FertilityTies posts tagged with causes

how common are chemicals?

Sat, 15 Nov 2008 12:56:47 -0600

How common are chemical pregnancies really?

Should I be alarmed to have 3 in a row?

Is there something I can do to prevent this from happening?

Chrissy

Causes for miscarriage.

Sat, 25 Oct 2008 13:39:10 -0500

Please tell me how a miscarriage can happen in very early pregnancy, Within first one month after intercourse how can miscarriage happen?

anni naidu

ovarian cyst

Mon, 20 Oct 2008 07:44:17 -0500

Dr.Q or any dr.,

About 2 years ago while I was taking ortho tri cyclene lo I developed an ovarian cyst. It caused some pain but my doctor said it was common when on birth control. The cyst went away on its on, never had one before this or none since. My question is why did I develop a cyst while on birth control? Is this a precursor to pcos? Help I'm worried about this.

Jan

pcos on the rise?

Sun, 19 Oct 2008 15:42:46 -0500

Dr.Q,

I just read an article on another website that said that pcos was on the rise. What is the cause for this? Also read other posts of women who were diagnoses in their late 20s but dr. said they had pcos since puberty. Are there any tell tale symptoms that might go unnoticed? I know all the classic symptoms of pcos.

Jan

Ultrasound

Sun, 05 Oct 2008 00:31:56 -0500

Hello,

I just have one question. Do you think that internal ultrasound at early pregnancy cause miscarriage? Bec. 3 days after I had the ultrasound the baby's heart stopped beating. Some people told me that it does. The Dr. said is about 1 %.

Saarah

Chemical Pregnancy Causes

Wed, 03 Sep 2008 22:19:13 -0500

Dr Q what can cause a chemical pregnancy? If we are able to get pregnant is it likely we will be able to carry full term??

lissa.

What causes fallopian tube blockage?

Wed, 27 Aug 2008 12:23:13 -0500

I just had an HSG and found out one of my tubes is blocked. What causes a blockage? I read on webmd that having Chlamidya can cause it. I had Chlamidya when I was 15 but had it treated within 2 months of contracting it. Can this amount of time cause that much damage?

VanessaM

estrogen at 185

Mon, 04 Aug 2008 17:02:03 -0500

Hi Dr. Eva...

like I told you the other day my estrogen was really high..well apparently its 185 (was 190 4 days ago) so they have called off my IVF cycle this month..can you help me know what causes such high levels of estrogen? I stopped my bcp's on saturday and hd my lupron shot before going in for bloodwork..pls pls help..

Marusha

immunilogical infertility

Mon, 04 Aug 2008 11:59:35 -0500

How common is immunilogical infertility and what causes it? Can it be treated?

Jan

PCOS - can you outgrow it?

Fri, 01 Aug 2008 13:06:47 -0500

Is that possible? Or can you develop it later in life when you had no issues b4?

When i was younger, like in High School i had lots of female issues, terribly painful and heavy periods and could go months w/out having a period. I have lost of hair on my body and also am just naturally heavy. I can get slim but withn ot eating anything at all during the day cept a couple peices of bread and soda.

Now, i have no issues wiht AF at all, comes when it should, is like 2 or 3 days max and is very light and not painful at all really.

I was on b/c pills for years to help when i was younger and now fine. Is it something that you have for life or can your body re-adjust?

chelsharmony

male infertility

Tue, 22 Jul 2008 11:36:09 -0500

I know ya'll must think I am some kind of freak. I was reading a post on here about a man that just went infertile. What would cause a man to just go infertile? My husband will be 30 in Oct. He isn't too old is he?

Jan

Causes of sperm issues?

Wed, 16 Jul 2008 15:53:27 -0500

What causes subnormal sperm values such as low count (20M), motility (25%)and morphology (2%/strict Krueger)? My husband is healthy, 36 years old, doesn't use hot tubs (maybe twice a year), wears boxer shorts, doesn't bike ride, etc.

What could be causing this? Can anything be done about it? Can he conceive naturally with these values?

thanks.

Christine

Babies

Mon, 14 Jul 2008 14:16:56 -0500

Dr.Q I went tubbing Sat.and im a couple weeks pregnant could this cause a m/c? And also could yelling and getting mad cause a m/c also??

shellybug

when is it time to worry?

Mon, 14 Jul 2008 09:36:23 -0500

Dr. Q.,

When is it time to start worrying if you don't have m/s or can that be normal. I am just turing 7 weeks today I have been very tired and bbs have been sore as well as constipated. I worry b/c my stomach has been nervous feeling and my appetite has been bad only on and off. My first u/s is not until this thursday. Is everyone different? Also, b/c I did not have any symptoms with birth control pills as well as fertilty meds does this mean my body reacts well to hormones and this is why i have not been sick (throwing up)?

yourgirlaa

inferitility

Wed, 30 Apr 2008 13:15:18 -0500

how do a woman become infertile?

sonu832000

Dr Q... Medical question

Fri, 28 Mar 2008 16:40:54 -0500

Dr Q... I was wondering why do u get cramps when u have AF? What are the cramps from? Also, why when u use a tampon do the cramps get worse? Well at least for me they do. I have always wanted to know the answer to this and I know that this is a good website to get the answers. Thanks so much!!

Katie822 trying for #3

What is PCOS?

Mon, 25 Feb 2008 21:28:00 -0600

What is Polycystic Ovarian Syndrome (PCOS)?

