What to Expect When You're... Still Not Expecting

IVF Isn't About the Journey, It's About the Destination While some women may share their birth stories, I wanted to share our fertility story. Translating my mind's weavings into words on paper has helped me weather numerous storms, but throughout 2015 -- a year marred by a lot of heartbreak and too many hormonal injections -- when I've needed this kind of therapy the most, I maintained silence on a subject that hit me like a piece of fallen scaffolding. Instead, I relied heavily on the physical support of my husband, family and friends, all for whom I am extremely grateful. With each setback along this grueling and at times never-ending journey, I would begin the story over and over again in my head, but I never got around to completing it. Until now. *** After a year and a half of trying to get pregnant the old-fashioned way, which is to say without downloading ovulation apps and marking red Ps on the calendar every month, and just hoping it would take a few romantic evenings at home or on vacation with my husband, we consulted a local OB-GYN about our dilemma. She prescribed a few months of charting everything from my morning temperature to the location of my cervix. That didn't work. She then prescribed three months of Clomid -- a drug that helps women ovulate more regularly, which in turn can help you track when to have sex more accurately. My cycles were anywhere between 28 and 40 days, so I hoped this would be the wonder drug we needed to get pregnant. It was n...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news

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ConclusionsTreatment with warfarin or aspirin both lead to similar outcomes after surgical bAVR. Combining aspirin with warfarin may lead to a small decrease in thromboembolism and mortality but is accompanied by increased bleeding. For TAVR patients, aspirin is equivalent to DAPT for reducing thromboembolism and mortality, with a possible decrease in bleeding.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
ConclusionsIn patients with significant bleeding following cardiac surgery, PCC administration seems to be more effective than FFP in reducing perioperative blood transfusions. No additional risks of thromboembolic events or other adverse reactions were observed. Randomized controlled trials are needed to definitively establish the safety of PCC in cardiac surgery.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Authors: Ye J, Huang G, Zhang X, Xu M, Zhou X, Lin M, Xie X, Xie X Abstract PURPOSE: To investigate the feasibility of three-dimensional contrast-enhanced ultrasound (3DCEUS) fusion in evaluating ablative margin (AM) after radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC) and compare with those of computed tomography (CT) fusion. PATIENTS AND METHODS: In total, 55 patients (47 men, 8 women; mean age, 56.0 ± 10.6 years) with 55 HCCs were included. Pre- and post-RFA 3DCEUS images were fused to assess AM immediately after RFA. The AM measured on fusion imaging was categor...
Source: International Journal of Hyperthermia - Category: Internal Medicine Tags: Int J Hyperthermia Source Type: research
ConclusionsResults suggest that the nicotine patch incentives motivated women to call the Helpline, even pregnant women who needed a physician's approval consistent with current American College of Obstetricians and Gynecologists cautions about the appropriateness of the patch during pregnancy.Supplement informationThis article is part of a supplement entitled Advancing Smoking Cessation in California's Medicaid Population, which is sponsored by the California Department of Public Health.
Source: American Journal of Preventive Medicine - Category: International Medicine & Public Health Source Type: research
We present a comprehensive review of the indications for spinal imaging in the trauma setting, describe each imaging modality including plain radiographs, multidetector computed tomography and magnetic resonance imaging, basic anatomy and common fracture patterns, and discuss the traditional spinal injury classification systems and the new Subaxial Cervical Spine Injury Classification and Thoracolumbar Injury Classification and Severity score.
Source: Seminars in Ultrasound, CT and MRI - Category: Radiology Source Type: research
Potential combination topical therapy of anal fissure: development, evaluation, and clinical study†. Drug Deliv. 2018 Nov;25(1):1672-1682 Authors: Salem AE, Mohamed EA, Elghadban HM, Abdelghani GM Abstract To treat anal fissure, internal anal sphincterotomy may be associated with surgical risks and incidence of incontinence. Botulinum toxin injection into the anal sphincter is invasive and expensive. Headache and hypotension hindered topical treatment with glyceryl trinitrate. Greater patient compliance, potentiated efficacy, reduced side effects, and lower cost are the major advantages offered ...
Source: Drug Delivery - Category: Drugs & Pharmacology Tags: Drug Deliv Source Type: research
Authors: Caspers M, Maegele M, Fröhlich M Abstract INTRODUCTION: Despite advances in the treatment of severely injured patients that have resulted in overall improved outcomes, uncontrolled hemorrhage still represents the most common cause of preventable death following major injury. While addressing both endo- and exogenous factors that lead to an acute trauma-induced coagulopathy, massive transfusion plays a key role in managing bleeding trauma patients. However, the best practice for hemostatic control including massive transfusion in these patients is still under debate. Areas covered: This review summariz...
Source: Expert Review of Hematology - Category: Hematology Tags: Expert Rev Hematol Source Type: research
CONCLUSION: The aim of this review, other than providing a summarized update on the clinical knowledge on this special topic, is also to raise awareness for the need to conduct larger systematic studies in order to adequately evaluate the use of biologics in these special patient categories and therefore draw definite conclusions on their safety profile. PMID: 30428753 [PubMed - as supplied by publisher]
Source: Journal of Dermatological Treatment - Category: Dermatology Tags: J Dermatolog Treat Source Type: research
ConclusionsThe iHealth Track and Omron HEM-9210T automated blood pressure monitors are validated for use in pregnancy. These two devices can now be added to the short list of validated devices in pregnancy and can be used for self-measurement of blood pressure in a telemonitoring setting of pregnant patients with (a high risk of) hypertensive disease.
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - Category: OBGYN Source Type: research
Publication date: Available online 17 November 2018Source: Pregnancy HypertensionAuthor(s): Margaret B. Sahu, Venkataraman Deepak, Stephen K. Gonzales, Bassam Rimawi, Keiana K. Watkins, Alicia K. Smith, Martina L. Badell, Neil Sidell, Augustine RajakumarAbstractUterine stromal cell decidualization of maternal tissue is essential for implantation of and local adaptation to the fetal allograft, as well as growth and maintenance of the placenta in healthy pregnancies. Maternal defects in decidualization have been suggested as a possible driver of preeclampsia. Preeclampsia (PE) pregnancies demonstrate shallow implantation, in...
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - Category: OBGYN Source Type: research
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