Specialty fertility clinics have many new techniques to help

Specialty fertility clinics have many new techniques to help couples conceive. Male infertility is at least half the question that must be considered with any infertile couple. In the U.S., about 15% of couples experience some problems conceiving. More and more couples are seeking help and today at least 1% of all newborns in the U.S. are due to help using IVF, which is an abbreviation for

In-vitro fertilization.

We also want Interstitial cells that release _______________________________ and spermatogonia that produce the sperm. Because testicular tissue would be harmed by biopsy, they may hold off doing that procedure.   If the hormones are normal but the sample was not, then a trans-rectal ultra sound can be done to examine the seminal vesicle and the ductus deferens. In some patients, that may show an obstruction of the ductus and in others it may show a lack of a ductus deferens. Absence of the ductus deferens is associated with Cystic Fibrosis, what is that? ________________________________________________________________________________

There are many different mutations of CF. Some variants may cause more digestive than respiratory problems and not all people have the same severity of symptoms. So, it is possible for a person to have a milder form of CF and not know it. If a person does not have a ductus, genetic testing is offered.

Another reason for low volume ejaculate and no sperm would be retrograde ejaculate, what is that?

________________________________________________________________________________

Sometimes using an alpha agonist such as pseudoephedrine helps reverse this issue. What does it do to the bladder sphincter?

______________________________________________________________________________

Obviously if a patient is on an alpha blocker drug, they may have retrograde ejaculation. What are 2 common reasons for prescribing alpha blockers?

1.                                                                                 2.

Of course the other half of the fertility equation is the female patient. Again the place to start is a good history, and hormone tests. The first question is whether the female is ovulating normally. The anterior pituitary releases LH and FSH, just like in the male.

An over the counter ovulation test, checks urine for the hormone Luteinizing Hormone that causes ovulation.

For that hormone to be high, it must initially respond to higher and higher levels of LuteinizingHormonfrom the ovary, in a positive feedback loop. After ovulation, the levels of anterior pituitary hormones decline, but levels of progesterone and estrogen remain high.

Polycystic ovary disease occurs when the woman does not ovulate. Sometimes, they have increased

Androgens, what are they? Androgens contain Dehydroepiandrosterone. It is steroid hormone produced by adrenal cortex from cholesterol

An ultrasound shows fluid filled cysts on the ovaries. Ovulation may be achieved with medications.

A Clomiphene (Clomid) Challenge Test is often done to check the level of Ant. Pituitary hormone,A

Clomiphene (Clomid) Challenge Test is often done to check the level of Ant. Pituitary hormone, called Follicle Stimulating Hormone. The level of FSH 13-15 mIU/mL.______________________________________________________________________________.

This hormone is responsible for causing a follicle to mature. This test is sometimes said to be checking the “ovarian or egg reserve”. If the levels of this Ant. Pituitary hormone remains high, it means that

the hormones produced by the ovary are ________ because they are in a negative feedback loop after ovulation. This is a sign of menopause.

The ovarian hormones are (3) The hormones produced by the ovary are Estrogen and progesteron because they are in a negative feedback loop after ovulation. This is a sign of menopause.

What is a Transvaginal sonohysterography? ______________________________________________

___________________________________________________________________________________

What is a Hysteroscopy?

is a procedure allows a doctor to look into the neck of the uterus. Hysteroscope is used to diagnose.

Sometimes if no problems are seen, a Hysterosalpingography is done, where radiopaque dye is places in the cervix and into the fallopian tubes. Radiographs are taken to see if the dye emerges from the fallopian tube. If the dye does leave the fallopian tube, then there is no obstruction present.

Finally, a laparoscopy may be done, which is surgical diagnostic procedure to examine the organs of inside the abdomen. It is minimaly invasive procedure.And a doctor can view the external organs. In addition, endometriosis may be seen, which is

__________________________________________________________________As you can see, this may be a difficult problem to solve, but looking at the hormones and anatomy of the couple is key.

Solution

pecialty fertility clinics have many new techniques to help couples conceive. Male infertility is at least half the question that must be considered with any infertile couple. In the U.S., about 15% of couples experience some problems conceiving. More and more couples are seeking help and today at least 1% of all newborns in the U.S. are due to help using IVF, which is an abbreviation for

In-vitro fertilization.

We also want Interstitial cells that release testosterone and spermatogonia that produce the sperm. Because testicular tissue would be harmed by biopsy, they may hold off doing that procedure.   If the hormones are normal but the sample was not, then a trans-rectal ultra sound can be done to examine the seminal vesicle and the ductus deferens. In some patients, that may show an obstruction of the ductus and in others it may show a lack of a ductus deferens. Absence of the ductus deferens is associated with Cystic Fibrosis, what is that?

