ARC® Fertility Articles

Insemination – It Takes Two to Tango!

Robert J. Homm, M.D., FACOG©
Founder, Fertility & Endocrine Associates
Partner, Louisville Reproductive Center
http://www.ivfkentucky.com
Fertility & Endocrine Associates
4121 Dutchmans Lane #414
Louisville, KY 40207

With the exception of in vitro fertilization and associated techniques, no procedure has improved fertility chances for males and females more than insemination, particularly intra-uterine insemination.

Intra-uterine insemination is used to treat both male and female sub-fertility by increasing the chances of egg and sperm meeting, fertilizing and resulting in pregnancy. However, the techniques and supportive laboratory procedures must be well chosen and implemented by practitioners skilled in optimizing the outcomes.

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Ovulation Detection for Beginners

By Patricia McShane, M.D.©
http://arm.coloradowomenshealth.com/
University of Colorado Denver
Advanced Reproductive Medicine

3055 Roslyn Street, Suite 230
Denver, CO 80238
Tel: (303) 724-8089

Many women have concerns about their ovulation or want to make sure that they are timing their sexual activity properly in order to get pregnant. Good news – relax! Aside from hormones such as birth control pills, there is no way that women get their cycle monthly aside from ovulation. So if you are having periods every 21 to 35 days with reasonable regularity, the question is not if you are ovulating, but rather, when.

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Managing the Biological Time Clock

Shahin Ghadir, M.D.©
http://www.scrcivf.com
Southern California Reproductive Center
450 N. Roxbury Drive, 5th Floor
Beverly Hills, CA 90210
310-277-2393

Introduction

Throughout history women have taken steps to take charge of their bodies and their lives. The 1960’s brought the discovery and use of the combined oral contraceptive pill. Recent technology advances now allow women to take charge of their fertility and extend their biological clock. No matter a women’s age or whether or not she’s in a long-term relationship, women now have the opportunity to take charge of an issue that is the essence of being a woman.

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Management of Uterine Fibroids

By Millie A. Behera, M.D., FACOG, FRCPSC and Phyllis Leppert, MD, PhD©

Uterine fibroids, also known as leiomyomas or myomas, are the most common gynecologic tumor in women of reproductive age, affecting approximately 30 to 40 percent of premenopausal females. The prevalence increases with age, with an estimated 70 to 80 percent of women developing fibroids by age 50.1

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Millie Behera, MD, FACOG, FRCPSC on a new fix for fibroids

By Millie A. Behera, M.D., FACOG, FRCPSC

LOCATION IS EVERYTHING, says Fertility Treatment Center, reproductive endocrinologist, Millie Behera, MD, about fibroids, the non-cancerous growths of tissue in the walls of the uterus that affect up to 50 percent of women by the time they are 50. Fibroids can be as tiny as a marble or as large as a melon, but where they grow is often what makes the difference in whether they cause no problems, mild annoyances, or extremely disruptive symptoms from excessive bleeding during periods to painful periods to feelings of pressure in the abdomen and difficulty with voiding.

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Understanding Egg Donation

Tanmoy Mukherjee, MD©
http://rmany.com
RMA of New York
635 Madison Ave, 10th Floor
New York, NY 10022
Telephone: (212) 756-5777

Egg donation is an option for couples whose primary cause of infertility is suboptimal egg quality. Egg Donation is an assisted conception option where one woman (the donor) donates her eggs to a couple (the recipients) to enable them to conceive. Current success rates for treatment are exceptional, and in large, experienced practices the wait list for donors is typically only a few months. While adoption is certainly a wonderful alternative, egg donation presents an intimate, successful, and ultimately very satisfying option.

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The Contradictions of Absolutes: Medicine, Nature, and Statistics – aka Sperm Misconceptions

Eric Flisser, M.D.©
http://rmany.com
RMA of New York
635 Madison Ave, 10th Floor
New York, NY 10022
Telephone: (212) 756-5777

“Never say never,” is a well-known aphorism.  Clever and pithy, it is a declarative statement with an ironic twist: stating absolutely that there are no absolutes.  Medicine is an “Art.”  However, we also know that Medicine is a Science, or rather that medicine has evolved from mysticism by the application of scientific principle.  “Evidence-based medicine” is the application of scientific theory and hypothesis testing that uses the results of scientific method for the best treatment for patients.  Tests are done on “subjects” or participants in a trial and the group of participants is referred to as the study “population.”  Statistical methodology is then applied to detect better treatments.  However, this population doesn’t necessarily represent the population at large, as much as your neighborhood may be representative of the ethnicity, religious preference, or household income of the population of the United States of America, in which it is located.  As it is, when treatments are applied to patients, if these patients are similar to the test group, the results should be similar.

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2020: A New Decade for Healthy People

Keith A Hansen M.D.© http://womens.sanfordhealth.org Sanford Health Fertility and Reproductive Medicine 1500 W. 22nd Street, Suite 102 Sioux Falls, SD 57105 (605) 328-8800

A fact is a simple statement that everyone believes. It is innocent, unless found guilty. A hypothesis is a novel suggestion that no one wants to believe. It is guilty, until found effective. – Edward Teller

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Rare Disease Day

Keith A Hansen M.D.©
http://womens.sanfordhealth.org
Sanford Health Fertility and Reproductive Medicine
1500 W. 22nd Street, Suite 102
Sioux Falls, SD 57105
(605) 328-8800

A discovery is said to be an accident meeting a prepared mind. – Albert Szent-Gyorgyi (1893-1986)

Rare Disease Day was observed on February 28, 2011, with the slogan “Rare but equal.” The purpose of having this day dedicated to unusual diseases is to raise awareness of these rare, but in the aggregate, common conditions.