PCOS is a syndrome with symptoms that to date still creates much debate among academicians. For example, the criterion was recently changed to add the appearance of multiple cysts (antral follicles) in the ovary diagnosed by ultrasound. The diagnosis of PCOS, for now, is the exclusion of other conditions with 2 out of the following 3 symptoms present:

(1) No periods or few periods in a year

(2) Increased blood “testosterone” levels or the appearance of excess body hair growth

(3) Multiple ovarian cysts (better stated as antral follicles <12mm)

Yet, many still argue that some of these patients aren’t true PCOS patients, in particular, those that skip periods and have these ultrasound cyst findings without the testosterone/hair elevation.

What Causes PCOS?

There is a hereditary pattern associated with PCOS that has been recognized, predisposing some people to get PCOS more than others. In our overweight population, the increased fatty tissue primarily around the abdomen creates insulin resistance. The body needs to create more insulin then to override this resistance because insulin is needed to utilize the sugar/carbs we eat. No insulin=No Energy. This excess insulin now keeps the ovary from ovulating, stimulates it to produce more Testosterone, and diminishes the liver’s production of proteins needed to “clean up” Testosterone. If the resistance is severe and prolonged, the body will eventually stop making an adequate amount of insulin; sugar builds up in the blood and gets excreted in the urine (diabetes).

What are typical Symptoms of PCOS?

The most common symptom noticed from PCOS is from the excess Testosterone floating around the body. This will cause an increase in hair growth (hirsuitism) that will be present in the lower abdomen, a lateral extension of pubic hair, increased lower back hair, mild facial hair and acne. A Ferriman-Gallway criterion can be used to denote the severity of hirsuitism and is sometimes used by doctors to denote the severity of hair growth. Since the ovary is not able to ovulate due to the excess insulin, skipped or missing periods will also be noted. In more severe cases, a skin condition from excess insulin called Acanthosis Nigricans can develop on the back of the neck, breasts, under arms (axilla), and groin. The skin appears thickened and much darker in those areas than the rest of the body.

How does PCOS affect Fertility?

A big cause for infertility in PCOS patients is their inability to ovulate, but even if ovulation is stimulated with Clomid, pregnancy rates are still lower than individuals without PCOS. This means there are other factors contributing to infertility than just not ovulating.

Can we measure insulin to diagnose PCOS?

A good diagnosis of insulin resistance remains elusive without the use of insulin clamps which are costly, invasive, and time consuming. Currently, the best modality to assess insulin resistance is to check a blood fasting glucose/insulin level, followed by a 75gm glucose load with labs repeated 2 hours later. There is controversy as to what values would constitute insulin resistance, and only by talking with your doctor to asses the lab values can a determination be made.

What are other consequences from having PCOS?

When one doesn’t have periods because of PCOS, the endometrium (tissue inside the uterus) can convert into cancer. Not only that, one can eventually develop Hypertension (high blood pressure), High Cholesterol, Heart Disease and a multitude of other health problems.

Will having PCOS affect my Pregnancy?

The biggest risk one undertakes if conceiving with uncorrected PCOS is the acquisition of Gestational Diabetes, which in most cases would require a change in diet and/or insulin given in a shot form. Gestational diabetes can create an overweight fetus which may create a difficult/traumatic delivery, breathing problems at birth, and in some cases fetal demise. Risk of Gestational Hypertension would also be present requiring premature delivery if it’s noted to be severe.

How is PCOS treated?

Weight loss to diminish the amount of extra fatty tissue is always the first and best recommendation that can be given. Indeed, even a 5% drop in some cases may be enough to restore one’s menstrual cycles. If weight loss is not an option and one is willing to undertake pregnancy risks, then ovulation induction can be performed. In a landmark study, Legro et al (NEJM 2/2007) reported a live birth rate of Metformin (8%), Clomid (22%), Clomid+Metformin (27%) when either was attempted for 6 months at most. The study demonstrated that sole metformin use may not be an adequate treatment for fertility purposes in PCOS patients. This study also showed that miscarriages were higher in people who continued Metformin through their first trimester vs. those who did not.

Injectable Gonadotropins can also be used to stimulate follicular growth with a higher pregnancy rate than clomid. Finding the “perfect dose” of gonadotropins however is always a challenge for the RE administering them. Give too little, and no follicles will grow. Give just a little too much, and too many follicles grow.

With IVF, multiple follicles can be created, but at the possible expense of developing Ovarian Hyperstimulation Syndrome (OHSS), creating another challenge for the RE. What is also sometimes noted in PCOS patients is that even though many eggs are extracted, a good proportion of the oocytes (eggs) will wind up being immature and not be perfect for fertilization, creating a diminished pregnancy rate; yet IVF is still superior to any other treatment modality for all patients seeking fertility treatment.

Can PCOS return?

Weight gain will cause PCOS to return. It is important therefore to always maintain a healthy diet and exe

Dr. Q

fertility

Sat, 20 Oct 2007 21:50:19 -0500

how do i find out if am infertile

arlene feelings

menstruation after miscarraige

Tue, 21 Aug 2007 09:32:02 -0500

Hello. I started a miscarraige on June 21st. I did not have a D & C. I finally stopped bleeding and my hormones returned to normal (below 5) on July 18th. Pre-pregnancy I was fairly normal, with a cycle between 28-33 days every month. It's now been 34 days (I know that hardly qualifies as being late!) but I havent had any signs that I am going to menstruate soon. Is it normal to be irregular following a miscarraige? Or could I possibly have gotten pregnant again that soon? Also, I had trans-vaginal ultrasound following hemorhaging near the end of my m/c. The report notes that I have an ovarian cyst and a question of fibroids. Could either of these things been the cause of my m/c? Is it safe to get pregnant again?

erink508