Frozen embryo transfer (FET)/ Donor egg cycle

Preparation before drug protocol begins

• This is what we refer to as the preconception phase.

• It is during this time we hope to optimize your reproductive health

• We treat holistically which means we take into account your physical, emotional and spiritual aspect. We do not only focus on regulating the menstrual cycle to alleviate any pain or discomfort before and during one s cycle, we also want to improve all systems of your body and mind. If you are sleeping well, full of vitality, proper digestion and elimination and healthy sense of self then all systems will work more efficiently including your reproductive system. This can be accomplished by treating some of the subtle imbalances in the body mind and spirit via acupuncture, herbs, supplements, diet, and lifestyle

During estrogen lining growth phase

• Two acupuncture treatments/week * Increase blood flow to uterus - better lining then better chance of implantation

• Treat side effects to medications

• Relax - Studies have shown how stress can negatively impact fertility and IVF success. Studies have also shown how acupuncture can reduce the effects of stress and therefore optimize your IVF/ICSI cycle

Transfer day (FET/donor egg)

• Acupuncture treatment immediately before and after day 3 embryo transfer

• For blastocyst transfer- acupuncture treatment three days after retrieval and again on day 5 before transfer of blastocyst (No treatment immediately after transfer).

Implantation to pregnancy test

• Acupuncture treatment 5-10 days after transfer

• Assist with implantation and support of fetus development

Sex after birth? Take your time!

What is different after giving birth?

After a birth, not only changes the female body, but the entire life of the woman and the partner. In women, the uterus shrinks, simultaneously, blood and mucus excreted (lochia). After six to eight weeks, the uterus has formed back to its former shape and size. Any cuts or wounds heal. The hormone balance is adjusted to the new circumstances. The effort of the birth, the newborn care, older siblings and not enough sleep fatigue many women. They often take little time or energy on to her partner, which can strain the relationship very much.
Further support is if the parents are able to understand at this time as a unit that has the same objective.

When you can after the birth have sex?

Sexual intercourse after the birth can be resumed as soon as it is fun again and no complaints are present. The lochia should be dry. Since breast-feeding does not protect against a new pregnancy, the prevention considerations are more complex and discuss together. Recommended such as the condom appears or progestin preparations, which do not affect the flow of milk. Non-breastfeeding mothers can e.g. the insertion of the beginning of the period with the pill. With them is six to eight weeks after the expected delivery of the first menstruation.

When the desire is to sex again?

There is no limit of normal or a defined point in time when the appetite for sex, especially on sexual re-established. This depends on many external and internal factors and of course the partnership. In most cases, initially covers the closeness between mother and child, woman's needs for contact and affection from. Many women have little desire to after the birth of sexuality. You often feel tired, drained and listless and take in its true female role diminished. Dissatisfaction with body image can suppress feelings of pleasure. Other women feel after giving birth very powerful. They experience themselves are attractive and the performance they have achieved, proud. They enjoy breastfeeding and erotic situations often experience more enjoyable exercise than before the pregnancy.

Sexuality after childbirth

is the absence of birth-related complaints it anymore no medical restrictions on sexuality.

A birth changed the life of a woman and a partnership fundamentally. Impact it has mostly to sexuality. Thus offers a serious change in the chance to meet new in the sexual community. Preferences, the pre-pregnancy and birth may have changed. It is important to carefully and cautiously explore new and their own needs and desires with those of the partner's re-tune. For most couples, it is initially difficult to establish intimacy, especially as one ear is usually geared towards children. A change in thinking that not only undisturbed sex is equated with good sex can relax such a situation.

Sexuality does not mean sex. It includes heat, proximity, common understanding and tenderness, caressing, cuddling or petting. Also supports this type of donation in our own perception of the role as a woman or man, which sexual desire can be supported. These forms of sexuality can be lived, if a little trouble maker and reports required under the breast or bottle. Hormonal shortly after delivery, it may cause interference of lubrication (wet to the vagina) can occur. With a bit of lubricant or saliva can be easily remedied this problem.

What is menstruation

What is menstruation (usually period)?

The first menstrual period (menarche) begins during puberty. The bleeding is a sign of early maturity and fertility. In more or less regular cycles is repeated in the body from now on an interplay of hormones. In young girls and women in menopause, the bleeding is often irregular. The menstrual fluid is blood from the uterus and parts of the endometrium.


