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.
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...
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