40 Isn't the New 30 When It Comes to Your Ovaries

This report did acknowledge that delayed initial child-bearing in the U.S. has most definitely contributed to the increase in the mean age of a woman having her first child. The report also commented that an increase in "delayed initial childbearing can affect the number of children a typical woman will have in her lifetime, family size, and for the overall population change in the United States." Women are starting families later in life AND having more babies after age 35, that age that when a woman medically becomes "advanced maternal age", and even after age 40. Because of this report, many social media sites and notable news outlets have even suggested that the biological clock is a thing of the past. A woman can wait until she is darn good and ready to have a baby. She can pursue her career or other life goals and have a family when she is "settled" at age 35 or older. So rest easy, "mature" woman. You CAN wait! WARNING! The ovary begs to differ... A decision to delay child-bearing for ANY reason does NOT mean the ovary will delay the aging process. The fact remains that the internal biological clock continues to tick, i.e., the ovary marches on despite the fact that a woman has decided to wait. This means that women delaying child-bearing until their late 30s and 40s will still be faced with decreasing egg quantity (the number of eggs available for fertilization with each menstrual cycle) and egg quality (the number of availa...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news

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[Nairobi News] Two in every 10 couples suffer from infertility, data has shown.
Source: AllAfrica News: Pregnancy and Childbirth - Category: OBGYN Source Type: news
CONCLUSION: Trends favoring twice daily dosing are encouraging findings and require further investigation. PMID: 29999292 [PubMed - in process]
Source: Journal of Reproductive Medicine - Category: Reproduction Medicine Tags: J Reprod Med Source Type: research
CONCLUSION: Expression of gap junction protein correlates with quantity of oocytes retrieved and might be related to pregnancy outcome. This study suggests that lack of connexin43 expression may contribute to poor ovarian response. PMID: 29999282 [PubMed - in process]
Source: Journal of Reproductive Medicine - Category: Reproduction Medicine Tags: J Reprod Med Source Type: research
Uterine myomas are common benign monoclonal tumors with extremely low potential for malignancy. They are estimated to be present in up to 70% of women of reproductive age [1], with a higher incidence in obese women and those of African American descent, and when symptomatic, a frequent indication for gynecologic surgery. Although the presence of myomas may be associated with a plethora of symptoms including pelvic pain, abnormal uterine bleeding, infertility/subfertility, and adverse pregnancy outcomes [2], the vast majority of women with uterine fibroids are asymptomatic.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Perspective Source Type: research
​BY GREGORY TAYLOR, DO, &JACKLYN MCPARLANE​, DOA 31-year-old woman with a significant medical history for one ectopic pregnancy and five spontaneous abortions presented with abdominal pain and vaginal bleeding. Her symptoms started abruptly two days earlier, and the pain was located in the right lower quadrant, which had become diffuse and she described as sharp. She was also experiencing nausea, vomiting, and vaginal bleeding.She stated she had been spotting for five days and soaking up to four pads a day. Her last menstrual period was two months before, and a home pregnancy test was positive. Her presentation was...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
We report a case of OEIS complex with the classical four major components in a 2-hour old term male baby, delivered by cesarean section to a 37-year-old lady with history of primary infertility and had the pregnancy with the aid of In Vito Fertilization. The baby was one of a set of twins. The other baby was alive and normal. We document the presence of a vesico-enteric fistula between the urinary bladder and the terminal ileum, which is to our best knowledge, a unique association that is not reported in the reviewed studies. We present the immediate neonatal care and surgical intervention that has been done for this newborn.
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
In conclusion, with strict repeated assessments of blood parameters and maintenance of the platelet count, the bleeding risk in pregnancy in DIAPH1-related disease can be successfully controlled. PMID: 29985732 [PubMed - as supplied by publisher]
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Publication date: July 2018Source: Reproductive BioMedicine Online, Volume 37, Issue 1Author(s): Xianghui Zhang, Dong Liu, Wei Huang, Qiushi Wang, Xue Feng, Jing TanAbstractThe effect of endometriosis on fecundity is unclear. Although surgery plays a vital role in the treatment of related infertility, pregnancy outcomes after laparoscopy are poorly correlated with the currently used staging system. To address this, the Endometriosis Fertility Index (EFI) was developed. This retrospective study was designed to assess the predictive value of the EFI for patients with endometriosis-associated infertility. A total of 1325 pati...
Source: Reproductive BioMedicine Online - Category: Reproduction Medicine Source Type: research
ConclusionsThe processes related to the differentially expressed proteins play important roles in fecundity and fecundability. The present study may reveal the cause of various endometrial aberrations as a limiting factor for achieving pregnancy in PCOS women.
Source: Reproductive BioMedicine Online - Category: Reproduction Medicine Source Type: research
Conclusion(s)Pregnancy/retrieval and ongoing pregnancy rates are comparable among the three protocols with GnRH agonist stop protocol having non-significantly higher rates.
Source: Middle East Fertility Society Journal - Category: Reproduction Medicine Source Type: research
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