The female sex organs

The internal sex organs of women consist of two ovaries and fallopian tubes, uterus and vagina (vagina). The ovaries are responsible to train mature fertilizable eggs. If the ovary is by hormones (follicle stimulating and luteinizing hormone, FSH and LH), stimulates the egg matures. Around mid-cycle dissolves in the mature egg from the ovary (ovary). This process is called ovulation or ovulation.

The egg travels down the fallopian tube after all (tube) to the uterus (womb). The endometrium is prepared by the action of these hormones and progesterone (progesterone) to incorporate the egg. Progesterone is released shortly after ovulation. If the egg is fertilized, it attaches itself in the endometrium.

If no fertilization takes place, there is a diminished supply of progesterone, the uterine lining which is broken down and are shed residues in the menstrual period (menstruation).

At each monthly period a woman loses about 150 milliliters of blood. The whole cycle takes about 28 days. Unless the woman is pregnant, he starts all over again. The cycle time between the first day of menstruation and the last day before the next menstrual period is counted. Cycle lengths of 25 to 35 days are considered normal.

When menstruation begins?

Most girls get their first period at age 10 to 14 years. The average is 12.5 years.

Women get her period until they are between 45 and 55 years and menopause begins. Overall, a woman gets in their lives about 500 menstrual bleeding.

Can you feel ovulation?

Many women feel their ovulation (ovulation). It is noticeable as a weak pain in the abdomen. Some women are having the time of ovulation also has a small circulation.

The timing of ovulation can be determined by body temperature. At the time of ovulation it rises by 0.5 degrees. This is exploited in the temperature method. At best it is in the mouth (oral) or intestine (measured rectally).

You should measure the temperature every day before getting up. In order to compare the measurements, they should choose a type of temperature measurements (oral or rectal). Increases body temperature, ovulation took place. This takes about eight to ten days after each menstrual period (about the 14th day of the cycle). This is also the most fertile time in the cycle.

In the middle of the cycle, the vaginal discharge mucous-like threads and moves. Also on the consistency of the mucus can be seen the time of ovulation.

What factors affect menstruation?

The menstrual cycle is a very complex process involving many hormones, the female sex organs and nervous system are involved.

Hormones and hormones affect the menstrual cycle. For an irregular cycle, your doctor should measure hormone levels in the blood and determine whether it is in equilibrium.

The body weight also plays a role in the menstrual cycle. Underweight often brings the release of hormones and thus the menstruation stops. Recent studies have shown that extreme obesity leads to irregular menstrual bleeding. Compared to women with ideal weight, they are not so easily get pregnant. Proper nutrition is especially important.

Stress is another factor that influences the hormones and menstruation. Menstruation is, in some cases altogether. Fear of women to be pregnant out, the stress sometimes for later onset of menstruation. Mental and physical balance have a positive effect on the control days.

Regular exercise and mental and physical balance are for pain-free and reasonably convenient "rule days" most beneficial. Too much sports and overexertion can affect the hormone so far that the absent menstruation altogether.

What problems can occur during menstruation?

Women feel during menstruation varies. Many have no problems, others are limited by extreme pain in their activities.

The following symptoms may occur:

• Spasmodic contractions (painful contraction) in the abdomen,
• Pain in the abdomen,
• Back pain,
• Nausea, possibly accompanied by vomiting,
• Diarrhea;
• Sweating;
• Fatigue and lack of energy.
  

Pain and discomfort, why?

During menstruation prostaglandins are released into the uterus. They are hormone-like substances that trigger different regulatory mechanisms of the body or interfere with them. From the uterus, for example, they can cause perceived as painful contractions. Blood and mucous residues are excreted through the contractions. Other causes of painful periods may be earlier infections or benign nodes in the muscle wall of the uterus (fibroids). This is especially true for slightly older women.

Severe period pain can be treated successfully with combined preparations of estrogen and progestin (eg, pill or vaginal ring). Also progestin preparations, such as new mini-pill, mini pill, the contraceptive implants, or the three-month injection is suitable. By the hormones the endometrium is less built up, the wound is smaller when dissolve the remains in the blood and the blood is running to weaker and shorter.
Tips for Well-being

You can do several things to feel better:

• Do not use caffeine-containing beverages such as coffee, black tea and cola.
• Avoid stress and relax.
• Have a massage from your partner.
• Do you exercise but do not overwork your body.
• Stay warm and have warm drinks.
• If you have particularly severe pain, take pain medication. Seek advice from your doctor or pharmacist.

Causes of infertility

The causes of infertility are many and varied. They are classified as either absolute or relative. Absolute causes of infertility will, in the absence of treatment, totally prevent pregnancy. Relative causes reduce the chance of pregnancy but do not necessarily prevent it all together. An analogy is that absolute causes are like turning the pregnancy switch off and relative causes are similar to turning the dial down.

