When fertility treatments fail patients and their gynos look for what new strategies can help their female patients and their partners to conceive. In the broad sense we explain fertility to our patients fairly simply: we have to ovulate, the egg has to meet up with the sperm, it has to implant. And the ovulation treatments aim to make this happen, and literally dozens of medications and perhaps hundreds of dosing and timing strategies have been tried. We say that these three 'simple' steps is all it takes, but of course there are many delicate steps in the ovulation process, and some women will just not respond to the treatments we give. Overall good nutrition is very important, and we now know that for men over the age of 35, as their sperm counts are dropping, the micronutrients of vitamins C and E as well as zinc will help them have less DNA damage to their sperm. One newer treatment that is fairly controversial for women is the use of Growth Hormone (GH) to improve ovulation. Growth Hormone is a lesser known hormone of the pituitary gland that also makes the ovulation stimulating hormones FSH and LH. It's been more commonly abused by athletes and body builders than by physicians who have only ever used it to treat rare disorders of children. It's use in fertility has been in small research settings. But as we have discovered GH deficiencies in women and men who are aging and fatigued, we have now begun to suspect that some women who are infertile have this deficiency as well. It may be a test for you to discuss with your gyno if you have not been able to fix your fertility.
Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you...
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