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Category: Infertility

Tubal Reversal: Why It Isn’t for Everyone

For millions of women, tubal ligation-also referred to as having your tubes “tied”- is a wonderful option for long lasting birth control. No more worrying about contraceptives!  And tubal ligation surgery has an extremely high rate of success, meaning only about 1%-2% of women become pregnant in the years following their procedure. However, as life […]

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What to Do When IVF Fails

Although treatment for infertility is light years ahead of where it once was, there are no guarantees that these treatments, such as IVF, will work for everyone. In fact, just under 30% of IVF cycles actually result in babies, and for those women over 40, the numbers decrease. The end result of IVF may not […]

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Undergoing Treatment for Infertility: How to Navigate

Infertility is a complicated issue for many patients. Navigating the physical side-hormone injections, getting the timing just right, seemingly endless office visits-is overwhelming enough, but the emotional journey through treating your infertility can be extremely challenging. Setting realistic expectations, by knowing what to anticipate, is one of the best ways to quell the overwhelm that […]

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Tubal Factor Infertility-Three Big Impactors on Your Ability to Conceive

Infertility, related to tubal factors, is common in more than 1/3 of all cases. The two fallopian tubes provide the pathway for the egg to travel to the uterus, once it’s been released from the ovary. When the egg is prevented from traveling through the tube, due to a blockage within the fallopian tube, this […]

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The Myth of Unexplained Infertility

I felt like I have to write another article about the mysterious diagnosis called “unexplained infertility” after seeing a number of patients in their early 30s with this diagnosis recently. I often hear from patients that “everything is normal” or “nobody could identify any problems”. It’s also not uncommon to hear “I went to different […]

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Should I Use Donor Eggs Or Try IVF With My Eggs?

Using eggs from a younger donor can contribute to IVF success and significantly improve a woman’s chances of pregnancy. This is because the age of the egg is, in many cases, a more important factor than the age of the woman (if considered separately than her eggs) in influencing the likelihood of success from IVF […]

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Do Fibroids Affect Fertility?

 Fibroids can affect fertility more commonly than once thought and frequently co-exist in many patients with the diagnosis of infertility. The types of fibroids most likely to cause reproductive problems are large fibroids (diameter greater than 4 centimeters) or those that are located inside the uterine cavity regardless of their size. Because every case is […]

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Celiac Disease, Gluten Allergy, Recurrent Miscarriage and Infertility:

Celiac disease is a chronic inflammatory disorder of the intestine with varying degrees of gluten intolerance and may be associated with recurrent miscarriage and infertility. Gluten insensitivity or allergy may not cause significant intestinal inflammation as in the case of celiac disease and its impact on fertility is most likely not significant. Common complaints with […]

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Reproductive Age and Fertility Outcome

Women are born with a finite number of eggs (1-2 million in both ovaries at birth) and at the time of puberty the total number decreases to approximately 500,000. At age 37, there are approximately 25,000 eggs left in the ovaries and less than 500 at the time of menopause. A monthly process of using […]

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Clomid Challenge Test

In order to evaluate ovarian function or ovarian reserve, clomiphene citrate challenge test (CCCT) has been used in fertility practice over the years. CCCT can better predict individual response to ovarian stimulation compared to FSH test alone and may be used to help determine the treatment protocol. In controlled ovarian stimulation cycles, this test can […]

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