Over the last thirty years the impact of changing attitudes towards pregnancy, childbirth, work and family commitments has electively lead to a marked increase in the age of first pregnancy. As a result of these changes in western societies there is no doubt that increasing female age has become the single most important influence on a couples chance of achieving a pregnancy. For most couples it is a more important influence on the chance of successful pregnancy than any specific cause and it is becoming a more and more common problem as couples decide to start families later in life.

Among the specific causes of infertility there are however only four absolute causes of infertility that without treatment totally prevent pregnancy. They are:

• No sperm

• No eggs

• Blockage preventing egg and sperm meeting

• Prevention of embryo implantation

Often however a series of relative causes multiply together to reduce the chance of pregnancy by such an amount the realistic impact on couples is as severe as if they had an absolute cause.


Female factors

There are several main areas where fertility can be jeopardized in the female: the ovaries, the fallopian tubes, the uterus, and the hormones affecting these.

There will be a decrease in fertility if:

• ovulation is irregular or absent – this can be corrected with hormone treatment in most cases
• there is an obstruction between the vagina and the ovary, preventing the sperm and egg from meeting. These usually occur in the fallopian tubes, and it was for this condition that in vitro fertilization (IVF) was originally developed. Obstructions can often be treated surgically, but generally success rates are better with IVF
  
• there is an abnormality of the uterus, such as polyps or fibroids (obstructions can often be treated surgically, but can return) which impairs embryo implantation into the lining of the uterus
• endometriosis which is a common condition where tissue like the lining of the uterus grows outside the uterus, hampering a number of events leading to a pregnancy
  

Male factors

Male fertility seems less complicated than female fertility simply because the male is responsible for fewer stages in the process of creating a baby. Essentially, male fertility comes down to sperm.

There will be a decrease in fertility if the sperm are:

• not being produced in adequate numbers (or at all)
• being produced, but facing an obstruction that prevents them from reaching the outside world
• being produced, but not swimming very well
• stimulating antibody production in either partner by causing an allergic reaction.
  

Some of these problems can be treated surgically, but in most cases IVF is the best option.


Unexplained infertility

The cause of infertility is not always obvious. In many cases, both partners can appear to be fine, but they can’t seem to get pregnant. This is known as unexplained infertility. Having no identifiable cause does not mean that there is no available treatment. Indeed the prospect of spontaneous pregnancy is often higher than for those couples with a specific cause. Indeed IVF is highly effective for couples with female age under 40 years who have unexplained infertility.

IVF Giveaway at CNY Fertility

CNY Fertility Center Celebrates National Infertility Awareness Week by giving away four FREE IVF Cycles.

DETAILS:
CNY Fertility will take registrations to win these free IVF cycles up until Sunday, May 2nd, 2010, 9AM at which time the registration will be closed. We will gather the registrant data during the week of May 3rd – 9th and notify all registrants of their registrant number. On Monday, May10th, Dr. Rob Kiltz will announce the 4 winning numbers during his Support Webinar.

Click on this link to enter to win 1 free IVF Cycle.

Click on this link to join Dr. Rob’s Support Webinar on May 10th.

Email Kristen@cnyfertility.com to join the Tele-Workshop: Focusing on Flourishing on Thursday, April 29, 2010, 6:30pm.

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Innovative Fertility Education Program Aims to Reach Patients Across the World

Patients dealing with infertility face many uncertainties, but now there is one place to find a comprehensive guide to almost every aspect of infertility treatment.

The American Fertility Association (The AFA), a national non-profit family building organization which provides educational resources and support to men and women, especially those trying to conceive, and Attain Fertility(TM), the consumer service web destination of IntegraMed (INMD), the leader in developing and managing specialty healthcare networks in fertility and vein care, are partnering together to provide a one-of-a-kind educational opportunity for patients available in the comfort of their own homes.

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Recognize National Infertility Awareness Week in Atlanta on May 1st

In recognition of National Infertility Awareness Week, come learn about the many paths that family building can take.

The reality is that when you are faced with infertility, the road to parenthood can sometimes be paved with disappointment. This event is designed to help infertile women and men realize that there is hope during infertility and parenthood is within their reach. The Atlanta Affiliate of RESOLVE: The National Infertility Association has gathered everything together under one roof to make this quest as easy as possible. The 2010 Atlanta Family Building Conference will be held at the Cobb Galleria Center on May 1st from 8:00 a.m. - 5:00 p.m. Pre-registration is available at: www.resolve.org/ATLconference. Registration includes breakfast and lunch.

