Stop Smoking And You Will Get Pregnant!

If you want a baby, both of you need to put out the cigarettes. Smoking is the least recognized contribution to infertility. Smokers have at least double the rate of infertility based on getting pregnant within one year. About 1/3 of the population smokes. Oddly, recent studies of infertility shows that even passive smoking affects your ability to get pregnant. We have known for a long time that smokers go through an earlier menopause due to earlier depletion of all their viable eggs. This translates in to a 1-4 year earlier menopause. But we now know that baseline FSH rates creep up on smokers years before this and in fact the impact on ovulation and thus fertility sets in much earlier. No one has quite worked out if this is due to nicotine or the other products in cigarettes, but it is thought to be the other factors, so perhaps vaping wouldn’t cause as much effect. Sperm counts and parameters in the semen analysis are worse, but no studies actually have proven male infertility due to smoking. But for those with borderline counts, the evidence seems clear enough to at least stop smoking while trying to conceive. Studies of individual genes within sperm have also shown that smoking can cause individual gene damage in sperm. Once a woman is pregnant, smoking increases the chance of early miscarriage. And smokers have 20 times the risk of having a tubal pregnancy than non-smokers. For more information see the 2013 committee opinion of the American Society of Reproductive Medicine on the subject.

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Passing Your Uterine Lining, Menstrual Period Norms

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...

Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...

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