs unless they use eggs donated by young fertile women.  Today, there is a highly successful treatment available for all.

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Was this helpful in answering your questions about what to expect from a fertility workup?

Please share your thoughts about this podcast or ask Dr. Kreiner any questions here.

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Infertile Men are Fathers, Too

By Tracey Minella

June 17th, 2012 at 8:56 am

If you are a man who wants to be a father, but infertility is standing in the way, I don’t have to tell you how tough it is getting through today. If male factor infertility is all or part of the problem, there’s often an added level of misplaced guilt as well. And if you’ve lost your own dad along the way, the day is even worse.

I could tell you to take care of yourself today, but you’re probably more concerned about your wife or partner. How she wants the baby, the card and the homemade clay presents that Father’s Day is supposed to be about.

If you’re seeing your own dad… and siblings with children will be there… there can be guilt about not making grandchildren yet and the sense of urgency to do so while he’s still alive. But you will manage, despite the ache in your heart, to smile for your dad today and to play a little catch with those nephews.

And you may have to endure the insensitive and hurtful comments…sometimes directly targeted at your manhood… by ignorant brothers or in-laws. You know the ones. I won’t repeat them. But you’ll laugh it off to keep the peace and pretend it’s the barbeque smoke stinging your eyes.

Today I want you to know that you are a dad. You’re a father “in-the-making”.

Good dads are selfless. They put everyone else’s needs before their own. They take care of their wives and their parents. They often hide their pain. Without realizing it, some practice their “dad skills” on nieces and nephews. They get stronger by facing and overcoming adversity. Their commitment to their wife deepens by battling this challenge together.

All this crap you are going through… this journey… has either given you or fine-tuned all the traits you need to be a great dad someday.

So, Happy Father’s Day to a great dad-to-be. And I hope that next year will be the year of the baby to complete the deal.

To our patients who have already become fathers, Happy Father’s Day. Enjoy those miracles… and their homemade clay presents!

Happy Father’s Day to the wonderful doctor dads of Long Island IVF…great men and loving fathers/grandfathers who use their gifts every day to help build our families.

And finally, Happy Father’s Day to my husband Adam, not just for being the wonderful father I knew he’d be, but for hanging in there during the many years of our own 7 fresh IVF cycles journey to parenthood.

If winning a free Micro-IVF cycle (valued at $3,900.00) would assist you on your infertility journey, please enter Long Island IVF’s “Extreme Family-Building Makeover” Contest. Details are on the April 23, 2012 blog post or click here: http://blog.longislandivf.com/2012/win-a-free-basic-micro-ivf-cycle-in-long-island-ivfs-extreme-family-building-makeover-contest/

 

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Tell us how you get through days like this. Did anyone say something hurtful? How did you respond?

Photo credit: http://www.wpclipart.com/holiday/fathers_day/index.html

 

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Putting All Your …Sperm in One Basket

By Tracey Minella

January 31st, 2012 at 10:05 am


It’s the last day of the month and that means it’s “Just for Guys” day here at the Fertility Daily blog! For those who don’t know it, I always post something of particular interest to the boys on the last blogging day of the month. You know, just to remind them where their place is…Oh, just kidding! (Where would we be without them?)

So, today I’m sharing a true miracle story especially to inspire the guys with male factor infertility (and their loving wives).

The man was tested. No sperm. Not low motility or low count.

None.

But thanks to advancements in assisted reproductive technology, he underwent a testicular biopsy…a procedure to search tissue for sperm, one at a time. A team of three scientists spent 9 hours searching his tissue for sperm.

They found one. A single sperm. And they froze it.

The wife underwent IVF and wasn’t a super egg producer herself, according to the article. But, with ICSI (intracytoplasmic sperm injection), they fertilized one of her eggs with that single sperm cell.

And she conceived. Against the odds.

They have a little girl now. To read the whole story, click here: http://todayhealth.today.msnbc.msn.com/_news/2012/01/19/10191182-miracle-baby-born-from-single-frozen-sperm

Fortunately, Long Island IVF patients have easy access to our on-staff male reproductive specialist, Dr. Yefim Sheynkin. His unique experience and many years of expertise in reproductive medicine, microsurgical treatment of male infertility, and sperm retrieval techniques for in vitro fertilization are unparalled.

If you have male factor infertility, please ask your RE about all of your options. Get evaluated by their on-staff reproductive urologist. The best centers will have one. You may have more options than you think.

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Do you find stories like this inspiring? If you were diagnosed with severe male factor infertility and were a candidate for a procedure like the couple in this article had, would you consider it?

Photo credit: http://www.publicdomainpictures.net/view-image.php?image=18939&picture=driving-away

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What the #@WI-FI&* Happened to Your Sperm?!

By Tracey Minella

December 30th, 2011 at 6:50 pm

Last post of the month… so it’s one for the guys as usual.

We all know the things the ladies are doing (or should be doing) to increase their chances of conceiving a healthy baby. Tests taken, prenatal vitamins, dental work, healthy diet and exercise, etc. And you both should be avoiding excessive caffeine, alcohol, and tobacco, of course.

But if you think sportin’ those loose boxers is all you need to do to maximize the potential of “your boys”, think again!

High tech breakthroughs have advanced the fields of assisted reproductive technologies, like IVF. But not all things “high-tech” are beneficial. Some things can potentially do harm.

Like Wi-Fi. (a/k/a wireless internet connections.)

We already know that a laptop on your lap for extended periods of time can cause scrotal hyperthermia, or increased testicular temperature. But great balls o’ fire, there’s another sperm quality killer to worry about!

It’s possible that laptop of yours, with its Wi-Fi could be messing with your sperm’s motility (ability to move) and quality. It could be fragmenting your sperm’s very DNA!

Now don’t try this at home…yes, I went there… but when semen samples were placed under a laptop for four hours, one group with the Wi-Fi on and the other with the Wi-Fi off, there were noticeable differences in the quality of the sperm.

The Wi-Fi sperm sample showed 25% lost motility and 9% suffered DNA fragmentation, compared to the non-Wi-Fi sperm sample which showed 14% lost motility and 3% suffered DNA fragmentation. Scientists theorized that the electromagnetic radiation emitted from the Wi-Fi may be the reason for the results. For more information, click here: http://www.medicalnewstoday.com/articles/238455.php

So fellas, be careful what you allow on your lap!

Which brings me to a potentially-related closing comment, depending on how wild your plans are tomorrow night: Have a safe and healthy New Year’s Eve. I hope all your dreams come true in 2012.

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How do you plan to spend New Year’s Eve? Do you put infertility aside and have fun out with a crowd or have a romantic dinner for two? Do you stay in with a small group or alone and watch the ball drop on TV? Or do you treat it like any other night and go to bed early?

 

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