Attendees will learn about acupuncture, the adoption home study process, budgeting for infertility and adoption, diminished ovarian reserve/premature ovarian failure, domestic adoption, donor egg/donor sperm/donor embyro, egg freezing & other improvements, endometriosis, PCOS, healing, the grass roots adoption process, how to be your own advocate in treatment, hypnotherapy, increasing the chance of success of conceiving, international adoption, male factor infertility, mayan abdominal massage, recurrent pregnancy loss, relationships and infertility, surrogacy and yoga.

There will be opportunities to talk to representatives from reproductive endocrinology clinics, adoption agencies, mental health professionals, complementary therapy providers and law firms about your next steps. The conference will also feature a parent panel where you will hear how other families found their beginnings. Over $50,000 worth of infertility and adoption services and merchandise will be given away, including a free IVF cycle and a free frozen donor egg cycle.

For a complete list of the days activities, speakers and giveaways, please visit: www.resolve.org/ATLconference

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Alternative remedy use common among infertile

Stock photo by dcarson924
More than a quarter of northern California couples followed in a study sought help from acupuncture, herbal therapy and massage - often as a complement to conventional conception strategies such as in vitro fertilization. Rates were especially high among wealthy, older couples.

"We suggest that couples struggling to achieve pregnancy are more likely to seek out any treatment that offers hope," Dr. James Smith of the University of California, San Francisco, who led the study, told Reuters Health in an email.

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Fertility And Female Sexual Satisfaction Linked

A study done at the Stanford University Medical Center based in California has suggested that there is a link between female sexual dysfunction and infertility. The study which was done on over 200 women saw that those with fertility problems had a significantly higher risk of sexual dysfunction.

Interestingly the results showed that those women who suffered from infertility specifically reported issues with sexual desire and arousal, but they did not appear to suffer from other female sexual dysfunction symptoms such as pain during sex, vaginal dryness or problems attaining orgasm.

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Mediterranean diet linked to fertility

Women who closely adhere to a Mediterranean-style diet rich in vegetables, vegetable oils and fish have a higher chance of becoming pregnant after infertility treatment.

To investigate associations between preconception dietary patterns and infertility treatment outcomes, researchers followed 161 couples in Netherlands undergoing fertility treatment.

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Donor Concierge Announces a New and Informative Web Site

Announcing the new Donor Concierge web site, filled with information for intended parents looking for that perfect egg donor or surrogate to help build their family. Gail Sexton Anderson, founder, has made sure that the new site has all of the facts that will guide intended parents through the Donor Concierge search process. Included in the new web site is an extensive Resource page as well as a Testimonials page, plus Gail's Blog.

Donor Concierge provides a comprehensive search to help intended parents find the egg donor or surrogate candidates that meet their criteria. Gail also provides counseling as they consider the options available and to give advice as needed. Only when intended parents reserve an egg donor or surrogate directly with the agency, will Donor Concierge step back, and at that time, the chosen agency takes over the process to complete the match and manage the cycle in conjunction with the intended parents infertility clinic.

About Donor Concierge:
Donor Concierge is a personalized search and consulting service with access to over 20,000 egg donors through more than 50 trusted egg donor agencies, as well as many reliable surrogacy programs, across the country. Gail Sexton Anderson, founder of Donor Concierge, conducts an extensive search for her clients quickly and efficiently and has helped hundreds of intended parents by taking the “overwhelm” out of what can be a stressful process. Donor Concierge can usually find a minimum of 8 to a maximum of 28 egg donor candidates within a few days of the initial phone conversation. Gail has also been able to find excellent available surrogates in two weeks or less. Most of the agencies Donor Concierge works with give a discount to their Donor Concierge clients’, which covers the cost of the Donor Concierge search fee.

Donor Concierge
California, USA
(415) 419-5968
DonorConcierge@yahoo.com
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Get in tip-top shape and boost pregnancy chances

Spring is the season traditionally associated with new life but the combination of women choosing to delay family life and a drop in sperm count has complicated the conception process.

There are now around one in six couples that have difficulties in achieving a pregnancy and this figure is on the rise, making it vital for those trying for a baby to address certain areas of their lifestyle as they work at trying to boost their chances.

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In vitro regimen, acupuncture marry well in treatment of infertility

It took years of hormone therapy and procedures for the Lakeland mom to conceive her son, now 2 years old.

Hoping for a second child, Henry recently returned to the fertility clinic ready to repeat the in vitro fertilization regimen.

