Topics of Interest


Pelvic ultrasound

Pelvic ultrasound based on sound waves helps visualize pelvic structures. During pregnancy screening and details of fetal anatomy can be imaged. Specialized ultrasounds in pregnancy will be addressed tomorrow under the OB ultrasound.

The most common reasons for obtaining a pelvic pregnancy are to help diagnose the causes of pelvic pain, painful periods, heavy and irregular […]

Fertility Factors

A thorough evaluation of all factors contributing to infertility are needed. The following are essential:

1) Age is a significant factor because after 35 the quality and quantity of eggs decline

2) Sperm count and function should be determined by a semen analysis.

3) Ovulation problems are important and should be given prime consideration.

4) Fertilization can be difficult […]

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Fertility Evaluation

Fertility evaluation consists of checking for ovulation, semen analysis and determination of tubal patency. Additional tests are done if indicated based on the above. Some of these are blood hormone tests, ultrasound, chromosome studies, cultures, laparoscopy, hysteroscopy, postcoital test.

OVULATION is detected by an ovulation predictor kit, elevation of basal body temperature and cervical mucus changes […]

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Ovulation Induction

Lack of ovulation is the most common cause of female infertility. By inducing ovulation, a mature follicle can be developed and released. Half of all female infertility cases are related to lack of ovulation or irregular ovulation. Development of a primary follicle which is mature and ready to be released can be verified by a […]

Fertility Treatments

Fertility treatments are directed to the specific problem. If a blockage is preventing an egg or sperm from moving through the tube this can be overcome by either tuboplasty (please see or IVF. In cases of Polycystic ovaries there are immature eggs but no ovulation. This can be treated medically.

Polyps, fibroids or a septum […]

Infertility Factors

Here are basic factors influencing fertility:

Weight (underweight or underweight)
STI’s (Sexually transmitted infections)
Age over 35
Uterine fibroids and polyps
Inaccurate timing of intercourse

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Endometriosis Basics

Endometriosis is a painful condition associated with tissue from the lining of the uterus (endometrium) in other areas of the body, such as ovaries, tubes, behind the uterus, even distant areas as lungs or kidneys. It is likely due to heredity, immune system, lymphatic or vascular system. These areas cause cramps, severe pain, painful intercourse, pelvic and lower back pain, heavy menses, irregular menses, painful bowel movements or pain during […]

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Infertility Factors

Most common reasons for infertility are related to the dynamics of ovulation, ovum pick-up, fertilization, transport and implantation. If after one year of unprotected intercourse pregnancy fails to occur, infertility is a concern. The chances of conception during a month of regular intercourse is about 20 %. Infertility could be due to the failure of the egg (ovum) to be released from the ovaries. This is called anovulation […]

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Infertility and Lifestyle Factors

Overweight, smoking, alcohol, drugs, caffeine, stress are shown to be related to infertility. While lifestyle factors alone do not entirely explain or account every case of infertility, they are significant nevertheless. Stress reduction for instance has been shown to relate to normalized levels of GnRh, FSH, LH, estrogen and progesterone, blood pressure and improved pregnancy rates. Overweight and related increased levels are associated with increased testosterone and lack of ovulation. Also the elevated […]