Cystic fibrosis is a genetic disorder characterized by the presence of thick and sticky mucus which causes damage to the many body\'s organ. It mainly affects respiratory system and digestive system. Mucus lubricates and protects the lining of the airways, digestive system, reproductive system and other organs and tissues. Due to thick mucus airway cloging occurs which causes svere problem in breathing and infection to the lungs occur which may lead to the formation of cyst in lungs. Thicky mucus also affect digestive system by affecting insulin secretion by pancreas. Many males with cystic fibrosis have congenital bilateral absence of the vas deferens (ductus difrence). This vas deferens carries sperm for ejaculation and hence absence of this duct make a man infertile. Although assisted reproduction can be useful in this condition.

There are many different mutations of CF. Some variants may cause more digestive than respiratory problems and not all people have the same severity of symptoms. So, it is possible for a person to have a milder form of CF and not know it. If a person does not have a ductus, genetic testing is offered.

Another reason for low volume ejaculate and no sperm would be retrograde ejaculate, what is that?

Retrograde ejaculation: Normally sperm after production carries through vas deferens and ejaculate via urethra. During ejaculation the sphincter of urinary bladder constricts and force semen to pass through urethra. But in case of retograde ejaculation the sphincter of urinary bladder does not constrict properly and hence it redirects the semen to urinary bladder.

Sometimes using an alpha agonist such as pseudoephedrine helps reverse this issue. What does it do to the bladder sphincter?

Alpha agonist binds with the alpha receptors present on urinery bladder sphincter and causes contraction of sphincter which may be benificial in retrograde ejaculation treatment.

Obviously if a patient is on an alpha blocker drug, they may have retrograde ejaculation. What are 2 common reasons for prescribing alpha blockers?

1. Hypertension 2. Prostat enlargement

Of course the other half of the fertility equation is the female patient. Again the place to start is a good history, and hormone tests. The first question is whether the female is ovulating normally. The anterior pituitary releases LH and FSH, just like in the male.

An over the counter ovulation test, checks urine for the hormone Luteinizing Hormone that causes ovulation.

For that hormone to be high, it must initially respond to higher and higher levels of LuteinizingHormonfrom the ovary, in a positive feedback loop. After ovulation, the levels of anterior pituitary hormones decline, but levels of progesterone and estrogen remain high.

Polycystic ovary disease occurs when the woman does not ovulate. Sometimes, they have increased

Androgens, what are they? Androgens contain Dehydroepiandrosterone. It is steroid hormone produced by adrenal cortex from cholesterol

An ultrasound shows fluid filled cysts on the ovaries. Ovulation may be achieved with medications.

A Clomiphene (Clomid) Challenge Test is often done to check the level of Ant. Pituitary hormone, A Clomiphene (Clomid) Challenge Test is often done to check the level of Ant. Pituitary hormone, called Follicle Stimulating Hormone. The level of FSH 13-15 mIU/mL. The higher level of FSH indicates abnormal functioning of ovary. The normal range is 0.3 to 10 mlU/ml.

This hormone is responsible for causing a follicle to mature. This test is sometimes said to be checking the “ovarian or egg reserve”. If the levels of this Ant. Pituitary hormone remains high, it means that

the hormones produced by the ovary are less because they are in a negative feedback loop after ovulation. This is a sign of menopause.

The ovarian hormones are (3) The hormones produced by the ovary are Estrogen and progesteron because they are in a negative feedback loop after ovulation. This is a sign of menopause.

What is a Transvaginal sonohysterography?

Sonohysterography is a special kind of ultrasound exam. Fluid is put into the uterus through the cervix using a thin plastic tube. Sound waves are then used to create images of the lining of the uterus. The fluid helps show more detail than when ultrasound is used alone.

What is a Hysteroscopy?

is a procedure allows a doctor to look into the neck of the uterus. Hysteroscope is used to diagnose.

Sometimes if no problems are seen, a Hysterosalpingography is done, where radiopaque dye is places in the cervix and into the fallopian tubes. Radiographs are taken to see if the dye emerges from the fallopian tube. If the dye does leave the fallopian tube, then there is no obstruction present.

Finally, a laparoscopy may be done, which is surgical diagnostic procedure to examine the organs of inside the abdomen. It is minimaly invasive procedure.And a doctor can view the external organs. In addition, endometriosis may be seen, which is a disorder in which tissue that normally lines the uterus grows outside the uterus. As you can see, this may be a difficult problem to solve, but looking at the hormones and anatomy of the couple is key.