But in addition to the familiar medical routine, this time she was offered a very different treatment -- acupuncture.

More information:
Fertility Associates of Memphis: fertilitymemphis.com
Acupuncturist Dr. Mark Xu: xuwellnesscenter.com

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Can a new hormone jab restore fertility?

A new hormone jab could cure infertility in thousands of women, British doctors said yesterday.

Made with a gene called ‘kiss,' it has the potential to restore fertility in some women, scientists have found, as twice-weekly injections led to long-term increases in levels of sex hormones that control the menstrual cycle.

The findings suggest a new way to treat women whose infertility is due to low sex hormones and may mean an end to invasive treatments and IVF for many.

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Global IVF Launches First Video Guest Expert Series

Global IVF strives to bring you the most current and useful information regarding all things infertility related around the world. Every month, Global IVF features ‘experts’ in their field – a reproductive endocrinologist, a reproductive clinic, an embryologist, a reproductive lawyer, a medical tourism company, a therapist, etc. Not only will you be privy to their inside information and expertise, with many of them you will have the chance to ask and get answers to your own specific questions!

This week Global IVF is featuring Guest Expert Dr. Daniel Potter of Huntington Reproductive Center and MicroSort West in Laguna Beach CA. This is the first video in a three part series featuring Dr. Potter. Doctor Potter’s active research interests include gender selection, ovarian reserve testing, endometrial preparation for IVF with donor egg, embryo cryopreservation and frozen embryo transfer. Dr. Potter is also author of the book: What to Do When You Can't Get Pregnant: The Complete Guide to All the Technologies for Couples Facing Fertility Problems (Marlow and Company, New York, New York 2005.)

About Global IVF:
To fill the niche in the ever-growing trend in cross-border travel for reproductive care, Kathryn Kaycoff-Manos and Lauri Berger de Brito founded Global IVF.com, the ultimate Global Guide devoted to Infertility and all related services available worldwide.

Free membership to GlobalIVF.com also includes bi-monthly newsletters and full access to Global IVF’s blogs and online chat forums, allowing intended parents to share experiences and collect advice about specific clinics and treatments currently offered worldwide.

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Position Statement on Publicly-Funded IVF Treatment in Canada

The Canadian Fertility and Andrology Society (CFAS) supports fully the provision of publicly funded in-vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) treatment across Canada.

Infertility has been defined by the World Health Organization as a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse(1).

Since infertility has been defined as a disease, and its associated diagnostic and surgical management deemed "medically necessary" by provincial medical insurance plans, full infertility treatment including IVF and ICSI must also be made available as a funded service, and easily accessible to all Canadians.

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Why Haven't Infertile Couples Been Told These Facts?

Millions of people have celiac disease, but most don’t know they have it, in part because symptoms can be so varied. It is an often overlooked digestive disorder that causes damage to the small intestine when gluten, a protein found in wheat, barley and rye, is eaten.

Infertility seems to be more common in women with untreated celiac disease. Other gynecological and obstetrical problems may also be more common, including miscarriages and preterm births.

For men, problems can include abnormal sperm -- such as lower sperm numbers, altered shape, and reduced function. Men with untreated celiac disease may also have lower testosterone levels.

The good news is that with proper treatment with a gluten-free diet and correction of nutritional deficiencies, the prognosis for future pregnancies is much improved.

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Got a Cold & Trying to Get Pregnant? Be Careful About Medications!

If you are pregnant or trying to conceive, could certain cold medications harm your baby or impact your chances of getting pregnant?

Let’s break that question down into two parts and discuss the infertility aspects of it first. In terms of getting pregnant, cold medications will not affect your fertility as long as they are taken in the correct and recommended dosages.

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A Culprit in Infertility, Overlooked Yet Treatable

For more than four years, Joann Citrone of West Deptford, N.J., went through round after round of expensive infertility treatments. But it wasn’t until two years after she and her husband adopted their second child from South Korea that she was finally given a correct diagnosis.

She suffered from a common yet often overlooked condition that can lead to infertility and a host of perplexing symptoms — yet is easily treated when it is properly diagnosed.

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Reduced fertility linked to flame retardant exposure

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Women with high levels of flame retardants in their blood took longer to become pregnant compared with those who had lower levels, a study by researchers at the University of California Berkeley has found.

The study in the Jan 26, 2010 in the Journal Environmental Health Perspectives showed each 10-fold increase in four types of polybrominated diphenyl ethers or PBDEs was associated with a 30 percent decrease in the likelihood of becoming pregnant each month.

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