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Practical Guidelines for Fertility Preservation in Cancer Patients

By S. Samuel Kim, MD ©
Center for Advanced Reproductive Medicine
University of Kansas Medical Center,
Center for Advanced Reproductive Medicine
10777 Nall Avenue, Suite 200
Overland Park, KS 66211

When the cancer is controlled, the later effect of treatment on quality of life, in particular fertility, can be a major issue for these young cancer survivors. Unfortunately, aggressive cancer treatments can cause gonadal failure. Indeed, most of the patients undergoing hematopoietic cell transplant will lose fertility due to high dose of chemotherapeutic agents and/or ionizing radiation. Where the risk of gonadal failure is high with chemotherapy and radiotherapy, it is wise to attempt to safeguard the fertility before treatment. To date, there are a few options for fertility preservation in female cancer patients including GnRHa administration with chemotherapy, freezing of embryos, oocytes, or ovarian tissue before chemotherapy and/or radiotherapy, transposition of the ovary before radiation, but most of theses options are

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Endometriosis: Diagnosis and Treatment

Woman with Stomach Pain

Keith A Hansen M.D.©
Board Certified, Reproductive Endocrinology and Infertility
http://womens.sanfordhealth.org 
Sanford Health Fertility and Reproductive Medicine
1500 W. 22nd Street, Suite 102
Sioux Falls, SD 57105
(605) 328-8800

Endometriosis remains an enigmatic, often debilitating disease affecting reproductive age women. Endometriosis is defined by the presence of endometrial glands and stroma outside of the normal intrauterine location associated with evidence of hemorrhage. This aberrantly located endometrial tissue is under the influence of ovarian steroids, and one sees a similar response as with normally located endometrium. Because of their responsiveness to ovarian steroids these ectopic glands and stroma undergo cycles of proliferation and bleeding on a monthly basis.

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Managing Polycystic Ovarian Syndrome

James Douglas, M.D.©
IVF Plano
6300 W. Parker Rd. #G28
Plano, TX 75093

Managing PCOS: What You Can Do

Affecting as many as five million women in America, polycystic ovary syndrome (PCOS) disrupts the menstrual cycle, which can lead to fertility issues. Caused by excessive testosterone and insulin, PCOS can produce various symptoms, such as irregular periods, extra weight gain, acne flare ups, and hair on the face, chest, or back. At IVF Plano, we can diagnose and treat PCOS.

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Polycystic Ovarian Syndrome and Insulin Resistance

Introduction

Polycystic Ovarian Syndrome (PCOS) is the most common endocrine abnormality in reproductive aged women affecting approximately 5-10% of this population. (NEJM 1995;333:853) The classic triad of this syndrome consists of chronic anovulation, hirsutism, and obesity. PCOS was first discovered by Stein and Leventhal (Am J Obstet Gynecol 1935;29:181) and its management has confused clinicians ever since. The exciting news recently involves understanding the contribution of insulin resistance to the etiology and treatment of PCOS. This newsletter will review the endocrinopathy and medical consequences of PCOS as well as examine the current understanding of insulin resistance and the use of insulin sensitizing agents.

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Polycystic Ovarian Syndrome: New approaches to an old problem.

Polycystic Ovarian Syndrome (PCOS) is the most common endocrine abnormality in reproductive-aged women affecting approximately 5-10% of this population.  The classic triad of this syndrome consists of chronic ovulation dysfunction, hirsutism (male pattern hair growth) and obesity.  The exciting news recently involves understanding the contribution of insulin resistance to the etiology and treatment of PCOS as well as the recent addition of ultrasound as a diagnostic tool.

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Understanding Polycystic Ovarian Disease

James Douglas, M.D.©
IVF Plano
6300 W. Parker Rd. #G28
Plano, TX 75093

In our practice, we often treat polycystic ovarian syndrome (PCOS), also referred to as polycystic ovaries (PCO) or polycystic ovarian disease, (PCOD). This condition affects as many as five million women in America. With PCOS, one of the main causes of infertility in women, regular reproductive processes, like the menstrual cycle, don’t function properly.

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What is Polycystic Ovary Syndrome?

Dr. Rinku Mehta©
www.txfertility.com
Texas Fertility Center
6500 N. Mopac, Bldg. 1, Suite 1200
Austin, Texas 78731
Ph: (512) 451-0149

Polycystic ovary syndrome (PCOS) is a reproductive endocrine disorder that affects approximately 5-10% of reproductive age women. While years of research have been conducted to try to determine the etiology of this syndrome, it continues to remain an enigma. To our best knowledge right now, PCOS may have a multifactorial etiology involving genetics, environmental factors as well as fetal and childhood exposures. While PCOS can have a wide spectrum of manifestations and symptoms, the common denominators are menstrual irregularity, increased male hormone actions, insulin resistance and a characteristic appearance of the ovaries on sonogram. While many women with PCOS are obese – and this may exacerbate the symptomatology – thin women can have PCOS as well.

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